Asunra 400 mg Tablet 6's

Prescription drug

MRP ₹852

(Inclusive of all Taxes)

₹42.6 Cashback (5%)

Extra 15% Off with Bank Offers

Written By Bayyarapu Mahesh Kumar , M Pharmacy

Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Asunra 400 mg Tablet is used to treat iron overload due to transfusional hemosiderosis (the accumulation of iron in the body due to frequent blood transfusions) or non-transfusion-dependent thalassemia (patients who do not require lifelong regular transfusions for survival). It works by binding to the extra iron and facilitates its removal from the body through faeces. In some cases, this medicine may cause side effects like diarrhoea, vomiting, nausea, abdominal pain, and skin rashes.

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About Asunra 400 mg Tablet

Asunra 400 mg Tablet is used for treating chronic iron overload due to blood transfusions (transfusional hemosiderosis) in patients two years older. It can also be indicated for treating chronic iron overload in patients ten years of age and older with non-transfusion-dependent thalassemia (NTDT).

The active ingredient in Asunra 400 mg Tablet is deferasirox, which binds the excess iron and eliminates it through faeces. The danger of organ damage is reduced as a result.

In some cases, you may experience common side effects such as diarrhoea, vomiting, nausea, abdominal pain, and skin rashes. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Avoid taking Asunra 400 mg Tablet if you are allergic to it. Do not use Asunra 400 mg Tablet without a doctor's advice if you have a skin reaction or irritation to any medicine. Consult your doctor before using the Asunra 400 mg Tablet if you are pregnant or breastfeeding. Do not use Asunra 400 mg Tablet in more than prescribed doses or for a longer duration as it may cause adverse effects. Keep your doctor informed about your health condition and all the medicines you take before taking Asunra 400 mg Tablet to rule out any side effects.

Uses of Asunra 400 mg Tablet

Asunra 400 mg Tablet is used for treating chronic iron overload that occurs due to blood transfusions. The detailed uses of Asunra 400 mg Tablet are as follows:

Transfusional hemosiderosis: Used for treating chronic iron overload that occurs due to blood transfusions in patients two years of age and older.
Non-transfusion-dependent thalassemia (NTDT): Asunra 400 mg Tablet can also be indicated for treating chronic iron overload in patients ten years of age and older with non-transfusion-dependent thalassemia.

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Directions for Use

Asunra 400 mg Tablet should be taken on an empty stomach, at least 30 minutes before a meal.
Follow your doctor's instructions on the dosage and timing of this medication. However, it is suggested to take Asunra 400 mg Tablet at the same time each day to maintain a consistent level of medicine in your body.
Swallow the whole Asunra 400 mg Tablet with a glass of water.
Do not break, chew, or crush it.

Medicinal Benefits

Deferasirox is the active component in Asunra 400 mg Tablet.
It's a chelating agent that selectively binds to trivalent iron.
It binds extra iron and excretes it in the faeces. As a result, the risk of organ damage is lowered.

How Asunra 400 mg Tablet Works

The active ingredient in Asunra 400 mg Tablet is deferasirox. It is a trivalent iron-selective chelating agent. It binds the excess iron and eliminates it through faeces. The danger of organ damage is reduced as a result.

Storage

• Store in a cool and dry place away from sunlight.• Keep out of the sight and reach of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Side effects of Asunra 400 mg Tablet

Stomach Pain

Drink water or other clear fluids.
To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
Include bland foods like rice, toast, crackers, and rice in your diet.
Avoid lying down immediately after eating as it may cause indigestion or heartburn.
Avoid acidic and spicy food as it may cause indigestion.

Nausea

Overcome Medication-Induced Nausea: A 9-Step Plan

Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
Divide your daily food intake into smaller, more frequent meals to reduce nausea.
Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
Use ginger (tea, ale, or candies) to help relieve nausea.
Get adequate rest and also avoid strenuous activities that can worsen nausea.
Talk to your doctor about taking anti-nausea medication if your nausea is severe.
Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Vomiting

To prevent, manage, and treat Constipation caused by medication usage, follow these steps:

Preventing Vomiting (Before it Happens)
Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
Having a small meal before taking your medication can help reduce nausea and vomiting.
Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
Managing Vomiting (If it Happens)
Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
What to Do if Vomiting Persists
Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Loose And Watery Stools

Here are the precise steps to cope with diarrhoea caused by medication usage:

Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

Skin Rashes

Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
Protect your skin from extreme heat and try to apply wet compresses.
Soak in the cool bath, which gives a soothing impact to the affected area.

