Coumadin

Note that Coumadin often turns urine reddish-orange.

You should carry an identification card that indicates you are taking Coumadin.

--If you miss a 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.

--Storage instructions...

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

What side effects may occur?

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

Why should Coumadin not be prescribed?

This drug should not be used for any condition where the danger of hemorrhage may be greater than the potential benefits of treatment. Unless directed to do so by your doctor, do not take this medication if one of the following conditions or situations applies to you:

A tendency to hemorrhage
Alcoholism
An abnormal blood condition
Aneurysm (balloon-like swelling of a blood vessel) in the brain or heart
Bleeding tendencies associated with: ulceration or bleeding of the stomach, intestines, respiratory tract, or the genital or urinary system
Eclampsia (a rare and serious pregnancy disorder producing life-threatening convulsions), or preeclampsia (a toxic condition--including headache, high blood pressure, and swelling of the legs and feet--that can lead to eclampsia)
Excessive bleeding of brain blood vessels
Inflammation, due to bacterial infection, of the membrane that lines the inside of the heart
Inflammation of the sac that surrounds the heart or an escape of fluid from the heart sac
Malignant hypertension (extremely elevated blood pressure that damages the inner linings of blood vessels, the heart, spleen, kidneys, and brain)
Pregnancy
Recent or contemplated surgery of the central nervous system (brain and spinal cord) or eye
Spinal puncture or any procedure that can cause uncontrollable bleeding
Threatened miscarriage
Allergy to any of the drug's ingredients