Asunra 400mg Tablet 6'S

Poisoning/Overdose Rx required

Best Price* ₹ 661.60 MRP ₹ 827.00
(Inclusive of all taxes) *6 Tablet(s) in a Strip * Mkt: Novartis Healthcare Pvt Ltd * Country of Origin: India * Delivery charges if applicable will be applied at checkout

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INTRODUCTION

ASUNRA 400MG TABLET contains Deferasirox, which belongs to the group of medicines called Iron chelators. ASUNRA 400MG TABLET is used to remove chronic iron overload (excess iron in the body) caused by frequent blood transfusions in patients with beta thalassaemia major aged 6 years and older.

ASUNRA 400MG TABLET is also used to treat chronic iron overload when deferoxamine therapy is contraindicated or inadequate in patients with beta thalassaemia major and other types of anaemia with iron overload caused by repeated blood transfusions and in children 2 to 5 years of age.

ASUNRA 400MG TABLET is also used when deferoxamine therapy is contraindicated or inadequate to treat patients aged 10 years or older who have iron overload associated with non-transfusion-dependent thalassaemia syndromes.

Your doctor may advise you to undergo relevant tests to analyse your existing condition and monitor your kidney and liver function during treatment.

ASUNRA 400MG TABLET is not recommended for use in patients with moderate to severe kidney disease, severe liver disease, advanced stage of myelodysplastic syndrome (decreased production of blood cells by the bone marrow) or advanced stage of cancer.

ASUNRA 400MG TABLET inform your doctor if you have heart disease. ASUNRA 400MG TABLET is generally not recommended for use by pregnant and breastfeeding women, unless recommended by your doctor. ASUNRA 400MG TABLET is not recommended for use in children under 2 years of age.

The most common side effects of taking ASUNRA 400MG TABLET are nausea, vomiting, diarrhoea, abdominal pain, bloating, constipation, indigestion, rash, itching, headache, and change in liver or kidney function tests or urine tests. Consult your physician if any of your symptoms get worse or persist.

USES OF ASUNRA 400MG TABLET

  • Treats chronic iron overload (excess iron in the body) caused by frequent blood transfusions in patients with beta thalassaemia major aged 6 years and older
  • Treats chronic iron overload when deferoxamine therapy is contraindicated or inadequate in patients with beta thalassaemia major and other types of anaemia with iron overload caused by repeated blood transfusions and in children 2 to 5 years of age
  • Used when deferoxamine therapy is contraindicated or inadequate to treat patients aged 10 years or older who have iron overload associated with non-transfusion-dependent thalassaemia syndromes

HOW ASUNRA 400MG TABLET WORKS

ASUNRA 400MG TABLET works by trapping and removing excess iron from the body, which is then excreted mainly in the form of stools and reduces the risk of organ damage to the liver and heart. As a result, ASUNRA 400MG TABLET helps to remove excess iron from the body.

DIRECTIONS FOR USE

Take ASUNRA 400MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your physician will decide the correct dose and duration for you depending upon your age, body weight, and disease condition.

SIDE EFFECTS OF ASUNRA 400MG TABLET

COMMON

  • change in kidney function tests
  • nausea, vomiting, diarrhoea, abdominal pain, bloating, constipation, indigestion
  • rash
  • headache
  • change in liver function tests
  • itching
  • change in urine test (protein in the urine)

UNCOMMON

  • dizziness
  • fever, sore throat
  • swelling of the arms or legs
  • change in the skin’s colour
  • anxiety
  • sleep disorder
  • tiredness

RARE

Stop taking ASUNRA 400MG TABLET and contact your physician immediately if you experience any of the following side effects:

