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Itopride is Gastro intestinal prokinetic and it is used in the treatment of GI symptoms caused by reduced motility (Gastric fullness, Epigastric pain, anorexia, heart burn, Regurgitation, bloating, Nausea and vomitting.

Cardizem Cd ( Generic Diltiazem )

Cardizem CD capsules contain an active ingredient called diltiazem hydrochloride. They are designed to release the active ingredient slowly so that it works over 24 hours and can be taken once a day (CD stands for "controlled delivery"). Cardizem CD capsules belong to a group of medicines called calcium channel blockers or calcium antagonists. They work by opening up blood vessels, which lowers blood pressure and lets more blood and oxygen reach the heart. They do not change the amount of calcium in your blood or bones.Cardizem CD capsules are used by some people to prevent angina and by others to treat hypertension (high blood pressure).Angina is a pain or uncomfortable sensation in the chest, often spreading to the arms or neck and sometimes to the shoulders and back. The pain of angina is due to a shortage of oxygen to the heart.High blood pressure can have many different causes including kidney disease, hardening of the arteries and some hormone imbalances. However, the vast majority of people with high blood pressure have no identifiable cause for it. If left untreated, high blood pressure can lead to serious health problems such as a stroke or heart attack.How to use Cardizem OralTake this medication by mouth with or without food, usually 3-4 times daily or as directed by your doctor.The dosage is based on your age, medical condition, body size and response to therapy. If you are older or have severe liver problems, your dosage may need to be adjusted.Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. For the treatment of high blood pressure, it may take up to two weeks before the full benefit of this drug takes effect. When used for angina, this medication must be taken regularly to be effective. It should not be used to treat angina when it occurs. Use other medications (e.g., sublingual nitroglycerin) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details.Do not suddenly stop taking this medication without consulting your doctor. Your condition may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.

Forcan ( Diflucan, Generic Fluconazole )

Fluconazole is used to treat fungal infections, including yeast infections of the vagina, mouth, throat, esophagus (tube leading from the mouth to the stomach), abdomen (area between the chest and waist), lungs, blood, and other organs. Fluconazole is also used to treat meningitis (infection of the membranes covering the brain and spine) caused by fungus. Fluconazole is also used to prevent yeast infections in patients who are likely to become infected because they are being treated with chemotherapy or radiation therapy before a bone marrow transplant (replacement of unhealthy spongy tissue inside the bones with healthy tissue). Fluconazole is in a class of antifungals called triazoles. It works by slowing the growth of fungi that cause infection.Fluconazole comes as a tablet and a suspension (liquid) to take by mouth. It is usually taken once a day. You may need to take only one dose of fluconazole, or you may need to take fluconazole for several weeks or longer. The length of your treatment depends on your condition and on how well you respond to fluconazole. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take fluconazole exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Your doctor may tell you to take a double dose of fluconazole on the first day of your treatment. Follow these directions carefully.Shake the liquid well before each use to mix the medication evenly.Continue to take fluconazole until your doctor tells you that you should stop, even if you feel better. Do not stop taking fluconazole without talking to your doctor. If you stop taking fluconazole too soon, your infection may come back after a short time. Fluconazole is also sometimes used to treat serious fungal infections that begin in the lungs and can spread through the body and fungal infections of the eye, prostate (a male reproductive organ), skin and nails. Fluconazole is also sometimes used to prevent fungal infections in people who are likely to become infected because they have human immunodeficiency virus (HIV) or cancer or have had a transplant operation (surgery to remove an organ and replace it with a donor or artificial organ). Talk to your doctor about the possible risks of using this drug for your condition.

Florinef ( Astonin, Generic Fludrocortisone )

Fludrocortisone, a corticosteroid, is used to help control the amount of sodium and fluids in your body. It is used to treat Addison's disease and syndromes where excessive amounts of sodium are lost in the urine. It works by decreasing the amount of sodium that is lost (excreted) in your urine.Fludrocortisone comes as a tablet to be taken by mouth. Your doctor will prescribe a dosing schedule that is best for you. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take fludrocortisone exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Do not stop taking fludrocortisone without talking to your doctor. Stopping the drug abruptly can cause loss of appetite, an upset stomach, vomiting, drowsiness, confusion, headache, fever, joint and muscle pain, peeling skin, and weight loss. If you take large doses for a long time, your doctor probably will decrease your dose gradually to allow your body to adjust before stopping the drug completely. Watch for these side effects if you are gradually decreasing your dose and after you stop taking the tablets. If these problems occur, call your doctor immediately. You may need to increase your dose temporarily or start taking the tablets again.Fludrocortisone is also used to increase blood pressure.

