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Coumadin

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Formulation : Tablet
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Prescription Required
Formulation : Tablet
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Indications

Coumadin is a brand name for the anticoagulant medication warfarin. Warfarin works to prevent the formation of blood clots by inhibiting the synthesis of vitamin K-dependent clotting factors such as Factors II, VII, IX, and X.

Coumadin is used to treat and prevent blood clots in conditions such as deep vein thrombosis, pulmonary embolism, atrial fibrillation, and valve replacement.

Coumadin is important to regularly monitor the International Normalized Ratio (INR) in patients taking Coumadin to ensure that their blood is not clotting too easily or too little.

Use and Dosage

Read the Medication Guide provided by your pharmacist before you start taking Warfarin and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor or other health care professional, usually once a day. It is very important to take it exactly as directed. Do not increase the dose, take it more frequently, or stop using it unless directed by your doctor.

Dosage is based on your medical condition, laboratory tests (such as INR), and response to treatment. Your doctor or other health care provider will monitor you closely while you are taking this medication to determine the right dose for you.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.

Eat a balanced, consistent diet while taking warfarin. Some foods can affect how warfarin works in your body and may affect your treatment and dose. Avoid sudden large increases or decreases in your intake of foods high in vitamin K (such as broccoli, cauliflower, cabbage, brussels sprouts, kale, spinach, and other green leafy vegetables, liver, green tea, certain vitamin supplements). If you are trying to lose weight, check with your doctor before you try to go on a diet.

Since this drug can be absorbed through the skin and lungs and may harm an unborn baby, women who are pregnant or who may become pregnant should not handle this medication or breathe the dust from the tablets.

Side Effects

Common side effects include:

  • Nausea
  • Loss of appetite
  • Stomach pain
  • Gas
  • Bloating

Severe side effects, including:

  • Signs of serious bleeding
  • Severe headache
  • Chest pain
  • Shortness of breath
  • Fainting
  • Difficulty swallowing
  • Severe abdominal pain
  • Persistent vomiting
  • Painful, red/purplish patches on the skin
  • Vision changes
  • Confusion
  • Weakness on one side of the body

This is not a complete list of Coumadin’s side effects.

Cautions

Before taking warfarin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood disorders (such as anemia, hemophilia), bleeding problems (such as bleeding of the stomach/intestines, bleeding in the brain), blood vessel disorders (such as aneurysms), recent major injury/surgery, kidney disease, liver disease, alcohol use, mental/mood disorders (including memory problems), frequent falls/injuries.

Before having surgery or any medical/dental procedures, tell your doctor or dentist that you are taking this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Avoid getting injections into the muscles. If you must have an injection into a muscle (for example, a flu shot), it should be given in the arm. This way, it will be easier to check for bleeding and/or apply pressure bandages.

This medication may cause stomach bleeding. Daily use of alcohol while using this medicine will increase your risk for stomach bleeding and may also affect how this medication works. Limit alcoholic beverages. Ask your doctor or pharmacist about how much alcohol you may safely drink.

Form and Strengths

Coumadin is available in the following form and strengths:

  • Coumadin Tablet:
    • 1mg
    • 2mg
    • 5mg
  • Warfarin Tablet:
    • 1mg
    • 2mg
    • 2.5mg
    • 3mg
    • 4mg
    • 5mg
    • 6mg
    • 7.5mg
    • 10mg

FAQ

Does Coumadin affect the platelet count?

This medication may reduce the platelets in your blood.

What is the Coumadin reversal drug?

The reversal agents for this drug are fresh frozen plasma (FFP) or vitamin K.

Can Coumadin cause headaches?

Among the adverse effects of this drug is headache.

Resources:

  1. https://www.drugs.com/coumadin.html
  2. https://www.webmd.com/drugs/2/drug-4069/coumadin-oral/details
  3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/009218s107lbl.pdf

Additional information

Brand Name:

Coumadin

Scientific Name:

Warfarin, Warfarin Sodium

Other Names:

Coumadin, Warfarin, Warfmadin

Strength(s):

1mg, 2.5mg, 2mg, 3mg, 4mg, 5mg, 6mg, 10mg

Quantities Available:

84, 100

Formulation:

Tablet