High Levels Of Creatinine In The Blood

Increased creatinine levels must be corrected immediately with the help of a doctor.
Reduce strenuous activities that can lead to muscle breakdown and production of creatinine.
Sleep for 7-8 hours per night to assist your body in repairing and rebuilding tissue.
Manage your blood pressure by implementing changes in lifestyle like losing weight, reducing stress and exercising regularly.
Avoid smoking and drinking alcohol.

High Body Temperature

Here's a comprehensive approach to managing medication-triggered fever:

Inform your doctor immediately if you experience a fever after starting a new medication.
Your doctor may adjust your medication regimen or dosage as needed to minimize fever symptoms.
Monitor your body temperature to monitor fever progression.
Drink plenty of fluids, such as water or electrolyte-rich beverages, to help your body regulate temperature.
Get plenty of rest and engage in relaxation techniques, such as deep breathing or meditation, to help manage fever symptoms.
Under the guidance of your doctor, consider taking medication, such as acetaminophen or ibuprofen, to help reduce fever.
If your fever is extremely high (over 103°F), or if you experience severe symptoms such as confusion, seizures, or difficulty breathing, seek immediate medical attention.

What if I have taken an overdose of Asunra 400 mg Tablet

Do not exceed the recommended dose, as it might cause an overdose. Overdose symptoms may include nausea, abdominal pain, vomiting, diarrhoea, and kidney/liver problems that might be serious. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Asunra 400 mg Tablet if you are allergic to Asunra 400 mg Tablet or its ingredients.
Asunra 400 mg Tablet is not usually recommended if you are a pregnant or lactating woman; there is not enough information to say whether it's safe.
It is unknown whether Asunra 400 mg Tablet alters the ability to drive, so do not drive or operate machinery if you experience any symptoms affecting your ability to concentrate and react.
Seek medical attention if the symptoms persist longer.
Avoid consuming alcohol along with Asunra 400 mg Tablet as it could lead to unpleasant side effects.
Should monitor elderly and paediatric patients closely for toxicity.

Drug-Drug Interactions

DeferasiroxZinc acetate

Severe

DeferasiroxZinc chloride

Severe

Drug-Drug Interactions

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DeferasiroxZinc acetate

Severe

How does the drug interact with Asunra 400 mg Tablet:
Taking zinc acetate with Asunra 400 mg Tablet can decrease the blood levels of Asunra 400 mg Tablet.

How to manage the interaction:
Although taking Zinc acetate and Asunra 400 mg Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Incase of any side effects, consult a doctor. Do not discontinue any medications without consulting a doctor.

DeferasiroxZinc chloride

Severe

How does the drug interact with Asunra 400 mg Tablet:
Taking zinc acetate with Asunra 400 mg Tablet can decrease the blood levels of Asunra 400 mg Tablet.

How to manage the interaction:
Although taking Zinc acetate and Asunra 400 mg Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Incase of any side effects, consult a doctor. Do not discontinue any medications without consulting a doctor.

DeferasiroxDanaparoid

Severe

How does the drug interact with Asunra 400 mg Tablet:
Combining Danaparoid with Asunra 400 mg Tablet can increase the risk of gastrointestinal bleeding.

How to manage the interaction:
Co-administration of Danaparoid with Asunra 400 mg Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. This risk is higher in older people with certain blood disorders or low platelet counts.If you have symptoms like stomach pain, bloating, dizziness, or black stools, it's important to consult a doctor. Do not stop using any medications without a doctor's advice.

DeferasiroxIbrutinib

Severe

How does the drug interact with Asunra 400 mg Tablet:
Co-administration of Asunra 400 mg Tablet together with Ibrutinib may increase the risk of gastrointestinal ulcers and bleeding.

How to manage the interaction:
Although taking Ibrutinib and Asunra 400 mg Tablet together can cause an interaction, it can be taken if a doctor has suggested it. However, if you have any of these symptoms, like abdominal pain, bloating, dizziness, lightheadedness, loss of appetite, nausea, vomiting (especially with fresh or dried blood that looks like coffee grounds), and red or black, tarry stools, consult a doctor. Do not discontinue any medications without a doctor's advice.

