Coumadin

 
What is Coumadin?
Coumadin is an anticoagulant (blood thinner).
 
 
Are there any side effects associated with Coumadin?
Coumadin side effects may include a hemorrhage. If the side effects continue or are bothersome, check with your doctor. Less common Coumadin side effects may include abdominal pain and cramping, allergic reactions, diarrhea, fatigue, feeling cold and chills, feeling of illness, fever, fluid retention and swelling, gas and bloating, hepatitis, hives, intolerance to cold, itching, lethargy, liver damage, loss of hair, nausea, necrosis (gangrene), pain, purple toes, rash, severe or long-lasting inflammation of the skin, taste changes, vomiting, and yellowed skin and eyes.
 
How is Coumadin taken?
Follow the directions for taking Coumadin provided by your doctor. The objective of treatment with a blood-thinner is to control the blood-clotting process without causing severe bleeding, so that a clot does not form and cut off the blood supply necessary for normal body function. Therefore, it is very important that you take this medication exactly as prescribed by your doctor and that your doctor monitor your condition on a regular basis. Be especially careful to stick to the exact dosage schedule your doctor prescribes. Do not take or discontinue any other medication unless directed to do so by your doctor. Avoid alcohol, salicylates such as aspirin, larger than usual amounts of foods rich in vitamin K, which can counteract the effect of Coumadin, or any other drastic change in diet. Note that Coumadin often turns urine reddish-orange. You should carry an identification card that indicates you are taking Coumadin. If you miss a dose take the forgotten dose as soon as you remember, then go back to your regular schedule. If you do not remember until the next day, skip the dose. Keep a record for your doctor of any doses you miss. Do not take two doses at once.
 
Are there any effects of taking Coumadin with other medications?
Some medicines may interact with Coumadin. Inform your doctor of all prescription and over-the-counter medicine that you are taking. Be extremely cautious about taking any herbal remedies and supplements. A wide assortment of herbal products are known to interact with Coumadin or otherwise affect coagulation. 
 
How should I store Coumadin?
Store Coumadin at room temperature in a tightly closed container, away from heat and light.
 
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