Warfarin side effects: Watch for dangerous interactions

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If y've been pesibed wafain (madin) t pevent bd ts, y pbaby aeady knw that this pwef dg an save y ife if y'e at isk f have had bd ts. Bt y may nt eaize hw seis wafain side effets an be. Wafain, espeiay if taken inety, ineases y isk f danges beeding. Wafain side effets an as inde inteatins with sme fds, pesiptin mediines and ve-the-nte sppements.
If y dt pesibes wafain f y, make se y ndestand a the ptentia wafain side effets and inteatins it d have.
When is wafain pesibed?

Y might be given wafain if y have:


* A bd t in nea y heat that d tigge stke, heat attak gan damage
* A bd t in y ngs (pmnay embism)
* A bd t esewhee in y bdy (vens thmbsis)
* A high isk f bd ts fming in the heat, sh as in sme heat hythm abnmaities (ahythmias)
* A mehania atifiia heat vave that is pne t fming bd ts

What wafain side effets shd y wath f?

When y take wafain, y bd wn't t as easiy. If y aidentay t ysef whie taking wafain, y may beed heaviy. Y'e me ikey t have beeding pbems if y'e de than 75 take the bd-thinning mediatins that an fthe inease y beeding isk.
Wafain side effets that eqie immediate media attentin


* Sevee beeding
* Bak st beeding fm the etm
* Skin nditins sh as hives, a ash ithing
* Sweing f the fae, that, mth, egs, feet hands
* Bising that mes abt witht an injy y emembe
* hest pain pesse
* Nasea vmiting
* Feve f-ike symptms
* Jint mse ahes
* Diahea
* Diffity mving
* Nmbness f tinging in any pat f y bdy
* Painf eetin asting f hs nge

Athgh ae, wafain an as ase skin tisse death (nesis) and gangene eqiing amptatin. This mpiatin mst ften happens thee t eight days afte y stat taking wafain. If y ntie any ses, hanges in skin tempeate, sevee pain n y skin, ntify y dt immediatey.
ess seis wafain side effets t te y dt abt


* Gas
* Feeing d
* Fatige
* Pae skin
* hanges in the way fds taste
* Hai ss

What peatins an y take against wafain side effets?

Thee ae sme key steps y an take t ede y hane f deveping wafain side effets.


* Te y dt abt any the mediatins sppements y take. Sme mediatins and sppements an have a danges inteatin with wafain.
* Te y heath ae pvide y take wafain befe y have any media denta pedes. Te pvides that y take wafain even befe min pedes, sh as vainatins and tine denta eanings. If y'e ging t have sgey, disss what dsing hanges might be neessay at east 10 days befe the pede. Y dt may deease y dse f wafain disntine wafain atgethe befe the pede. Tak t the dt wh pesibed wafain t find t if it's safe t disntine f a few days. If y ae at high isk f bd ts, y may need a shte ating bd thinne, hepain, t keep a we isk f bd ts whie y'e nt taking wafain.
* Avid sitatins that inease y isk f injy. Avid ntat spts ativities that d est in head injy. Make se y te y dt if y ae nsteady whie waking have a histy f faing.
* nside weaing a baeet aying a ad that identifies that y take wafain. This an be sef if emegeny media pesnne need t knw what mediatins y take.
* nside a wafain sensitivity test. Abt a thid f the pepe wh take wafain ae at a highe isk f beeding bease thei genes make them me sensitive t wafain. If y'e wied that y might be me sensitive t wafain bease a famiy membe expeiened side effets, tak t y dt abt taking a wafain sensitivity test. The test an te if y have the genes that an inease y isk f beeding.
* If y eeive new pesiptins fm smene the than y sa media pvide, make se t emind them that y ae taking wafain. Ask if y' need additina bd tests fm y ega ae pvide t make se y bd tting hasn't been affeted by the new mediatins y'e taking.

What dgs and sppements an inteat with wafain?

Wafain, ike any the mediatin, an inteat with fds, the dgs, vitamins heba sppements. Be eady t pvide y dt with a mpete ist f eveything y'e taking.
Dgs that an inteat with wafain inde:


* Aspiin aspiin-ntaining pdts
* Ibpfen (Advi, Mtin, thes) napxen (Aeve)
* Aetaminphen (Tyen, thes) aetaminphen-ntaining pdts, espeiay when the dse f aetaminphen exeeds 1,500 miigams a day
* Many antibitis
* Hepain
* d aegy mediines
* Bith nt pis
* Mediatins that teat abnma heat hythms, sh as amidane

This isn't a mpete ist. Many the mediatins inteat with wafain. Y shd aways nside that a new mediatin d inteat with wafain nti y dt, nse, phamaist tes y thewise.
Sppements that an inteat with wafain inde:


* Fish i and mega-3 sppements
* Vitamin K
* Afafa
* Bmeains, a type f sppement that mes fm pineappes (pineappe itsef desn't inteat with wafain)
* enzyme Q10 (bideaenne)
* anbey extats
* Danshen
* Dng qai
* Evening pimse i
* Gai
* Ginkg
* Ginseng
* Gsamine
* St. Jhn's wt
* Wiw bak
* Wintegeen

What fds might inteat with wafain?

If y smetimes eat fds that ae high in vitamin K — sh as sybean and ana is, spinah bi — te y dt. Vitamin K an affet hw y bd ts and hw wafain ptets y.
Gai and bak iie as may inteat with wafain, s tak t y dt if y eat a t f these fds.
Eating anbeies dinking anbey jie an affet the way wafain wks and an inease y isk f beeding. Whie an asina gass f anbey jie is nikey t inje y, y shd avid dinking it egay.
Dinking ah an as affet the way wafain wks. Tak t y dt abt dinking ah whie taking wafain. Whie having an asina dink shdn't eate a pbem, exessive dinking binge dinking an geaty inease y beeding isk.
What shd y d if y fget a dse?

If y fget t take a dse f wafain within 12 hs f when y wee sppsed t take it, take it as sn as y emembe and get bak n y daiy dsing shede. If y fget t take a dse and it has been me than 12 hs, wait nti the next dse is de. nike sme the mediatins, dbing y wafain dse d geaty inease y isk f side effets.
Aways tak t y dt if y'e nse if y tk y wafain as dieted. If y fw y dt's dsing insttins and te a y heath ae pvides that y take wafain, y' be at a mh we isk f danges inteatins and wafain side effets. Tak t y dt, nse phamaist if y have any nens abt wafain. They an be a vaabe se f infmatin.
efeenes

* Bd thinne pis: sing them safey. Ageny f Heathae eseah and Qaity. . Aessed Nv. 30, 2009.
* Shman S, et a. Hemhagi mpiatins f antiagant and thmbyti teatment. hest. 2008;133:257S.
* Hish J, et a. Ameian Heat AssiatinAmeian ege f adigy fndatin gide t wafain theapy. Jna f the Ameian ege f adigy. 2003;41:1633.
* Shwaz I, et a. Geneti deteminants f espnse t wafain ding initia antiagatin.New Engand Jna f Mediine. 2008;358:999.
* yn E, et a. Phamageneti testing f wafain sensitivity. inis in abaty Testing. 2008;28:525.
* Wafain dg inteatins. Nata Mediines mpehensive Database. . Aessed Nv. 30, 2009.
 

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