  • severe allergic reactions such as rash, red skin, blistering of the lips, eyes or mouth, skin peeling, high fever, flu-like symptoms, enlarged lymph nodes rash, swelling of the face, throat causing difficulty breathing and dizziness
  • decrease in your urine output (which indicates kidney problem)
  • signs of liver problems such as drowsiness, upper right abdominal pain, yellowish discolouration of skin or whites of the eye (jaundice) and dark urine
  • signs of a high level of ammonia in your blood, such as difficulty thinking or remembering information, solving problems, being less alert, aware, or feeling very sleepy with low energy, which may be associated with liver or renal problems and lead to a change in brain function
  • vomiting blood and/or black-coloured stools
  • severe abdominal pain
  • frequent heartburn
  • partial loss of vision
  • severe upper stomach pain (pancreatitis)
  • blurred or cloudy eyesight
  • reduced hearing

HOW TO MANAGE SIDE EFFECTS

Headache:

Rest and relax. Drink plenty of fluids such as water and electrolytes. Apply a pain-relieving balm on the head if necessary. Contact your doctor if your headache does not improve.

Nausea and vomiting:

Take the medicine with or just after a meal. Stick to simple meals. Avoid eating oily or spicy foods. Contact your doctor if your symptoms do not improve.

Diarrhoea:

Drink lots of fluids, such as water or fruit juices, to keep yourself hydrated. Do not take any medicine on your own to treat diarrhoea. Contact your doctor if your symptoms do not improve.

Stomach pain:

Try to rest and relax. Eat small meals but take them frequently. Keep a heating pad on your stomach if needed. Contact your doctor if your symptoms do not improve.

Constipation:

Eat fiber-rich foods such as fresh fruits, vegetables, and cereals. Drink lots of water and exercise more regularly. Contact your doctor if your symptoms do not improve.

Dizziness or drowsiness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any machines while you are feeling dizzy. Do not drink alcohol, as it can aggravate your dizziness. Contact your doctor if your symptoms do not improve.

Indigestion:

Eat small meals but take them frequently. Eat and exercise regularly. Contact your doctor if your symptoms do not improve.

Itchy skin:

Avoid hot showers because hot water can irritate the skin. Do not scratch the affected area. Use sunscreen and protective clothing when outdoors. Regularly use unscented moisturizers to soothe and hydrate the affected area. Contact your doctor if your symptoms do not improve.

WARNING & PRECAUTIONS

PREGNANCY

ASUNRA 400MG TABLET is generally not recommended for use in pregnant women unless considered necessary. Contact your doctor before taking ASUNRA 400MG TABLET.

BREASTFEEDING

ASUNRA 400MG TABLET is generally not recommended for use in breastfeeding women as it may pass through the breast milk unless considered necessary. Contact your doctor before taking ASUNRA 400MG TABLET.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel dizziness, after taking ASUNRA 400MG TABLET.

KIDNEY

ASUNRA 400MG TABLET is not recommended for use in patients with moderate to severe kidney disease and should be used with caution in patients with decreased urine output. Contact your doctor before taking ASUNRA 400MG TABLET.

LIVER

ASUNRA 400MG TABLET is not recommended for use in patients with severe liver disease. Contact your doctor before taking ASUNRA 400MG TABLET.

ALLERGY

Do not take ASUNRA 400MG TABLET if you are allergic to Deferasirox or to other ingredients in this medicine.

HEART DISEASE

ASUNRA 400MG TABLET should be used with caution in patients with heart diseases due to iron overload. Contact your doctor before taking ASUNRA 400MG TABLET.

OTHERS

ASUNRA 400MG TABLET is not recommended for use if you:

  • advanced stage of myelodysplastic syndrome (decreased production of blood cells by the bone marrow)
  • have advanced stage of cancer
  • poor performance status
  • severe thrombocytopenia

Before taking ASUNRA 400MG TABLET inform your doctor if you have:

  • low levels of white blood cells, worsening anaemia, pancytopenia, or bone marrow failure
  • blurred vision, decreased hearing
  • diarrhoea, vomiting
  • gastrointestinal ulcers or haemorrhages

Use in paediatrics:

ASUNRA 400MG TABLET is not recommended for use in children under 2 years of age. It should be used with caution in children (above 2 years of age) and adolescents, who receive or do not receive blood transfusions. Contact your doctor before taking ASUNRA 400MG TABLET.

