COUMADIN (WARFARIN) THERAPY

WHAT DOES COUMADIN DO?
Coumadin is used to prevent harmful blood clots from forming. Harmful blood clots can cause problems such as stroke (brain attack) or serious lung damage.

WHAT DO I NEED TO DO?

• Report for PT/INR lab tests scheduled by your health care provider. Coumadin requires frequent blood tests, careful monitoring and dosage adjustments.
• Discuss all medicines and herbal supplements you are taking with your doctor and pharmacist – many drugs affect Coumadin blood levels.
• Keep your diet consistent, especially with the amount of green vegetables you eat.
• AVOID alcohol.
• Always tell you doctor, pharmacist, dentist and nurse that you are taking Coumadin.
• Pay close attention to be sure you take the proper dose of Coumadin at the same time each day.
• If you forget to take a pill, tell your doctor. Take the missed dose as soon as possible the same day. DO NOT take a double dose of Coumadin the next day to make up for the missed dose.

WHAT SHOULD I WATCH OUT FOR?
The most common side effect associated with Coumadin therapy is bleeding. Watch for the following warning signs or events, and call your doctor immediately if you experience:

• Serious fall or trauma
• Prolonged bleeding from cuts or nosebleeds, unusual bleeding from gums when brushing teeth or increased menstrual flow/vaginal bleeding.
• Red or dark brown urine, red or tarry black stools.
• Unusual bruising for unknown reasons.
• Pregnancy, planned or unplanned.
• If you are thinking about breastfeeding while taking Coumadin, consult with your health care provider.

If you have any questions, contact your health care provider or pharmacist.