About:

Coumadin is an anticoagulant (blood thinner). It is prescribed to:

* Prevent and/or treat a blood clot that has formed within a blood vessel or in the lungs.
* Prevent and/or treat blood clots associated with certain heart conditions or replacement of a heart valve.
* Aid in the prevention of blood clots that may form in blood vessels anywhere in the body after a heart attack.
* Reduce the risk of death, another heart attack, or stroke after a heart attack.

How Taken:

The objective of treatment with a blood-thinner is to control the blood-clotting process without causing severe bleeding, so that a clot does not form and cut off the blood supply necessary for normal body function. Therefore, it is very important that you take Coumadin exactly as prescribed by your doctor and that your doctor monitor your condition on a regular basis. Be especially careful to stick to the exact dosage schedule your doctor prescribes.

Do not take or discontinue any other medication unless directed to do so by your doctor. Avoid alcohol, salicylates such as aspirin, larger than usual amounts of foods rich in vitamin K (including liver, vegetable oil, egg yolks, and green leafy vegetables), which can counteract the effect of Coumadin, or any other drastic change in diet.

Missed Dose:

Take the forgotten dose as soon as you remember, then go back to your regular schedule. If you do not remember until the next day, skip the dose. Never try to "catch up" by doubling the dose. Keep a record for your doctor of any doses you miss.

Overdose:

Signs and symptoms of Coumadin overdose reflect abnormal bleeding. Symptoms of abnormal bleeding include: blood in stools or urine, excessive menstrual bleeding, black stools, reddish or purplish spots on skin, excessive bruising, persistent bleeding from superficial injuries

If you suspect an overdose, seek emergency medical treatment immediately.

Storage:

Coumadin can be stored at room temperature. Close the container tightly and protect from light.

Side Effects:

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Coumadin.

More common side effects may include:
Hemorrhage: Signs of severe bleeding resulting in the loss of large amounts of blood depend upon the location and extent of bleeding. Symptoms include: chest, abdomen, joint, muscle, or other pain; difficult breathing or swallowing; dizziness; headache; low blood pressure; numbness and tingling; paralysis; shortness of breath; unexplained shock; unexplained swelling; weakness


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