Use in geriatrics:

ASUNRA 400MG TABLET should be used with caution in elderly patients aged 65 years or above. Contact your doctor before taking ASUNRA 400MG TABLET.

INTERACTIONS

A. Drug-Drug interactions:

Before taking ASUNRA 400MG TABLET inform your doctor if you are taking any of the following medicine:

  • iron chelators Ex.  deferiprone (medicines used in iron overload)
  • aluminium-containing antacids (medicines used to treat heartburn)
  • cyclosporin (used to prevent the rejection of the transplanted organ and treats other conditions, such as rheumatoid arthritis or atopic dermatitis)
  • painkillers or anti-inflammatory medicines (ex. aspirin, ibuprofen, corticosteroids like fluticasone)
  • oral bisphosphonates (medicines used to treat osteoporosis)
  • warfarin (medicines used to prevent or treat blood clots)
  • hormonal contraceptive agents (medicines used to prevent pregnancy)
  • bepridil (medicines used to treat heart problems)
  • eletriptan, dihydroergotamine, ergotamine (medicines used for migraines)
  • repaglinide (used to treat diabetes)
  • rifampicin (used to treat tuberculosis)
  • phenytoin, phenobarbital, carbamazepine (used to treat epilepsy)
  • paclitaxel (medicines used to treat cancer)
  • theophylline (used to treat asthma)
  • tizanidine (medicines used to relax muscle)
  • bile acid sequestrants like cholestyramine, colesevelam, colestipol) (medicines used to lower cholesterol levels)
  • busulfan (used in bone marrow transplantation)
  • midazolam (medicines used to treat anxiety and insomnia)
  • alfentanil (medicines used in anaesthesia)
  • aprepitant (medicines used to prevent nausea and vomiting after chemotherapy)
  • budesonide (medicines used to treat asthma)
  • buspirone (medicines used to treat anxiety)
  • conivaptan, tolvaptan (medicines used to treat low sodium levels)
  • darifenacin (medicines used to treat overactive bladder)
  • darunavir, ritonavir, indinavir, lopinavir, maraviroc, saquinavir, tipranavir (medicines used to treat HIV infection)
  • dasatinib (medicines used to treat chronic myeloid leukaemia)
  • dronedarone, quinidine (medicines used to treat heart rhythm disorders)
  • eplerenone (medicines used to treat heart failure)
  • everolimus, sirolimus, tacrolimus (medicines used to prevent rejection of transplant organ)
  • felodipine, nisoldipine (medicines used to treat high blood pressure)
  • fentanyl (medicines used to treat severe pain)
  • lovastatin, simvastatin (medicines used to lower cholesterol levels)
  • lurasidone, quetiapine, clozapine (medicines used to treat schizophrenia)
  • pimozide (used to treat motor or verbal tics)
  • sildenafil, vardenafil (medicines used for erectile dysfunction)
  • triazolam (medicines used to treat insomnia)
  • ticagrelor (medicines used to prevent blood clots)
  • alosetron (medicines used to treat irritable bowel syndrome)
  • caffeine (medicines used to treat wakefulness, headache, migraine)
  • duloxetine (a medicine used to treat depression)
  • melatonin, ramelteon (medicines used to treat sleep problems)
  • tacrine (medicines used to treat Alzheimer’s disease)

Overdosage:

If you or anyone else accidentally have taken too much of ASUNRA 400MG TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage are nausea, vomiting, abdominal pain, diarrhoea, and kidney or liver problems.

SYNOPSIS

Drug :  

Deferasirox

Pharmacological Category :  

Iron Chelators

Therapeutic Indication :  

Chronic Iron overload

Dosage Forms :  

Tablet

MORE INFORMATION

  • Keep ASUNRA 400MG TABLET out of the sight and reach of children
  • Store ASUNRA 400MG TABLET below 30°C

FAQs ABOUT ASUNRA 400MG TABLET

How does ASUNRA 400MG TABLET work?

