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Coumadin



Generic Name: Warfarin (WAR-far-in)



Brand Name: Coumadin



Coumadin is used for:

Treating or preventing blood clots that may occur in the veins and lungs. It is used to treat or prevent blood clots that may occur because of a certain type of abnormal heartbeat (atrial fibrillation) or heart valve replacement. It is also used to reduce the risk of death, recurring heart attack, or blood clotting events (eg, stroke) after a heart attack. It may also be used for other conditions as determined by your doctor. Coumadin is an anticoagulant. It works by blocking the formation of ceratin blood clotting factors.

Before using Coumadin:

Some medical conditions may interact with Coumadin. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are planning to become pregnant or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines or other substances if you have recently been injured, fallen, given birth, or had surgery if you have a history of stomach or bowel problems (eg, bleeding, ulcer, inflammation), heart problems (eg, heart failure, infection), blood clots, anemia or other blood problems (eg, protein C deficiency, high red blood cell levels), blood vessel problems, or high blood pressure if you have a history of liver, kidney, or thyroid problems; yellowing of the skin or eyes; mental or mood problems; high cholesterol; arthritis; diabetes; or cancer if you have poor nutrition, celiac disease, nutrient or fat absorption problems, or low levels of vitamin K or vitamin C in the blood, or if you drink alcohol if you have a fever, very poor health, diarrhea, fluid buildup, excessive fat in the stools (steatorrhea), a recent or current infection, or tuberculosis, or if you will be exposed to high temperatures for a prolonged period of time if you have a heart valve replacement, an intrauterine device (IUD), or a catheter Some MEDICINES MAY INTERACT with Coumadin. Tell your health care provider if you are taking any other medicines, especially any of the following: Heparin or other anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), salicylates (eg, aspirin), streptokinase, or urokinase because the risk of bleeding may be increased Mifepristone because excessive bleeding may occur Many prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, high blood pressure, high cholesterol, seizures, mental or mood problems, diabetes, stomach or bowel problems, irregular heartbeat, birth control, hormone replacement, cancer, and others), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may interact with Coumadin, increasing the risk of serious side effects such as bleeding or blood clots This may not be a complete list of all interactions that may occur. Ask your health care provider if Coumadin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Coumadin:

Use Coumadin as directed by your doctor. Check the label on the medicine for exact dosing instructions. Coumadin comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Coumadin refilled. Take Coumadin by mouth with or without food. It is very important to take Coumadin on a regular schedule as prescribed by your doctor. Take Coumadin at the same time each day. Continue to take Coumadin even if you feel well. Do not miss any doses, unless directed to do so by your doctor. If you miss a dose of Coumadin, contact your doctor right away. Take the missed dose as soon as possible if you remember on the same day. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Coumadin.

Possible side effects of Coumadin:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Coumadin. Seek medical attention right away if any of these SEVERE side effects occur: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back, side, muscle, joint, or stomach pain; black, tarry, or bloody stools; blood in the urine (pink or brown urine); bloody or coffee ground-like vomit; chest pain; decreased urination; dizziness; fainting; fever; numbness or tingling; pain, unusual color, or temperature change in any area of the body; pale skin; purple, dark, or painful toes; shortness of breath; skin sores or ulcers; stroke symptoms (eg, confusion, slurred speech, vision problems, one-sided weakness); sudden severe pain in your legs, feet, or toes; trouble swallowing; unexplained swelling; unusual bruising or bleeding (eg, nosebleed, unusual bleeding from gums, increased bleeding from cuts, increased menstrual or vaginal bleeding, coughing up blood); unusual headache or weakness; unusual pain, swelling, or discomfort; wounds or sores that do not heal properly; yellowing of the skin or eyes. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at _ttp://www.fda.gov/medwatch.

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