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German Remedies - 1 S
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Acotiamide
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Akostol OD Tablet is used for this medicine is used in the treatment of nausea, vomiting, bloating and slow stomach emptying.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated October 2026
Akostol OD Tablet contains Acotiamide. It belongs to the Anti-emetic / prokinetic class of medicines.
Acotiamide settles the stomach and blocks the signals that trigger nausea and vomiting, and helps the stomach empty at a normal rate.
Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Take it 15 to 30 minutes before meals. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause drowsiness, disorientation and abnormal muscle movements. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Akostol OD are mild and settle as the body gets used to the medicine. The ones reported most often are:
Stop the medicine and get help at once for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
Use it for the shortest period that works. These medicines are not intended for long-term daily use. Report any unusual muscle stiffness, tremor, restlessness or uncontrolled movements of the face or limbs at once — stop and contact your doctor. Tell your doctor if you have a heart rhythm problem; some of this group affect the heart's electrical timing. Persistent vomiting needs a diagnosis. Do not keep suppressing it without seeing a doctor, especially with abdominal pain, fever or blood.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with bleeding, blockage or perforation of the gut, or with certain heart rhythm disorders.
Antifungals, some antibiotics and heart-rhythm medicines increase the risk of rhythm problems when combined. Adds to the drowsiness of alcohol and sedatives.
Store below 25°C in a cool, dry place. Protect from light and moisture. Keep out of reach of children.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered pharmacist. It does not replace your own doctor's advice.