Precautions While Using This Medicine
Tell all medical doctors, dentists, and pharmacists you go to
that you are taking this medicine
Check with your doctor right away if you notice any
unusual bleeding or bruising.
Check with your health care professional before you
start or stop taking any other medicine, or change the amount you are taking
. This includes any nonprescription (over-the-counter [OTC]) medicine,
even aspirin or acetaminophen. Many medicines change the way this medicine
affects your body. You may not be able to take the other medicine, or the
dose of your anticoagulant may need to be changed.
It is important that you carry identification stating
that you are using this medicine
. If you have any questions about what
kind of identification to carry, check with your health care professional.
While you are taking this medicine, it is very important that you avoid
sports and activities that may cause you to be injured. Report to your doctor
any falls, blows to the body or head, or other injuries, since serious internal
bleeding may occur without your knowing about it.
Be careful to avoid cutting yourself. This includes taking special care
in brushing your teeth and in shaving. Use a soft toothbrush and floss gently.
Also, it is best to use an electric shaver rather than a blade.
Drinking too much alcohol may change the way this anticoagulant affects
your body. You should not drink regularly on a daily basis or take more than
1 or 2 drinks at any time. If you have any questions about this, check with
The foods that you eat may also affect the way this medicine affects your
body. Eat a normal, balanced diet while you are taking this medicine. Do not go on a reducing diet, make other changes in your eating
habits, start taking vitamins, or begin using other nutrition supplements
unless you have first checked with your health care professional.
check with your doctor if you are unable to eat for several days or if you
have continuing stomach upset, diarrhea, or fever. These precautions are important
because the effects of the anticoagulant depend on the amount of vitamin K
in your body. Therefore, it is best to have the same amount of vitamin K in
your body every day. Some multiple vitamins and some nutrition supplements
contain vitamin K. Vitamin K is also present in green, leafy vegetables (such
as broccoli, cabbage, collard greens, kale, lettuce, and spinach) and some
vegetable oils. It is especially important that you do not make large changes
in the amounts of these foods that you eat every day while you are taking
Check with your doctor if you are unable to eat for several days or if
you have continuing stomach upset, diarrhea, or fever. This could decrease
the amount of vitamin K that gets into your body and could affect this medicine.
Be careful if the weather is very hot for several days. This could increase
the effects of the medicine.
After you stop taking this medicine, your body will need time to recover
before your blood clotting ability returns to normal. Your health care professional
can tell you how long this will take depending on which anticoagulant you
were taking. Use the same caution during this period
of time as you did while you were taking the anticoagulant.