Rapamune ( Generic Sirolimus )

Sirolimus is used with other medications to prevent rejection of a kidney transplant. This medication belongs to a class of drugs known as immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own.How to use Rapamune OralTake this medication by mouth with or without food, usually once daily or as directed by your doctor. Do not take more than 40 milligrams in any 24-hour period. If you have nausea or an upset stomach, you may take this drug with food, although this may cause your body to absorb less of the drug. However, you must choose one way (with food or without food) and always take this medication the same way so that your body always absorbs the same amount of drug. Consult your doctor or pharmacist for more details.Dosage is based on your weight, medical condition, blood test results (e.g., sirolimus trough levels), and response to therapy.Do not increase your dose or take this medication more often without your doctor's approval. Your condition will not improve any faster and the risk of serious side effects may be increased. Also, do not stop taking this medication without your doctor's approval.Take this medication regularly in order to get the most benefit from it. It is important to take all doses on time to keep the amount of medicine in your body at a constant level. Remember to take it at the same time each day.The tablet and solution forms of this medication may deliver different amounts of medication. Do not switch between the tablet and solution forms without your doctor's permission and directions.Other medications (e.g., antibiotics, immunosuppressants) may also be prescribed to help prevent infection in your body and to help prevent rejection of the transplanted organ. Take these additional medications exactly as prescribed by your doctor.Avoid eating grapefruit or drinking grapefruit juice while being treated with this medication unless your doctor instructs you otherwise. Grapefruit can increase the amount of certain medications in your bloodstream. Consult your doctor or pharmacist for more details.Rapamune Oral is used to treat the following:Prevent Kidney Transplant RejectionRapamune Oral may also be used to treat: Prevention of Cardiac Transplant Rejection

Laroxyl ( Elavil, Levate, Novotriptyn, Vanatrip, Generic Amitriptyline ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Amitriptyline is in a group of drugs called tricyclic antidepressants. Amitriptyline affects chemicals in the brain that may become unbalanced. Amitriptyline is used to treat symptoms of depression. Laroxyl is prescribed for the relief of symptoms of mental depression. It is a member of the group of drugs called tricyclic antidepressants. Some doctors also prescribe Laroxyl to treat bulimia (an eating disorder), to control chronic pain, to prevent migraine headaches, and to treat a pathological weeping and laughing syndrome associated with multiple sclerosis.How tricyclic antidepressants improve depression symptoms is not fully understood. They are thought to increase the activity of certain chemicals in the brain (norepinephrine, serotonin), which help improve mood.

Emeset - ( Zofran, Zofran Odt, Generic Ondansetron )

Ondansetron is used for: Preventing nausea and vomiting due to cancer chemotherapy or surgery. Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting.

