This medication is used to treat blood clots (such as for example in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Preventing harmful blood clots helps to lessen the threat 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 specific surgeries (such as for example hip/knee replacement).

Warfarin is usually called a "blood thinner," but 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.

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 concerns, ask your doctor or pharmacist.

Just take this medicine by mouth with or without meals as directed by your physician or other health care pro, often when a day. It is extremely important to go exactly as directed. Don't raise the dose, frequently take it more, or stop using it unless directed by the doctor.

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Dosage is based on your condition that is medical 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 dose that is right you.

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

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You will need to consume a balanced, consistent diet while taking warfarin. Some foods can affect exactly how warfarin works within your body and may even influence your treatment and dose. 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). If you are trying to lose weight, check with your doctor before you try to go on a diet.

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

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Negative Effects

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

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

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This medication can cause serious bleeding if it affects your blood clotting proteins too much (shown by unusually high INR lab results). Even in the event your doctor stops your medication, this risk of bleeding can continue for as much as a week. Tell your medical practitioner right away for those who have any indications 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, paying up bloodstream, vomit that is bloody or seems like coffee grounds, serious headache, dizziness/fainting, unusual or persistent tiredness/weakness, bloody/black/tarry stools, chest pain, shortness of breath, difficulty swallowing.

Inform your doctor right away if any of these unlikely but serious side effects occur: persistent nausea/vomiting, severe stomach/abdominal pain, yellowing eyes/skin.

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This drug rarely has caused very severe (possibly fatal) dilemmas if its impacts lead to blood that is small (usually at the beginning of treatment). This can lead to severe skin/tissue damage that may require surgery or amputation if kept untreated. Patients with certain blood conditions (protein C or S deficiency) may be at greater risk. Get help that is medical away if some of these uncommon but serious side effects occur: painful/red/purplish patches on the skin (such as regarding the toe, breast, abdomen), change in the quantity of urine, vision changes, confusion, slurred speech, weakness using one side for the human body.

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A very severe 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), severe dizziness, trouble breathing.

This is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report effects that are side Food And Drug Administration at 1-800-FDA-1088 or at

In Canada - Phone your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.


Before taking warfarin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which causes allergy symptoms or other dilemmas. Speak with your pharmacist for more details.

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

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

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

This medication may 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 alcoholic beverages. Ask your doctor or pharmacist about how much alcohol you may properly drink.

When you have not been eating well, 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.

This medication can cause bleeding that is heavy. To lower the chance of getting cut, bruised, or injured, use great caution with sharp objects like safety razors and nail cutters. Use an electric razor when 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 physician may need to check you.

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

Older grownups may be at greater risk for bleeding when using this drug.

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

Since this drug are consumed through your skin and lung area and may harm an unborn baby, women who are pregnant or who may become pregnant should not manage this medication or inhale the dirt from the tablets.

Extremely small amounts of this medication might pass into breast milk but is unlikely to harm a nursing infant. Check with your doctor before breast-feeding.

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