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Why use Coumadin
Coumadin (warfarin) is an anticoagulant medicine used for the prevention of heart attacks. It works by reducing the formation of blood clots by affecting certain factors contributing to this process.
Before you start using this drug
You will generally be recommended to avoid using Coumadin if you have any of the following contraindications: upcoming surgery, blood in your urine or stools, bleeding disorder, blood cell disorder, infection of the lining of your heart, bleeding in the brain, or stomach bleeding. Because of preventing the blood from clotting easily, Coumadin can make it easier for you to bleed, especially if you have such risk factors as severe heart disease, a history of bleeding problems, a disease affecting blood vessels in the brain, cancer, kidney disease, a history of stomach or intestinal bleeding, high blood pressure, and being 65 or older. You will need to talk to your health care provider about all those factors in order to determine how efficient Coumadin is expected to be for you. Some other conditions you have may require a dose adjustment. Make sure you mention to your doctor any of the following: overactive thyroid, diabetes, liver disease, connective tissue disorder, an intestinal disorder, or congestive heart failure.
Important information about taking Coumadin
Always take Coumadin exactly as recommended, as otherwise you may not benefit from the treatment as much as expected. If you chose not to visit a doctor, you will need to follow the directions on the prescription label. Never take a double dose of Coumadin or combine it with other drugs without your doctor's knowledge. Your dose of Coumadin may be changed occasionally. You can take each dose with some food or without, but make sure you take in the same way every time. If you are on a diet, you need to tell your doctor about it. Dieting may not be the best idea while this medication is taken.
Are Coumadin side effects likely?
Side effects of Coumadin may range from mild to more serious ones and will always need to be reported to your health care provider. The following side effects are considered serious enough to be reported to your health care provider right away: severe leg or foot pain, blood in your urine, skin changes, discoloration, urinating less than usual, foot ulcer, coughing up blood, numbness, weakness, rapid heart rate, purple toes or fingers, bleeding that will not stop, unusual bleeding, sudden headache, yellowing of the skin or eyes, dizziness, hot or cold feeling, muscle weakness, or easy bruising. In most patients, side effects are insignificant and do not need to be reported to the doctor as long as they go away on their own. Always make sure you tell your health care provider if you get any of the following mild side effects of the medicine: altered sense of taste, mild stomach pain, bloating, nausea, vomiting, or gas.
It an overdose takes place
An overdose of Coumadin can lead to excessive bleeding. No other symptoms are known so far, but that does not mean you are unlikely to experience them. Always tell your doctor if you think your dose of Coumadin is insufficient, but never use more of this drug than necessary to avoid an overdose.
Is Coumadin likely to harm an unborn child?
Coumadin is FDA pregnancy category X: this drug is known to cause birth defects and fatal bleeding in unborn children. You must never take Coumadin if you are already pregnant at the moment of getting the medicine, or there is a chance you will get pregnant in the course of the treatment. You will have to use an efficient form of birth control throughout the period of the treatment and tell your health care provider right away if you think you got pregnant.
In case you are taking other meds
You will need to avoid foods high in vitamin K, including vegetable oils, leafy green vegetables, and liver, as those products can reduce the efficiency of your treatment. There are some products you will also need to avoid. The following ones are important to keep in mind: cranberries, herbal teas with sweet clover, cranberry herbal products, or cranberry juice. If you are taking any other products, especially herbal ones, make sure they are not on the list of products likely to interact with Coumadin. Please tell your doctor if you are using any of the following: ginseng, coenzyme Q10, dong quai, bromelains, garlic, St. John's wort, ginkgo biloba, cranberry, or danshen.
Missed dose
If you happened to miss a dose of Coumadin, take it as soon as you remembered. If you remembered too late, and the next dose is supposed to be used soon, it's best to skip the dose you happened to miss and return to the regular schedule of using this medicine. Try to avoid missing your doses too often, as this may affect the success of you treatment by making Coumadin less efficient. |
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