Prozac ( Prozac Weekly, Rapiflux, Sarafem, Generic Fluoxetine ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Prozac is used for: Treating depression or obsessive-compulsive disorder (OCD) in adults and children. It is used to treat bulimia nervosa and panic disorder in adults. Prozac is prescribed for the treatment of depression--that is, a continuing depression that interferes with daily functioning. The symptoms of major depression often include changes in appetite, sleep habits, and mind/body coordination; decreased sex drive; increased fatigue; feelings of guilt or worthlessness; difficulty concentrating; slowed thinking; and suicidal thoughts.Prozac is also prescribed to treat obsessive-compulsive disorder. An obsession is a thought that won't go away; a compulsion is an action done over and over to relieve anxiety. The drug is also used in the treatment of bulimia (binge-eating followed by deliberate vomiting). It has also been used to treat other eating disorders and obesity.In addition, Prozac is used to treat panic disorder, including panic associated with agoraphobia (a severe fear of being in crowds or public places). People with panic disorder usually suffer from panic attacks--feelings of intense fear that develop suddenly, often for no reason. Various symptoms occur during the attacks, including a rapid or pounding heartbeat, chest pain, sweating, trembling, and shortness of breath.In children and adolescents, Prozac is used to treat major depression and obsessive-compulsive disorder.Prozac Weekly is approved for treating major depression.Under the brand name Sarafem, the active ingredient in Prozac is also prescribed for the treatment of premenstrual dysphoric disorder (PMDD), formerly known as premenstrual syndrome (PMS). Symptoms of PMDD include mood problems such as anxiety, depression, irritability or persistent anger, mood swings, and tension. Physical problems that accompany PMDD include bloating, breast tenderness, headache, and joint and muscle pain. Symptoms typically begin 1 to 2 weeks before a woman's menstrual period and are severe enough to interfere with day-to-day activities and relationships.Prozac belongs to the class of drugs called selective serotonin re-uptake inhibitors (SSRIs). Serotonin is one of the chemical messengers believed to govern moods. Ordinarily, it is quickly reabsorbed after its release at the junctures between nerves. Re-uptake inhibitors such as Prozac slow this process, thereby boosting the levels of serotonin available in the brain.

Duovir N ( Generic Lamivudine/Zidovudine/Nevirapine )

Antiretroviral. For treatment of HIV infection in combination of Lamivudine, Zidovudine and Nevirapine

Madopar ( Prolopa, Generic Levodopa/Benserazide )

Levodopa is one of several drugs used to treat ParkinsonÆs disease. A progressive disorder, ParkinsonÆs disease is associated with the reduced production of dopamine (an important neurotransmitter) by the brain. This, in turn, leads to problems with movement and coordination that worsen over time. Levodopa helps to mitigate movement problems because of its chemical similarity to dopamine. In fact, levodopa is converted into dopamine once inside the body.In general, levodopa is considered the most effective treatment available for ParkinsonÆs disease and its symptoms. Levodopa is often given in combination with another drug called carbidopa. This combination is known as Sinemet. It may provide significant benefit for five or more years.

Coreg ( Dilatrend, Generic Carvedilol )

Carvedilol is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressure. It also is used to treat people whose hearts cannot pump blood well as a result of a heart attack. Carvedilol is often used in combination with other medications. Carvedilol is in a class of medications called beta-blockers. It works by relaxing the blood vessels to allow blood to flow through the body more easily.Carvedilol comes as a tablet and an extended-release (long-acting) capsule to take by mouth. The tablet is usually taken twice a day with food. The extended-release capsule is usually taken once a day in the morning with food. Try to take carvedilol at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take carvedilol exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Swallow the extended-release capsules whole. Do not chew or crush the capsules, and do not divide the beads inside a capsule into more than one dose. If you are unable to swallow the capsules, you may carefully open a capsule and sprinkle all of the beads it contains over a spoonful of cool or room temperature applesauce. Swallow the entire mixture immediately without chewing.Your doctor will probably start you on a low dose of carvedilol and gradually increase your dose to allow your body to adjust to the medication. Talk to your doctor about how you feel and about any symptoms you experience during this time.Carvedilol may help to control your condition but will not cure it. Continue taking carvedilol even if you feel well. Do not stop taking carvedilol without talking to your doctor. If you suddenly stop taking carvedilol, you may experience serious heart problems such as severe chest pain, a heart attack, or an irregular heartbeat. Your doctor will probably want to decrease your dose gradually over 1 to 2 weeks. Your doctor will watch you carefully and will probably tell you to avoid physical activity during this time.

