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Coumadin (Warfarin)

Women's Health » Cardiovascular » Coumadin (Warfarin)

Coumadin (Warfarin) is an anticoagulant used to prevent blood clots from moving or forming. It may also be used to treat other conditions as determined by your doctor.

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About Coumadin (Warfarin):

Product Type: Cardiovascular

Brand name: Coumadin Generic name: Warfarin What is the most important information I should know about Coumadin? • This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control and tell your doctor if you become pregnant during treatment. • Never take a double dose of this medication. • If you need to have a lumbar puncture (spinal tap) or any type of surgery you may need to temporarily stop using Coumadin. Be sure the surgeon knows ahead of time that you are using this medicaton. • Carry an ID card or wear a medical alert bracelet stating that you are taking Coumadin in case of emergency. Any doctor dentist or emergency medical care provider who treats you should know that you are taking Coumadin. • Coumadin interacts with many other drugs and these interactions can be dangerous even fatal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. • Do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) unless your doctor has told you to. NSAIDs include celecoxib (Celebrex) diclofenac (Voltaren) ibuprofen (Motrin Advil) indomethacin naproxen (Aleve Naprosyn) piroxicam (Feldene) and others.These medicines can affect blood clotting and may cause serious bleeding in your stomach or intestines. • Avoid sudden changes in your diet. Vitamin K decreases the effects of Coumadin. Large amounts of vitamin K are found in foods such as liver broccoli brussels sprouts spinach Swiss chard coriander collards cabbage and other green leafy vegetables. Do not change the amount of these foods in your diet without first talking to your doctor. • Avoid eating cranberries drinking cranberry juice or taking cranberry herbal products. • Avoid drinking alcohol which can increase some of the side effects of this medication. • Avoid smoking cigarettes or chewing tobacco. Tobacco can alter the effects of Coumadin and cause problems with your therapy. What is Coumadin? • Coumadin is an anticoagulant (blood thinner). Coumadin reduces the formation of blood clots. • Coumadin is used to prevent heart attacks strokes and blood clots in veins and arteries. • Coumadin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Coumadin? • You should not take Coumadin if you have: a bleeding disorder such as hemophilia; a blood cell disorder such as anemia; a stomach ulcer or bleeding in the stomach; a history of aneurysm or blood clot in your brain; or an infection of your heart fluid or swelling around your heart. • FDA pregnancy category X. This medication can cause birth defects. Do not use Coumadin if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. • Before taking Coumadin tell your doctor if you have: kidney disease; liver disease; celiac sprue (an intestinal disorder); a recent injury surgery or medical emergency; high blood pressure; severe or uncontrolled diabetes; polycythemia vera; congestive heart failure; cancer; or a seizure disorder for which you take an anticonvulsant such as phenytoin (Dilantin) or phenobarbital (Luminal). • If you have any of these conditions you may not be able to use Coumadin or you may need a dosage adjustment or special tests during treatment. • It is not known whether Coumadin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. • Older adults and people who are severely ill or debilitated may have a greater risk of bleeding while taking Coumadin. Talk with your doctor about your individual risk. • Coumadin should not be given to anyone younger than 18 years old. • Tell your doctor (or dentist) that you are taking Coumadin before you take an antibiotic or before having surgery. How should I take Coumadin? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger or smaller amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from this medication. • Never take a double dose of this medication. • Your body's response to Coumadin can be affected by changes in your diet changes in your environment other medicines or herbal (botanical) products you use and your physical well-being. • Take each dose with a full glass of water. • It is important to take Coumadin at the same time every day. Coumadin can be taken with or without food. • It is important to take Coumadin regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. • Do not stop taking Coumadin without first talking to your doctor. • To be sure this medication is helping your condition your blood will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor. • If you need to have a lumbar puncture (spinal tap) or any type of surgery you may need to temporarily stop using Coumadin. Be sure the surgeon knows ahead of time that you are using this medicaton. • Carry an ID card or wear a medical alert bracelet stating that you are taking Coumadin in case of emergency. Any doctor dentist or emergency medical care provider who treats you should know that you are taking Coumadin. • Store this medication at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. • Symptoms of a Coumadin overdose may include bruising; small broken blood vessels under the skin; excessive bleeding from cuts or wounds; bleeding from the gums; blood in the stools urine or vomit; and heavy menstrual periods in women. What should I avoid while taking Coumadin? • Do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) unless your doctor has told you to. NSAIDs include celecoxib (Celebrex) diclofenac (Voltaren) ibuprofen (Motrin Advil) indomethacin naproxen (Aleve Naprosyn) piroxicam (Feldene) and others.These medicines can affect blood clotting and may cause serious bleeding in your stomach or intestines. • Avoid sudden changes in your diet. Vitamin K decreases the effects of Coumadin. Large amounts of vitamin K are found in foods such as liver broccoli brussels sprouts spinach Swiss chard coriander collards cabbage and other green leafy vegetables. Do not change the amount of these foods in your diet without first talking to your doctor. • Avoid eating cranberries drinking cranberry juice or taking cranberry herbal products. • Avoid drinking alcohol which can increase some of the side effects of this medication. • Avoid smoking cigarettes or chewing tobacco. Tobacco can alter the effects of Coumadin and cause problems with your therapy. • Avoid hazardous activities and sports that may cause injury or broken skin. You may be more likely to bruise or bleed while taking Coumadin especially at the start of therapy. Call your doctor if you bruise easily or have any excessive bleeding. What are the possible side effects of Coumadin? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Call your doctor at once if you have any of these serious side effects: skin changes or discoloration anywhere on your body; purple toes or fingers; pain in your stomach back or sides; severe dizziness headache or weakness; diarrhea; easy bruising or bleeding that will not stop blood in your urine; black bloody or tarry stools; coughing up blood; nosebleeds or bleeding gums; urinating less than usual; sudden headache confusion problems with vision speech or balance; sudden leg or foot pain; or sudden numbness or weakness especially on one side of the body. • Other less serious side effects are more likely to occur such as: excessive gas or bloating; diarrhea nausea or vomiting; hair loss; or loss of appetite weight loss. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Coumadin? • Coumadin interacts with many other drugs and these interactions can be dangerous even fatal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. • Coumadin can interact with the following herbal (botanical) products: bromelains; coenzyme Q10; cranberry; danshen; dong quai; garlic; ginkgo biloba; ginseng; or St. John's wort. • Do not use any of these products without first asking your doctor. Some of these herbal products can cause you to bleed while you are also taking Coumadin.

