If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children. Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Anticoagulation blood thinning should not take place in any situation where the risk of bleeding might be greater than the potential benefits of anticoagulation.
Many medications can cause side-effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:. Stop taking the medication and seek immediate medical attention if any of the following occur:.
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin using a medication, be sure to inform your doctor of any medication conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Bleeding: The most serious risk associated with warfarin is bleeding in any tissue or organ.
The risk of bleeding is related to how much is taken and for how long. It is extremely important to have regular blood tests as recommended by your doctor to ensure that the correct level of blood thinning is occurring. These blood tests measure your INR level to determine the dose of warfarin. Your health care provider will adjust the dose of warfarin depending on the INR level to ensure you are not receiving too little medication which may result in blood clots forming or too much medication which may result in bleeding.
Congestive heart failure: People with congestive heart failure may be more sensitive to the effects of warfarin. If you have any heart problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Dental or surgical treatment: It may be necessary to stop taking warfarin briefly before scheduled dental or surgical procedures.
Make sure that everyone involved in your health care is aware that you are taking this medication. Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects, including severe bleeding.
If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Medical conditions and other medications: If you have other medical conditions and are taking medications, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Blood thinners may interact with certain foods, medicines, vitamins, and alcohol. Make sure that your health care provider knows all of the medicines and supplements you are using. You will probably need regular blood tests to check how well your blood is clotting. It is important to make sure that you're taking enough medicine to prevent clots, but not so much that it causes bleeding. The information on this site should not be used as a substitute for professional medical care or advice.
Contact a health care provider if you have questions about your health. Blood Thinners Also called: Anti-platelet drugs, Anticoagulants. See, Play and Learn No links available. Resources Find an Expert. Foods rich in vitamin K are green vegetables, including lettuce, spinach and broccoli.
If you are taking warfarin, the amount of vitamin K in your diet may affect how well the medicine works. If you take warfarin, it's important to have a consistent amount of vitamin K in your diet.
Too little vitamin K can increase your risk of bleeding. Too much vitamin K can decrease warfarin's anti-clotting ability. Talk to your doctor about healthy choices you can make to get an adequate and consistent supply of vitamin K. If you miss a dose, take it as soon as you remember.
If you don't remember until the next day, call your doctor for instructions. If your doctor isn't available, skip the missed dose and resume your normal dosing schedule. Never take a double dose. If you follow your doctor's dosing instructions and tell all your health care providers that you take warfarin, you'll be at a much lower risk of dangerous interactions and side effects.
Talk to your doctor, nurse or pharmacist if you have any concerns about warfarin. There is a problem with information submitted for this request.
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