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Precautions

Do NOT use Coumadin if:

• you are allergic to any ingredient in Coumadin
• you might have bleeding tendencies, bleeding problems (eg, hemophilia), severe or uncontrolled high blood pressure levels, certain blood problems (eg, low white blood cell or platelet levels), or leukemia
• you've got active serious bleeding, bleeding in the brain, certain circulation problems (eg, aneurysm, dissecting aorta), or inflammation or infection from the heart
• you have active ulcer or bleeding in the stomach or bowel, urinary tract, genitals, or respiratory tract
• you've recently had or will likely be having eye, brain, or spine surgery; spinal puncture; spinal anesthesia; or any sort of major surgery
• you are pregnant or may become pregnant
• you cannot have routine blood clotting tests
• you cannot follow your physician's instructions properly and do not have someone that may help you take your medicine
• you are taking mifepristone, streptokinase, or urokinase.

Contact your medical professional or health care provider without delay if any of these apply to you.

Some health concerns may connect to Coumadin. Tell your doctor or pharmacist when you have any health concerns, especially if any with the following sign up for you:

• if you are planning to conceive or are breast-feeding
• should you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or another substances
• in case you have been recently injured, fallen, given birth, or had surgery
• in case you have a history of stomach or bowel obstruction (eg, bleeding, ulcer, inflammation), heart disease (eg, heart failure, infection), blood clots, anemia or another blood problems (eg, protein C deficiency, high red blood cell levels), blood vessel problems, or high blood pressure
• for those who have a history of liver, kidney, or thyroid problems; yellowing with the skin or eyes; mental or mood problems; high-cholesterol; arthritis; diabetes; or cancer
• in case 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 consume alcohol
• when you have a fever, very poor health, diarrhea, fluid buildup, extra fat in the stools (steatorrhea), a current or current infection, or tuberculosis, or in case you is going to be exposed to high temperatures for a prolonged time period of time
• when you have a heart valve replacement, an intrauterine device (IUD), or a catheter.

Some medicines may connect to Coumadin. Tell your medical provider in the event you are taking some other medicines, especially any in the following:

• Heparin and other anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), salicylates (eg, aspirin), streptokinase, or urokinase because the likelihood of bleeding might be increased
• Mifepristone because excessive bleeding may occur
• Many prescription and nonprescription medicines (eg, used by infections, inflammation, aches and pains, blood pressure, high cholesterol levels, seizures, mental or mood problems, diabetes, stomach or irregularity, irregular heartbeat, contraceptive, hormone replacement, cancer, while others), multivitamin products, and herbal or nutritional supplements (eg, herbals, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may connect to Coumadin, helping the likelihood of serious negative effects for example bleeding or blood clots.

This may not be an entire listing of all interactions that could occur. Ask your medical provider if Coumadin may interact with other medicines which you take. Check with your medical provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Tell a medical expert or dentist that you take Coumadin prior to deciding to receive any medical or dental hygiene, emergency care, or surgery.
• Do NOT take a lot more than the recommended dose or use for over prescribed without checking with a medical expert. Contact your doctor immediately if you might have taken an excessive amount of Coumadin.
• Do not drink alcohol while you consider Coumadin; it might increase the probability of Coumadin's side effects.
• Do not change you activity level or weight without checking with your medical professional; the likelihood of Coumadin's side effects may be increased.
• Do not alter your diet plan without checking with your physician. Eat a normal, balanced diet. Foods who have high degrees of vitamin K (eg, leafy green vegetables, broccoli, liver, certain vegetable oils) may affect the effect of Coumadin. Ask your physician to get a listing of foods that could affect Coumadin. Tell a medical expert if any foods out there are a section of your diet plan.
• Do not eat cranberry products or drink cranberry juice while you take Coumadin. Tell a medical expert if these products are already portion of your diet.
• Elevated body temperature may increase the effect of Coumadin. Be careful to avoid becoming overheated, especially during summer.
• Coumadin decreases blood clotting. Use caution while doing activities like brushing your teeth, flossing, or shaving. Avoid activities which could cause bruising or injury. Seek immediate medical assistance should you fall or injure yourself. Tell a medical expert for those who have unusual bruising or bleeding. Tell a medical expert in case you have dark, tarry, or bloody stools.
• Do not take aspirin as you take Coumadin unless a medical expert notifys you to. If you already take aspirin to get a heart or any other condition, talk with your physician about whether or not you should preserve to get it with Coumadin.
• Tell your medical professional in case you will probably be traveling or should you will be confined to a bed or chair to get a long amount of time (eg, car or airplane ride). This may increase your risk of having a blood clot.
• If therapy with Coumadin is stopped, the blood thinning effects will last for 2 to 5 days after you stop taking it. Discuss any questions or concerns with your doctor. Do not suddenly stop taking Coumadin without checking with your doctor.
• Lab tests, including certain blood clotting tests (eg, PT, INR), might be performed as you use Coumadin. These tests could be used to monitor your complaint or check for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Coumadin with caution in Asian patients; they may be more sensitive to its effects, especially bleeding.
• Use Coumadin with caution inside the elderly; they might be more understanding of its effects, especially bleeding.
• Coumadin ought to be combined with extreme caution in youngsters; safety and effectiveness in youngsters have not been confirmed. Children may need more frequent lab tests should they use Coumadin.
• If you can be pregnant, you need to work with an effective form of birth control method when you take Coumadin. If you've got queries about effective birth control, talk with a medical expert.
• Pregnancy and breast-feeding: Do not use Coumadin in case you are pregnant. It has been consideration to damage the fetus. Avoid becoming pregnant as you consider it. If you think you might be pregnant, get hold of your doctor straight away. It is not known if Coumadin can be found in breast milk. If you are or will probably be breast-feeding while you use Coumadin, talk with a medical expert. Discuss any possible risks for a baby.