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Coumadin (Warfarin)

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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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Discount Prescription Drugs & Pain Medicine: Anaprox (Naproxen) Anaprox (Naproxen) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling (inflammation). It is also used to treat headaches muscle aches backaches etc. Buy Anaprox (Naproxen) and other Pain Medicine products online at Medstore. About Anaprox (Naproxen): Product Type: Pain Medicine Brand name: Anaprox Generic name: Naproxen What is anaprox? Naproxen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Naproxen works by reducing hormones that cause inflammation and pain in the body. Naproxen is used to treat pain or inflammation caused by conditions such as arthritis ankylosing spondylitis tendinitis bursitis gout or menstrual cramps. Naproxen may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about anaprox? This medicine can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly 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 your 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 anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects 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. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. 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 anaprox? 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