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What is Coumadin?

Coumadin contains warfarin and is used to treat blood clots, often caused by deep vein thrombosis (DVT) or pulmonary embolism (PE). Warfarin is an anticoagulant (or “blood thinner” medication”) and helps to treat blood clots by decreasing the amount of clotting proteins within your blood. Preventing blood clots can help to reduce the risk of heart attack or stroke.

Always read the patient information and instructions carefully before using this medication. Follow your doctor’s directions.

• Coumadin should be taken at the same time each day.
• You should never take a double dose of warfarin.
• You may need frequent tests to measure blood clots while taking this medication.

Make sure to tell your doctor and pharmacist:

• If you have any drug or other allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history especially of high blood pressure, blood cell disorders, ulcers, internal bleeding, heart infections, aneurysms, heart disease, kidney disease, cancer, low blood cell counts, stroke, diabetes, congestive heart failure, liver disease, hereditary clotting deficiency or low blood platelets.
• If you are sick with fever, flu, diarrhea or chills or if your body weight changes.
• If you are planning on changing your diet. Some foods can make Coumadin less effective.
• If you cannot take this medication every day.
• If you have recently had or will have surgery.
• If you are breast feeding.

Also be aware that:

• You may need to temporarily stop taking warfarin before any surgery, dental work or medical procedures. Ask your doctor or dentist for more information.
• War a medical tag or carry an ID starting that you take warfarin. All medical care providers who treat you should be aware.
• Coumadin should not be taken during pregnancy unless directed to by your doctor. Use effective birth control while taking this medication and for at least one month after your last dose.

Common Coumadin side effects may include but are not limited to:

• Nausea.
• Stomach or abdominal pain.
• Loss of appetite.

Contact your doctor if you experience any of the following side effects of warfarin:

• Signs of serious bleeding such as unusual or easy bleeding, prolonged bleeding from cuts or gums, persistent or frequent nosebleeds, heavy or prolonged menstrual flow, pink or dark urine, coughing up blood, vomit which is bloody or looks like coffee grounds, severe headaches, unusual pain, swelling or discomfort, chest pain, shortness of breath, difficulty swallowing, dizziness, fainting, unusual tiredness or weakness or stools which are bloody, black or tarry,
• Persistent vomiting or nausea.
• Severe stomach or abdominal pain.
• Jaundice.
• Signs of blood clots or skin or tissue damage such as painful red or purple skin patches such as on the toe, abdomen or breast, changes in the amount of urine, vision changes, confusion, slurred speech or weakness on one side of the body.
• Signs of an allergic reaction such as hives, difficulty breathing or a swelling of your face, lips or throat.

What should I do if I miss a dose of Coumadin?

If you miss a dose of this medication, take it as soon as you remember. If it is almost time for your next dose, then skip your missed dose.

What is the generic alternative to Coumadin?

Generic Coumadin is known as warfarin and is available in the same 1mg, 2mg, 2.5mg 3mg, 4mg, 5mg, 6mg and 10mg strengths.