DeferasiroxBivalirudin

Severe

How does the drug interact with Asunra 400 mg Tablet:
Using Asunra 400 mg Tablet together with bivalirudin may increase the risk of gastrointestinal ulcers and bleeding.

How to manage the interaction:
Co-administration of Bivalirudin with Asunra 400 mg Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. This risk is higher in older people with certain blood disorders or low platelet counts.If you have symptoms like stomach pain, bloating, dizziness, or black stools, it's important to consult a doctor. Do not stop using any medications without a doctor's advice.

DeferasiroxIbuprofen

Severe

How does the drug interact with Asunra 400 mg Tablet:
The combined use of Asunra 400 mg Tablet and Ibuprofen can increase the risk of developing gastrointestinal ulcers and bleeding.

How to manage the interaction:
Taking Asunra 400 mg Tablet and Ibuprofen together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like severe abdominal pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), loss of appetite, black, tarry stools,swelling, shortness of breath, muscle cramps, tiredness, weakness, confusion, consult the doctor immediately. Do not stop using any medications without a doctor's advice.

DeferasiroxDasatinib

Severe

How does the drug interact with Asunra 400 mg Tablet:
Coadministration of Asunra 400 mg Tablet together with Dasatinib may increase the risk of bleeding.

How to manage the interaction:
Although taking Dasatinib and Asunra 400 mg Tablet together can cause an interaction, it can be taken if a doctor has suggested it. If you have any of these symptoms, like stomach pain, feeling dizzy, it's important to call a doctor. Do not stop using any medications without a doctor's advice.

DeferasiroxCiclosporin

Severe

How does the drug interact with Asunra 400 mg Tablet:
Coadministration of Asunra 400 mg Tablet with ciclosporin may increase the risk of kidney problems.

How to manage the interaction:
Although there is a possible interaction between Asunra 400 mg Tablet and ciclosporin, they can be taken together if your doctor has prescribed them. However, contact your doctor immediately if experience nausea, vomiting, loss of hunger, increased or decreased urination, swelling, shortness of breath, muscle cramps, tiredness, weakness, dizziness, confusion, or irregular heart rhythm. Do not stop using any medications without talking to a doctor.

DeferasiroxTriamcinolone

Severe

How does the drug interact with Asunra 400 mg Tablet:
Using Asunra 400 mg Tablet together with triamcinolone may increase the risk of gastrointestinal ulcers and bleeding.

How to manage the interaction:
Although there is a possible interaction between Asunra 400 mg Tablet and triamcinolone, you can take these medicines together if prescribed by your doctor. However, if you experience abdominal pain, bloating, dizziness, lightheadedness, loss of appetite, nausea, vomiting (especially with fresh or dried blood that looks like coffee grounds), and red or black, tarry stools, contact your doctor right away. Do not discontinue any medications without consulting your doctor.

DeferasiroxAmphotericin b

Severe

How does the drug interact with Asunra 400 mg Tablet:
Asunra 400 mg Tablet can cause kidney issues, and mixing it with amphotericin B, can enhance that risk.

How to manage the interaction:
Taking Amphotericin b with Asunra 400 mg Tablet together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience nausea, vomiting, loss of appetite, increased or decreased urination, fluid retention, swelling, shortness of breath, bone pain, muscle cramps, tiredness, weakness, dizziness, confusion, or irregular heart rhythm, seek immediate medical attention. Drink plenty of water if you experience diarrhea or vomiting while taking these medications, as dehydration can potentially affect the kidneys. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

DEFERASIROX-400MGCaffeine containing foods/drinks

Moderate

Drug-Food Interactions

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DEFERASIROX-400MGCaffeine containing foods/drinks

Moderate

Common Foods to Avoid:
Cocoa, Coffee, Dark Chocolate, Energy Drinks With Caffeine, Green Tea, Kola Nut, Tea, Tiramisu

How to manage the interaction:
The blood levels and effects of caffeine may be enhanced by Asunra 400 mg Tablet. Avoid consumption of caffeinated drinks during the treatment with Asunra 400 mg Tablet. If you experience any unusual symptoms call a doctor.