Atrovent Nasal Aq Aero ( Generic Ipratropium Bromide )

Atrovent Nasal Aqueous relieves the symptoms of a persistent runny nose. A runny nose is a typical symptom of the condition known as rhinitis. Rhinitis may be caused by allergies, the common cold, or other stimuli such as temperature changes or food.Atrovent Nasal Aqueous relieves a runny nose by acting directly on the mucous glands of the nose to decrease watery secretions.Atrovent Nasal Aqueous is known as an anticholinergic medicine. It belongs to one of several types of medicines used to treat the symptoms of rhinitis.How to use Atrovent NaslRead the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist.Spray this medication in your nose, usually 2 sprays in each nostril 2 or 3 times a day as directed by your doctor. The dosage is based on your medical condition and response to therapy. Do not use ipratropium more often or for longer than prescribed.Avoid spraying in or near the eyes. If this accidentally occurs, flush your eyes with cool tap water for a few minutes. Contact of ipratropium with the eyes may cause temporary blurred vision and sensitivity to light that may last several hours. Tell your doctor immediately if you experience blurred vision or eye pain.The first time you use this medication, you must prime the bottle to make sure that the proper dose is delivered. Remove the dust cap and safety clip. Hold the bottle upright and point the tip away from your eyes. Place your thumb at the bottom of the bottle and your middle and index finger on either side of the spray tip. Press down firmly and quickly on the sprayer about 7 times until the spray appears. The device will have to be reprimed with 2 pumps if it has not been used for more than a 24 hour period. If the device is not used for more than 7 days, prime it again with 7 pumps.To use this medication, first gently blow your nose to clear the nasal passages. Tilt your head forward, close one nostril by placing a finger against the side, and gently insert the spray tip into the other nostril. Point the tip toward the back and outer side of the nostril. Squeeze the bottle to deliver the spray. Sniff deeply in through the nostril, then breathe out through your mouth. Remove the spray tip from your nose and tilt your head back for a few seconds. Deliver the second spray the same way, then repeat this procedure for the other nostril. Replace the cap and safety clip on the bottle.If the sprayer gets clogged, hold the nasal tip under warm running tap water for one minute. Dry the nasal tip, reprime, and replace the cap and safety clip.Drink a glass of water or juice after using this medication to help relieve irritated throat or bad taste in the mouth.Use this medication regularly in order to get the most benefit from it. Remember to use it at the same times each day. Although you may feel better after the first day of use, it may take up to 2 weeks before the full benefit of this drug takes effect.

Fucidin ( Fusidin, Generic Fusidic Acid )

This medication, a combination of several drugs that belong to a group of drugs called ergoloid mesylates, is used to relieve the signs and symptoms of decreased mental capacity due to the aging process.This medication comes as a tablet to take by mouth or dissolve under the tongue and a liquid to take by mouth. It is usually taken three times a day. Take ergoloid mesylates with food or milk to prevent stomach upset. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take ergoloid mesylates exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.To use the sublingual tablets, place a tablet under your tongue and allow it to dissolve. Do not chew or swallow the sublingual tablet. Do not eat or drink while the tablet is under your tongue.The liquid comes with a specially marked dropper for measuring the dose. Ask your pharmacist to show you how to use the dropper if you have difficulty. The liquid may be mixed with water, juice, milk, or food.Continue to take ergoloid mesylates even if you feel well. This drug must be taken regularly for a few weeks before its full effect is felt.

Acomplia ( Generic Rimonabant )

Appetite suppressant , Anti obesity drug. Acomplia is used complementary to diet and exercise to treat .obese or overweight patients who suffer from Type 2 diabetes and abnormal levels of fat in the bloodA single pill has been found to stop both food and cigarette cravings enough to help people quit smoking and lose weight, and could also help curb other unhealthy urges. In one study the medicine helped people who were overweight drop an average of 20 pounds and in another doubled the chances that smokers would quit. Acomplia contains the active ingredient Rimonabant. It is a selective CB1 Endocannabinoid Receptor Antagonist.Acomplia works by blocking receptors of a substance called cannabinoid 1, which stimulates hunger and other cravings in the brain and is also present in fat tissue. Sanofi argues that Acomplia can also prevent the risk ofCardiovascular disease.Patients with large waist circumference (102 cm in men and 88 cm in women) will mostly benefit from taking the drug.ACOMPLIA« (rimonabant) approved as an adjunct to diet and exercise for the treatment of obese patients (BMI ≥ 30 kg/m2), or overweight patients (BMI > 27 kg/m2) with associated risk factors such as type 2 diabetes or dyslipidemia.Side Effects:Acomplia was said to be well tolerated in early tests. The only relatively common side effects were mild GI side effects and dizziness, and these were said to be transient.

