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Uses

This medicine is used to deal with blood clots (such as for instance in deep vein thrombosis-DVT or embolus-PE that is pulmonary and/or to prevent new clots from forming in your body. Preventing harmful blood clots helps to reduce steadily the risk of a stroke or heart attack. Conditions that raise your threat of developing blood clots include a particular type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent coronary attack, and particular surgeries (such as hip/knee replacement).

Warfarin is commonly called a "blood thinner," nevertheless the more correct term is "anticoagulant." It helps to keep blood flowing smoothly in your body by decreasing the total amount of certain substances (clotting proteins) in your blood.

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How to use Coumadin

Read the Medication Guide provided by your pharmacist you get a refill before you start taking warfarin and each time. If you have any relevant questions, ask your doctor or pharmacist.

Just take this medicine by mouth with or without food as directed by your physician or other medical care professional, usually as soon as a day. It is very important to go on it exactly as directed. Do not raise the dose, frequently take it more, or stop using it unless directed by the doctor.

Dosage is based on your medical condition, laboratory tests (such as INR), and response to treatment. Your doctor or other health care provider will monitor you closely while you are taking this medication to determine the right dose for you.

Use this medication frequently to have the most benefit from it. To help you remember, take it at the same time each day.

It is important to eat a balanced, consistent diet while taking warfarin. Some meals can affect how warfarin works within you and may also impact your dose and treatment. Avoid sudden large increases or decreases in your intake of foods high in vitamin K (such as broccoli, cauliflower, cabbage, brussels sprouts, kale, spinach, and other green leafy vegetables, liver, green tea, certain vitamin supplements). Before you try to go on a diet if you are trying to lose weight, check with your doctor.

Since this medication can be consumed through skin and lungs and may harm an unborn baby, women who are pregnant or whom may become pregnant must not handle this medication or breathe the dust from the tablets.

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Side Effects

Nausea, loss in appetite, or pain that is stomach/abdominal occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.

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Remember that the physician has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication can cause serious bleeding if it impacts your blood clotting proteins too much (shown by unusually high INR lab results). Even if the doctor stops your medication, this risk of bleeding can continue for as much as a week. Tell your doctor appropriate away when you have any signs of serious bleeding, including: unusual pain/swelling/discomfort, unusual/easy bruising, prolonged bleeding from cuts or gums, persistent/frequent nosebleeds, unusually heavy/prolonged menstrual flow, pink/dark urine, coughing up bloodstream, vomit that is bloody or looks like coffee grounds, serious hassle, dizziness/fainting, unusual or persistent tiredness/weakness, bloody/black/tarry stools, chest pain, difficulty breathing, difficulty swallowing.

Inform your doctor right away if any of these not likely but serious part effects occur: persistent nausea/vomiting, severe stomach/abdominal pain, yellowing eyes/skin.

This drug rarely has caused very severe (possibly fatal) issues if its effects lead to blood that is small (usually at the beginning of treatment). This can lead to skin/tissue that is severe that may require surgery or amputation if kept untreated. Patients with particular blood conditions (protein C or S deficiency) may be at greater risk. Get medical help right away if some of these unusual but serious side effects occur: painful/red/purplish patches in the epidermis (such as on the toe, breast, abdomen), improvement in the total amount of urine, eyesight changes, confusion, slurred speech, weakness on a single side associated with the body.

A very serious reaction that is allergic this drug is rare. However, get medical help right away if you notice any outward indications of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.

This isn't a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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In the US -

Call your doctor for medical advice about unwanted effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

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In Canada - Call your doctor for medical advice about negative effects. You may report effects that are side Health Canada at 1-866-234-2345.

Precautions

Before taking warfarin, tell your medical professional or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive which trigger allergic reactions or other issues. Speak with your pharmacist for more information.

Before making use of this medication, tell your doctor or pharmacist your medical history, especially of: blood disorders (such as anemia, hemophilia), bleeding problems (such as bleeding of the stomach/intestines, bleeding in the brain), blood vessel disorders (like aneurysms), present injury/surgery that is major liver disease, alcohol use, mental/mood disorders (including memory problems), frequent falls/injuries.

It's important that all your health practitioners and dentists know that you take warfarin. Before having surgery or any medical/dental procedures, tell your doctor or dentist that you are taking this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

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Avoid injections that are getting the muscles. It should be given in the arm if you must have an injection into a muscle (for example, a flu shot. This way, it will be easier to check for bleeding and/or apply pressure bandages.

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This medication might cause stomach bleeding. Daily use of alcohol while using this medicine will increase your risk for stomach bleeding and may also affect how this medicine works. Limit beverages that are alcoholic. Ask your doctor or pharmacist about how much alcohol you may safely drink.

If you have an illness or infection that causes fever, vomiting, or diarrhea for more than 2 days, or if you start using any antibiotic medications, contact your doctor or pharmacist right away because these conditions can affect how warfarin works if you have not been eating well.

This medication may cause heavy bleeding. To lower the chance of getting cut, bruised, or injured, use great caution with sharp objects like safety razors and nail cutters. Use an razor that is electric shaving and a soft toothbrush when brushing your teeth. Avoid activities such as contact sports. If you hit your head, call your doctor right away if you fall or injure yourself, especially. Your medical professional may need to check you.

The Food & Drug Administration has stated that generic warfarin products are interchangeable. However, consult your pharmacist or doctor before switching warfarin products. Be careful not to take more than one medication that contains warfarin unless specifically directed by the doctor or health care provider that is monitoring your warfarin treatment.

Older adults may be at greater risk for bleeding while using the this drug.

This medication is maybe not suitable for use during maternity because of serious (possibly fatal) harm to an baby that is unborn. Discuss with your doctor the use of reliable forms of birth control while taking this medication and for 1 after stopping the medication month. If you become pregnant or think you may be pregnant, tell your doctor right away. If you are planning pregnancy, discuss a plan for managing your condition with your doctor before you become pregnant. Your physician might switch the kind of medication you utilize during pregnancy.

Since this drug may be consumed through skin and lungs and may harm an baby that is unborn ladies who are pregnant or who may become pregnant should not manage this medication or breathe the dirt from the tablets.

Very smaller amounts of this medication may pass into breast milk but is unlikely to harm a medical baby. Consult with your physician before breast-feeding.

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