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Do NOT use Coumadin if:

you are allergic to any ingredient in Coumadin
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you might have bleeding tendencies, bleeding problems (eg, hemophilia), severe or uncontrolled hypertension, certain blood problems (eg, low white blood cell or platelet levels), or leukemia
you've active serious bleeding, bleeding in the brain, certain circulatory problems (eg, aneurysm, dissecting aorta), or inflammation or infection with the heart
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you have active ulcer or bleeding of the stomach or bowel, urinary tract, genitals, or respiratory tract
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you have recently had or will probably be having eye, brain, or vertebrae surgery; spinal puncture; spinal anesthesia; or any kind of major surgery
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you are pregnant or can be pregnant
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you can't seem to have routine blood clotting tests
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you can't follow your medical professional's instructions properly , nor have someone that may help you take your medicine
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you are taking mifepristone, streptokinase, or urokinase.
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Contact your medical professional or health care provider right away if these affect you.

Some health conditions may talk with Coumadin. Tell your physician or pharmacist for those who have any medical ailments, particularly when any from the following apply to you:

if you're planning to become pregnant or are breast-feeding
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in the event you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
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in case you have allergies to medicines or any other substances
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in case you have ended up injured, fallen, given birth, or had surgery
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for those who have a history of stomach or irregularity (eg, bleeding, ulcer, inflammation), heart disease (eg, heart failure, infection), blood clots, anemia or any other blood problems (eg, protein C deficiency, high red blood cell levels), circulatory problems, or high blood pressure
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for those who have a good reputation for liver, kidney, or thyrois issues; yellowing of the skin or eyes; mental or mood problems; high-cholesterol; arthritis; diabetes; or cancer
in case you have poor nutrition, celiac disease, nutrient or fat absorption problems, or 'abnormal' amounts of vitamin K or vitamin C inside blood, or in case you drink alcohol
in case you have a fever, bad health, diarrhea, fluid buildup, excess fat within the stools (steatorrhea), a newly released or current infection, or tuberculosis, or in the event you will probably be subjected to high temperatures for any prolonged period of time
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when you have a heart valve replacement, an intrauterine device (IUD), or perhaps a catheter.

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

Heparin or other anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), salicylates (eg, aspirin), streptokinase, or urokinase since the risk of bleeding may be increased
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Mifepristone because excessive bleeding may occur
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Many prescription and nonprescription medicines (eg, useful for infections, inflammation, injuries, blood pressure, high-cholesterol, seizures, mental or mood problems, diabetes, stomach or bowel obstruction, irregular heartbeat, contraceptive, hormone replacement, cancer, yet others), multivitamin products, and herbal or health supplements (eg, herb teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may interact with Coumadin, enhancing the probability of serious unwanted side effects including bleeding or blood clots.
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This may not be an entire set of all interactions that could occur. Ask your health care provider if Coumadin may talk with other medicines that you take. Check with your medical provider prior to starting, stop, or customize the dose from a medicine.

Important safety information:

Tell your physician or dentist which you take Coumadin when you have any medical or dental treatments, emergency care, or surgery.
Do NOT take over the recommended dose or use for more than prescribed without checking with a medical expert. Contact a medical expert right away if you may have taken an excessive amount Coumadin.
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Do not are drinking alcohol whilst you consider Coumadin; it may increase the probability of Coumadin's unwanted effects.
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Do not change you activity level or weight without checking with a medical expert; the likelihood of Coumadin's unwanted effects could be increased.
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Do not alter your eating routine without checking with your medical professional. Eat a normal, balanced diet. Foods who have high levels of vitamin K (eg, green leafy vegetables, broccoli, liver, certain vegetable oils) may customize the effect of Coumadin. Ask your doctor for a report on foods that may affect Coumadin. Tell your medical professional if any foods listed certainly are a section of what you eat.
Do not eat cranberry products or drink cranberry juice when you are taking Coumadin. Tell your doctor if these products happen to be part of what you eat.
Elevated body's temperature may raise the effect of Coumadin. Be careful to avoid becoming overheated, especially during warm weather.
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Coumadin decreases blood clotting. Use caution while doing activities like brushing your teeth, flossing, or shaving. Avoid activities that may cause bruising or injury. Seek immediate medical help in case you fall or injure yourself. Tell your doctor if you have unusual bruising or bleeding. Tell your medical professional if you have dark, tarry, or bloody stools.
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Do not take aspirin while you take Coumadin unless your doctor notifys you to. If you already take aspirin for a heart or another condition, talk with your medical professional about whether or not you should keep to take it with Coumadin.
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Tell your doctor in the event you will likely be traveling or should you will likely be limited to a bed or chair to get a long time period of time (eg, car or airplane ride). This may improve your likelihood of having a blood clot.
If therapy with Coumadin is stopped, the blood thinning effects takes 2 to 5 days after you stop taking it. Discuss questions or concerns with a medical expert. Do not suddenly stop taking Coumadin without checking with your doctor.
Lab tests, including certain blood clotting tests (eg, PT, INR), may be performed as you use Coumadin. These tests could be employed to monitor your problem or check for unwanted effects. Be sure to keep all doctor and lab appointments.
Use Coumadin with caution in Asian patients; they could possibly be more understanding of its effects, especially bleeding.
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Use Coumadin with caution inside elderly; they could be more responsive to its effects, especially bleeding.
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Coumadin must be used with careful attention in youngsters; safety and effectiveness in children haven't been confirmed. Children might require more frequent diagnostic tests whenever they use Coumadin.
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If you can become pregnant, you have to make use of an effective kind of birth control method as you take Coumadin. If you've got queries about effective birth control, talk with a medical expert.
Pregnancy and breast-feeding: Do not use Coumadin if you're pregnant. It has been shown to damage the fetus. Avoid becoming pregnant whilst you are taking it. If you think you may be pregnant, speak to your doctor right away. It is not known if Coumadin is located in breast milk. If you are or will likely be breast-feeding when you use Coumadin, check with your medical professional. Discuss any possible risks to your baby.
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