ASUNRA 400MG TABLET works by trapping and removing excess iron from the body, which is then excreted mainly in the form of stools and reduces the risk of organ damage to the liver and heart.

What are the side effects of taking ASUNRA 400MG TABLET?

The most common side effects of taking ASUNRA 400MG TABLET are nausea, vomiting, diarrhoea, abdominal pain, bloating, constipation, indigestion, rash, itching, headache, and change in liver or kidney function tests or urine tests. Contact your physician if any of the symptoms worsen.

Who should not take ASUNRA 400MG TABLET?

ASUNRA 400MG TABLET should not be used if you are allergic to this medicine or by pregnant or breastfeeding women, people with severe liver disease, moderate to severe kidney disease, advanced stage myelodysplastic syndrome, advanced cancer, poor performance status, or severe thrombocytopenia. Contact your doctor before taking ASUNRA 400MG TABLET.

Does ASUNRA 400MG TABLET cause liver damage?

Yes. ASUNRA 400MG TABLET may cause liver damage. If you experience any unusual symptoms such as drowsiness, upper right abdominal pain, yellowish discoloration of the skin or whites of the eyes (jaundice), or dark urine, stop taking ASUNRA 400MG TABLET and contact your doctor.

Does ASUNRA 400MG TABLET cause vision loss?

Yes. ASUNRA 400MG TABLET may cause partial vision loss. Stop taking ASUNRA 400MG TABLET and contact your doctor if you experience any unusual symptoms like blurred or cloudy eyes.

REFERENCES

1. Laurence L. Brunton, Randa Hilal-Dandan, Bjorn C Kollmann. Environmental toxicology: carcinogens and heavy metals. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 13th Edition. 2018. Page – 1313.

2. Ali Taher, Amal El-Beshlawy, Mohsen S Elalfy, Kusai Al Zir, Shahina Daar, Dany Habr, Ulrike Kriemler-Krahn, Abdel Hmissi, and Abdullah Al Jefri. Uses of Deferasirox. National Institute of Health. NIH National Centre for Biotechnology Information. Pubmed.gov. June 2009. [Accessed on 20th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730551/

3. Novartis Pharmaceuticals UK Ltd. Electronic Medicines Compendium (EMC). [Revised in March 2021] [Accessed on 20th June 2022] https://www.medicines.org.uk/emc/files/pil.4329.pdf

4. Mylan Pharmaceuticals Limited. European Medical Agency (EMA). [Revised in September 2019] [Accessed on 20th June 2022] https://www.ema.europa.eu/en/documents/product-information/deferasirox-mylan-epar-product-information_en.pdf

5. Novartis Pharma Stein AG. U.S. Food & Drug Administration. [Revised in October 2013] [Accessed on 20th June 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/021882s019lbl.pdf

6. Deferasirox. Accord Healthcare Polska Sp.z.o.o. [Revised in December 2021 [Accessed on 20th June 2022] https://cdn.accord-healthcare.com/ie/public/pil/eu_deferasirox_accord_ema-combined-h-5156-en-ib04_version4_-_pil_0.pdf

7. Zydus Pharmaceuticals (USA) Inc. Deferasirox. [Revised in August 2021 [Accessed on 20th June 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4af5bc9e-3e09-4dfd-8cc8-7677953c9c7c

USEFUL DIAGNOSTIC TESTS

  • Serum ferritin, Iron studies, Total Iron Binding Capacities
  • Complete blood count
  • Liver function test
  • Kidney function test
  • Urine test

PRODUCT DETAILS

    Net Qty
    1 N
    Ingredient
    DEFERASIROX 400MG
    Hsn Code
    30049099
DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

Asunra 400mg Tablet 6'S

Asunra 400mg Tablet 6'S Mkt: Novartis Healthcare Pvt Ltd

M.R.P.: Rs.827.00
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