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Precautions

Do NOT use Coumadin if:

• you are allergic to the ingredient in Coumadin
• you've bleeding tendencies, bleeding problems (eg, hemophilia), severe or uncontrolled blood pressure, certain blood problems (eg, low white blood cell or platelet levels), or leukemia
• you've got active serious bleeding, bleeding inside the brain, certain circulation system problems (eg, aneurysm, dissecting aorta), or inflammation or infection of the heart
• you might have active ulcer or bleeding with the stomach or bowel, urinary tract, genitals, or respiratory tract
• you have recently had or will likely be having eye, brain, or spinal-cord 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 can't follow your medical professional's instructions properly , nor have someone to assist you take your medicine
• you take mifepristone, streptokinase, or urokinase.

Contact a medical expert or doctor straight away if these connect with you.

Some medical conditions may talk with Coumadin. Tell your medical professional or pharmacist for those who have any health concerns, particularly if any in the following sign up for you:

• if you are planning to become pregnant or are breast-feeding
• should you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines or any other substances
• in case you have also been injured, fallen, given birth, or had surgery
• if you have a reputation stomach or bowel obstruction (eg, bleeding, ulcer, inflammation), heart related illnesses (eg, heart failure, infection), blood clots, anemia or another blood problems (eg, protein C deficiency, high red blood cell levels), circulation system problems, or high blood pressure
• when you have a good liver, kidney, or an under active thyroid; yellowing in the skin or eyes; mental or mood problems; high-cholesterol; arthritis; diabetes; or cancer
• when you have poor nutrition, celiac disease, nutrient or fat absorption problems, or low levels of vitamin K or vitamin C in the blood, or in case you consume alcohol
• in case you have a fever, very poor health, diarrhea, fluid buildup, extra fat inside the stools (steatorrhea), a recently available or current infection, or tuberculosis, or in the event you will probably be encountered with high temperatures to get a prolonged time period of time
• if you have a heart valve replacement, an intrauterine device (IUD), or possibly a catheter.

Some medicines may communicate with Coumadin. Tell your medical provider should you consider another medicines, especially any with the following:

• Heparin and other anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), salicylates (eg, aspirin), streptokinase, or urokinase as the likelihood of bleeding may be increased
• Mifepristone because excessive bleeding may occur
• Many prescription and nonprescription medicines (eg, useful for infections, inflammation, discomfort, blood pressure, high cholesterol levels, seizures, mental or mood problems, diabetes, stomach or bowel irregularity, irregular heartbeat, contraceptive, hormone replacement, cancer, and others), multivitamin products, and herbal or health supplements (eg, herbals, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may talk with Coumadin, enhancing the likelihood of serious side effects like bleeding or blood clots.

This might not be a complete set of all interactions that will occur. Ask your health care provider if Coumadin may communicate with other medicines that you take. Check with your doctor before starting, stop, or customize the dose associated with a medicine.

Important safety information:

• Tell a medical expert or dentist that you simply take Coumadin when you have any medical or dental treatments, emergency care, or surgery.
• Do NOT take a lot more than the recommended dose or use for longer than prescribed without checking with a medical expert. Contact a medical expert straight away if you could have taken which is not Coumadin.
• Do not drink alcohol when you are taking Coumadin; it may well boost the probability of Coumadin's side effects.
• Do not change you activity level or weight without checking with your physician; the risk of Coumadin's unwanted effects might be increased.
• Do not improve your diet regime without checking with your doctor. Eat a normal, balanced diet. Foods that have high amounts of vitamin K (eg, green vegetables, broccoli, liver, certain vegetable oils) may change the effect of Coumadin. Ask your doctor for a list of foods that may affect Coumadin. Tell your physician if any foods on the list are a section of your diet.
• Do not eat cranberry products or drink cranberry juice as you are taking Coumadin. Tell a medical expert if these items happen to be portion of your diet plan.
• Elevated body's temperature may boost the effect of Coumadin. Be careful to avoid becoming overheated, especially during hot weather.
• Coumadin decreases blood clotting. Use caution while doing activities like brushing your teeth, flossing, or shaving. Avoid activities that will cause bruising or injury. Seek immediate medical help in the event you fall or injure yourself. Tell your physician if you have unusual bruising or bleeding. Tell your physician in case you have dark, tarry, or bloody stools.
• Do not take aspirin as you take Coumadin unless a medical expert lets you know to. If you already take aspirin for a heart and other condition, talk with a medical expert about whether or not you should keep to go on it with Coumadin.
• Tell your physician in the event you will likely be traveling or in case you will likely be limited to a bed or chair to get a long amount of time (eg, car or airplane ride). This may enhance your risk of creating a blood clot.
• If therapy with Coumadin is stopped, the blood thinning effects may last for 2 to 5 days after you stop taking it. Discuss any queries or concerns with your medical professional. Do not suddenly stop taking Coumadin without checking with your medical professional.
• Lab tests, including certain blood clotting tests (eg, PT, INR), could be performed when you use Coumadin. These tests could possibly be used to monitor your problem or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Coumadin with caution in Asian patients; they could possibly be more sensitive to its effects, especially bleeding.
• Use Coumadin with caution in the elderly; they could be more understanding of its effects, especially bleeding.
• Coumadin needs to be combined with extreme care in kids; safety and effectiveness in youngsters are not confirmed. Children may require more frequent diagnostic tests should they use Coumadin.
• If you can become pregnant, you must make use of an effective form of birth control while you take Coumadin. If you have questions on effective birth control, talk with a medical expert.
• Pregnancy and breast-feeding: Do not use Coumadin if you are pregnant. It has been proven to damage the fetus. Avoid getting pregnant when you consider it. If you think you could be pregnant, contact your doctor right away. It is not known if Coumadin is located in breast milk. If you are or will likely be breast-feeding whilst you use Coumadin, talk with a medical expert. Discuss any possible risks for a baby.