Cholesterol Drugs, Prescriptions and Overseas Pharmacy Meds

Coumadin (Warfarin)

Cholesterol Drugs, Prescriptions and Overseas Pharmacy Meds » 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.

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These may be early symptoms of muscle or liver problems. • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Do not take Atorvastatin if you are pregnant could become pregnant during treatment or if you are breast-feeding a baby. What is Atorvastatin? • Atorvastatin is an HMG CoA reductase inhibitor. Atorvastatin blocks the production of cholesterol (a type of fat) in the body. • Atorvastatin is used to reduce the amounts of LDL (bad) cholesterol total cholesterol triglycerides (another type of fat) and apolipoprotein B (a protein needed to make cholesterol) in your blood. Atorvastatin is also used to increase the level of HDL (good) cholesterol in your blood. These actions are important in reducing the risk of hardening of the arteries which can lead to heart attacks stroke and peripheral vascular disease. • Atorvastatin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Atorvastatin? • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Before taking Atorvastatin tell your doctor if you drink alcoholic beverages have a chronic muscular disease require major surgery or have a blood disorder. • You may not be able to take Atorvastatin or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Atorvastatin is in the FDA pregnancy category X. This means that Atorvastatin is known to cause birth defects if it is taken during pregnancy. Do not take Atorvastatin if you are pregnant or could become pregnant during treatment. • It is not known whether Atorvastatin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. How should I take Atorvastatin? • Take Atorvastatin exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Atorvastatin can be taken with or without food. • Atorvastatin is usually taken once a day. Try to take your dose at the same time each day. Follow your doctor's instructions. • Your doctor may want to monitor your liver function with blood tests before starting treatment with Atorvastatin at twelve weeks after both the start of your treatment and any increase in dose and periodically (every 6 months) thereafter. 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What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • The symptoms of an Atorvastatin overdose are not known. What should I avoid while taking Atorvastatin? • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Grapefruit and grapefruit juice may interact with Atorvastatin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. What are the possible side effects of Atorvastatin? • Rare cases of muscle problems and liver problems have been associated with the use of Atorvastatin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain tenderness or weakness especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes abdominal pain unexplained fatigue dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems. • If you experience any of the following serious side effects stop taking Atorvastatin and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); decreased urine or rust-colored urine; or blurred vision. • Other less serious side effects may be more likely to occur. 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