Diet & Lifestyle Advise

Choose foods high in nutrients, such as fruits, vegetables, and whole grains.
Replace fatty protein sources with lean alternatives and consume modest quantities of healthy fat sources for improved well-being.
Create a diet that includes vegetables, fruits, whole grains, legumes, omega-3-rich foods, and lean protein sources.
Instead of saturated and trans fats, choose monounsaturated and polyunsaturated fats (fish, nuts, and vegetable oils).
Select/prepare foods and beverages with fewer added sugars/caloric sweeteners.
Be mindful of salt; consume no more than 2,300 mg each day.
Limit or avoid alcohol and caffeine consumption.

Habit Forming

No

Therapeutic Class

CHELATING AGENTS

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Alcohol

Caution

Consuming alcohol along with Asunra 400 mg Tablet is not advisable, as it may cause unpleasant side effects, or you also may become more sensitive to the effects of alcohol.

Pregnancy

Consult your doctor

Asunra 400 mg Tablet is not usually recommended if you are pregnant. However, your doctor may prescribe it if they think the benefits of the medicine outweigh the risks. Please consult the doctor.

Breast Feeding

Consult your doctor

Asunra 400 mg Tablet is not usually recommended if you are a lactating woman. However, your doctor may prescribe it if they think the benefits of the medicine outweigh the risks.

Driving

Caution

It is not known whether Asunra 400 mg Tablet alters the ability to drive, so do not drive or operate machinery if you experience any symptoms that affect your ability to concentrate and react.

Liver

Caution

Should exercise caution, and it is advisable to consult a doctor before using it. Your doctor will prescribe only if the benefits outweigh the risks.

Kidney

Caution

Should exercise caution, and it is advisable to consult a doctor before using it. Your doctor will prescribe only if the benefits outweigh the risks.

Children

Caution

Asunra 400 mg Tablet should be used under the supervision of healthcare provider

Heart

Asunra 400 mg Tablet should be used with caution in patients with heart problems. Inform your doctor about any heart-related conditions before taking Asunra 400 mg Tablet.

Geriatrics

Caution

Asunra 400 mg Tablet should be given with caution in elderly patients due to an increased risk of side effects. It is important to inform your doctor before using it.

FAQs

What is the use of Asunra 400 mg Tablet?

Asunra 400 mg Tablet is used to treat chronic iron overload due to blood transfusions (transfusional hemosiderosis).

How does Asunra 400 mg Tablet work?

Deferasirox is the active component in Asunra 400 mg Tablet. It is a chelating agent that selectively binds to trivalent iron. It binds extra iron and excretes it in the faeces. As a result, the risk of organ damage is lowered.

Can I take Asunra 400 mg Tablet on my own?

No, it is a prescribed drug given by a physician for preventing specific medical conditions. Taking it on your own can cause unwanted side effects.

What should I do if I miss a dose of Asunra 400 mg Tablet?

Take the missed dose as soon as possible. However, skip the missed dose and return to your regular dosing schedule if it is time for the next dose. Do not take a double dose to make up for the dose that you missed.

Is Asunra 400 mg Tablet safe?

Asunra 400 mg Tablet is safe if used in the dose and duration recommended by your doctor. Take it precisely as directed, and do not skip any dose. Follow your doctor&#039;s guidelines carefully and inform your doctor if any of the side effects disturb you.

How does iron overload cause diabetes?

The extra iron due to iron overload is stored in pancreas. This damages the pancreas and it does not produce insulin properly. Insulin is required by the body to utilise sugar/glucose efficiently. As insulin is not produced properly, it affects blood sugar levels.

Is iron overload the same as haemochromatosis?

Yes, iron overload is the same as haemochromatosis. Hemochromatosis, or iron overload, is a condition in which your body stores too much iron.

Can Asunra 400 mg Tablet be used in children?

Yes, Asunra 400 mg Tablet can be used in children above 2 years if prescribed by the doctor. Talk to the doctor if you have any concerns regarding this.

What are the side effects of Asunra 400 mg Tablet?

Asunra 400 mg Tablet may cause side effects like diarrhoea, vomiting, nausea, abdominal pain, skin rashes, and increased serum creatinine. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Country of origin

Switzerland

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India

Other Info - ASU0002

Author Details

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Nov 18, 2025 | 7:25 AM IST

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