Seroflo Rotacap ( Advair Diskus, Generic Salmeterol/Fluticasone )

The combination of fluticasone and salmeterol is used to prevent wheezing, shortness of breath, and breathing difficulties caused by asthma and chronic obstructive pulmonary disease (COPD; a group of lung diseases that includes chronic bronchitis and emphysema). Fluticasone is in a class of medications called steroids. It works by reducing swelling in the airways. Salmeterol is in a class of medications called long-acting beta-agonists (LABAs). It works by relaxing and opening air passages in the lungs, making it easier to breathe.The combination of fluticasone and salmeterol comes as a powder to inhale by mouth using a specially designed inhaler. It is usually used twice a day, in the morning and evening, about 12 hours apart. Use fluticasone and salmeterol at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use fluticasone and salmeterol exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.Talk to your doctor about how you should take your other oral or inhaled medications for asthma during your treatment with salmeterol and fluticasone inhalation. If you were using a short-acting beta agonist inhaler such as albuterol (Proventil, Ventolin) on a regular basis, your doctor will probably tell you to stop using it regularly but to continue to use it to treat sudden attacks of asthma symptoms. Follow these directions carefully. Do not change the way you use any of your medications or stop taking any of your medications without talking to your doctor.Do not use fluticasone and salmeterol during an attack of asthma or COPD. Your doctor will prescribe a short-acting inhaler to use during attacks.Fluticasone and salmeterol inhalation controls asthma and COPD but does not cure these conditions. It may take a week or longer before you feel the full benefit of fluticasone and salmeterol. Continue to use fluticasone and salmeterol even if you feel well. Do not stop using fluticasone and salmeterol without talking to your doctor. If you stop using fluticasone and salmeterol inhalation, your symptoms may return.Before you use fluticasone and salmeterol inhalation for the first time, ask your doctor, pharmacist, or respiratory therapist to show you how to use the inhaler. Practice using your inhaler while he or she watches.To use the inhaler, follow these steps: If you will be using a new inhaler for the first time, remove it from the box and the foil wrapper. Fill in the blanks on the inhaler label with the date that you opened the pouch and the date 1 month later when you must replace the inhaler. Hold the inhaler in one hand, and put the thumb of your other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position. Hold the inhaler in a level, horizontal position with the mouthpiece toward you. Slide the lever away from you as far as it will go until it clicks. Every time the lever is pushed back, a dose is ready to inhale. You will see the number in the dose counter go down. Do not waste doses by closing or tilting the inhaler, playing with the lever, or advancing the lever more than once. Hold the inhaler level and away from your mouth, and breathe out as far as you comfortably can. Keep the inhaler in a level, flat position. Put the mouthpiece to your lips. Breathe in quickly and deeply though the inhaler, not through your nose. Remove the inhaler from your mouth, and hold your breath for 10 seconds or as long as you comfortably can. Breathe out slowly. You will probably taste or feel the salmeterol powder released by the inhaler. Even if you do not, do not inhale another dose. If you are not sure you are getting your dose of fluticasone and salmeterol, call your doctor or pharmacist. Rinse your mouth with water, but do not swallow. Put your thumb on the thumbgrip and slide it back toward you as far as it will go. The inhaler will click shut. Never exhale into the inhaler, take the inhaler apart, or wash the mouthpiece or any part of the inhaler. Keep the inhaler dry. Do not use the inhaler with a spacer.

Primolut N ( Noriday, Generic Norethisterone )

PRIMOLUT N contains norethisterone, a progestogen, which is a synthetic hormonal product similar to the natural female hormone progesterone. What is PRIMOLUT N used for? PRIMOLUT N is used for timing of menstruation and to treat disturbances in monthly bleeding (dysfunctional bleeding), premenstrual complaints (premenstrual syndrome), menstrual cycle related complaints of the breast (cyclical mastopathy), endometriosis (a disease caused by unwanted womb-lining tissue growth outside the womb) and heavy menstrual bleeding (menorrhagia).