Generic Coumadin (Warfarin)

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Using a condom is the only way to help protect yourself from these diseases. What is Aygestin? • Aygestin is a form of progesterone a female hormone. • Aygestin is used for birth control (contraception) to prevent pregnancy. Aygestin is also used to treat menstrual disorders endometriosis or abnormal vaginal bleeding caused by a hormone imbalance. • Aygestin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Aygestin? • Aygestin is in the FDA pregnancy category X. This means that using the medication while you are pregnant can cause birth defects in the baby. Do not take Aygestin if you are pregnant. Stop taking the medication and tell your doctor if you become pregnant. If you plan to become pregnant after you stop taking Aygestin ask your doctor how long you should wait before trying to get pregnant. • You should not take Aygestin if you have: a history of stroke or blood clots; liver disease; a history of stroke or blood clots; cancer of the breast of ovary; unusual vaginal bleeding that a doctor has not diagnosed; or complications from a recent miscarriage or abortion. • Taking Aygestin may be dangerous if you have any of the conditions listed above. • Before taking Aygestin tell your doctor if you have: high blood pressure angina or heart disease; a bleeding disorder such as hemophilia; diabetes; high cholesterol; migraines; a history of depression or mental illness; asthma; or seizures or epilepsy. • If you have any of the conditions listed above you may not be able to use Aygestin or you may require a dosage adjustment or special monitoring during treatment. • This medication can pass into breast milk and may harm a nursing baby. Do not use Aygestin without telling your doctor if you are breast-feeding. • Taking Aygestin can cause you to have unusual results to certain medical tests. Tell any doctor who treats you that you are using Aygestin. How should I take Aygestin? • The dose schedule for Aygestin may be different for birth control than for treating other conditions. To best treat your condition Aygestin should be used exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Aygestin for longer than your doctor has prescribed. • Take the medication at the same time each dose day. Taking a pill late or missing a pill can increase your chances of having breakthrough bleeding or getting pregnant. • For birth control start a new pack of pills the day after your last pack is finished. 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Using a condom is the only way to protect yourself from these diseases. What are the possible side effects of Aygestin? • Stop using Aygestin and call your doctor at once if you have any of these serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); abnormal vaginal bleeding; late or missed menstrual period; a partial or complete loss of vision blurred vision double vision or a sudden onset of bulging eyes; sudden and severe headache pain behind your eyes dizziness or fainting; speech problems; vomiting or jaundice (yellowing of the skin or eyes); or sudden or severe pain in your lower stomach. • Other less serious side effects may be more likely to occur. Continue to take Aygestin and talk to your doctor if you experience: nausea; swollen or tender breasts; sleep problems (insomnia); depression mood swings; acne freckles or darkened skin areas; increased hair growth; weight gain or loss; or changes in your menstrual cycle or vaginal discharge. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Aygestin? • Before taking Aygestin tell your doctor if you are taking any of the following medicines: rifampin (Rifadin); phenytoin (Dilantin); carbamazepine (Tegretol); or a barbiturate such as amobarbital (Amytal) butabarbital (Butisol) mephobarbital (Mebaral) secobarbital (Seconal) or phenobarbital (Luminal Solfoton). • If you are using any of these drugs Aygestin may not work as well and you may get pregnant. You may need to use a second form of birth control if you are taking any of the medicines listed above. • There may be other drugs not listed that can affect Aygestin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. 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