Seroquel ( Generic Quetiapine ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Quetiapine is an antipsychotic medication. It works by changing the actions of chemicals in the brain. Quetiapine is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar disorder (manic depression).Seroquel is used for: Treating schizophrenia. It is also used to treat acute manic episodes associated with bipolar disorder (manic-depression). Bipolar DisorderSEROQUEL is indicated for the treatment of both: Depressive episodes associated with bipolar disorder acute manic episodes associated with bipolar I disorder as either monotherapy or adjunct therapy to lithium or divalproex. Seroquel is prescribed for the treatment of schizophrenia, a mental disorder marked by delusions (false beliefs), hallucinations, disrupted thinking, and loss of contact with reality. It is also used for the short-term treatment of mania associated with bipolar disorder.

Acitrom ( Sinthrom, Generic Nicoumalone )

Nicoumalone tablets contain the active ingredient acenocoumarol (previously known as nicoumalone in the UK), which is a type of medicine called an oral anticoagulant. It is used to stop blood clots forming within the blood vessels. Blood clots normally only form to stop bleeding that has occurred as a result of injury to the tissues. The clotting process is complicated and begins when blood cells called platelets clump together at the site of damage and produce chemicals that activate clotting factors in the blood. Clotting factors are proteins that are produced by the liver. Vitamin K is essential for their production. The activated clotting factors cause a protein called fibrinogen to be converted into another called fibrin. Fibrin binds the platelets together, forming a blood clot. This is the bodyÆs natural way of repairing itself. Sometimes, however, a blood clot can form abnormally within the blood vessels. This is known as a thrombus and can be dangerous because the clot may detach and travel in the bloodstream, where it becomes known as an embolus. The clot may eventually get lodged in a blood vessel, thereby blocking the blood supply to a vital organ such as the heart, brain or lungs. This is known as a thromboembolism.Some people have an increased tendency for blood clots to form within the blood vessels. This is usually due to a disturbance in the blood flow within the blood vessels. For example, fatty deposits on the walls of the blood vessels (atherosclerosis) can disrupt the blood flow, giving a tendency for platelets to clump together and start off the clotting process. Slow blood flow in the leg and pelvic veins can also result in clots forming (deep vein thrombosis). These clots can break off and travel to the lungs (pulmonary embolism). A type of fast irregular heartbeat called atrial fibrillation can also disrupt blood flow and may lead to blood clots forming in the heart. Heart valve disease can have the same effect, particularly if artificial heart valves have been fitted. Clots in the heart can detach and travel to the brain, causing a stroke. Acenocoumarol is used to reduce the risk of blood clots forming inside the blood vessels in conditions such as these. Acenocoumarol works by preventing the vitamin K dependent production of the clotting factors described above. Acenocoumarol prevents the production of these clotting factors by inhibiting the action of vitamin K. Without these clotting factors fibrinogen cannot be converted into fibrin and blood clots are therefore less likely to occur.Acenocoumarol takes about three days to produce its full anticoagulant effect because, while it prevents the production of new clotting factors, it takes about this long for clotting factors that have already been produced to be used up. For this reason, when treating blood clots such as deep vein thrombosis (DVT) or pulmonary embolism, a faster acting injectable anticoagulant, such as a heparin, is often used as well to begin with.The anticoagulant effect of acenocoumarol is measured in terms of the prothombin time, which is the time taken for blood clotting to occur in a sample of blood to which calcium and a substance known as thromboplastin have been added. This time is expressed as the International Normalised Ratio (INR). Your doctor will take regular blood samples and adjust your dose of acenocoumarol as necessary to make your INR fall into the range that has been shown to be effective at preventing blood clots in your particular condition.What is it used for? Treating and preventing blood clots in the blood vessels, for example in the following cases:Preventing abnormal blood clots in conditions with increased risk, eg rheumatic heart disease, atrial fibrillation and after insertion of artificial (prosthetic) heart valves Treatment and prevention of blood clots lodged in the veins of the leg (deep vein thrombosis) Treatment and prevention of blood clots that have travelled to the lungs (pulmonary embolism)