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Generic Coumadin - Warfarin is an oral anticoagulant that inhibits the synthesis of clotting factors, thus preventing blood clot formation. Blood clots can occur in the veins of the lower extremities, usually after periods of immobility. These clots can break off and become lodged in the blood vessels of the lung (pulmonary embolism), causing shortness of breath, chest pain, and even life-threatening shock. Blood clots can also occur in the atria of the heart during atrial fibrillation and around artificial heart valves. One of these clots can also break off and obstruct a blood vessel in the brain, causing an embolic stroke with paralysis. Generic Coumadin - Warfarin is important in preventing the formation of blood clots. It is also important to prevent extension of clots already formed, and to minimize the risk of blood clot embolization to other vital organs such as the lungs and brain.
Active Ingredients: Warfarin
Other Ingredients croscarmellose sodium, microcrystalline cellulose, FD&C Yellow No. 6 Aluminum Lake and FD&C Blue No. 1 Aluminum Lake, FD&C Yellow No. 6 Aluminum Lake and FD&C Blue No. 1 Aluminum Lake, D&C Red No. 6 Barium Lake

Generic Coumadin - Warfarin Sodium is prescribed for the prophylaxis and treatment of venous thrombosis and its extension, and pulmonary embolism. It is also indicated for the prophylaxis and treatment of the thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement, reducing the risk of death, recurrent myocardial infarction and thromboembolic events such as stroke or systemic embolization after myocardial infarction

Generic Coumadin - Warfarin may be taken with or without food. Since Generic Coumadin - Warfarin is metabolized by the liver and excreted by the kidneys; dosages need to be lowered in patients with liver and kidney dysfunction. Frequent blood tests are performed to measure blood-clotting time (protime) during Generic Coumadin - Warfarin treatment. Protime results help doctors adjust medication dose to avoid excessive blood thinning and risk of bleeding.

STORAGE
Generic Coumadin - Warfarin Store at room temperature in tight, light resistant container. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Before taking Generic Coumadin - Warfarin, tell your doctor and pharmacist if you are allergic to warfarin, aspirin, tartrazine (a yellow dye in some medications and processed foods), or any other drugs.

• Tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other heart medications; antibiotics; aspirin and other non-steroidal antiiflammatory drugs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); cimetidine (Tagamet); medications for cancer, depression, diabetes, digestive problems, epilepsy, gout, high cholesterol, and thyroid problems; and vitamins. Many medications interfere with the effectiveness of Generic Coumadin - Warfarin. It is important that you tell your doctor every medication that you take, including nonprescription medications. Do not take any new medications without talking to your doctor.
• Tell your doctor and pharmacist what herbal products you are taking, especially bromelains, coenzyme Q10, danshen, dong quai, garlic, Ginkgo biloba, and St. John's wort. Do not start taking any herbal products without talking to your doctor.
• Tell your doctor if you have had your prostate removed, have or have ever had a stroke, kidney or liver disease, high blood pressure, a thyroid condition, diabetes, tuberculosis, a bleeding disorder, ulcers, leukemia, vitamin C deficiency, colostomy bag, or intestinal disease.
• Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Generic Coumadin - Warfarin, call your doctor.

If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Generic Coumadin - Warfarin. Your doctor may tell you to stop taking Generic Coumadin - Warfarin 3 days before your procedure.

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. Record the date of the missed dose and tell your doctor at your next visit, since missing a dose of Generic Coumadin - Warfarin may alter your blood clotting tests. If you miss doses for 2 or more days, call your doctor immediately.

In case of overdose, and the victim has collapsed or is not breathing, call local emergency services. Symptoms of a Generic Coumadin - Warfarin overdose may include bruising, urine, vomit, small, broken blood vessels under the skin, bleeding from the gums, excessive bleeding from cuts or wounds, blood in the stools and heavy menstrual periods in women.

Generic Coumadin - Warfarin may cause side effects. Generic Coumadin - Warfarin may turn your urine red-orange; this effect is harmless. If you think your urine contains blood, call your doctor immediately. Tell your doctor if any of these symptoms are severe or do not go away:

• headache
• upset stomach
• diarrhea
• fever
• skin rash

If you experience any of the following symptoms, call your doctor immediately:
• unusual bleeding or bruising
• black or bloody stools
• blood in the urine
• tiredness
• unexplained fever
• chills
• sore throat
• stomach pain

Many drugs, both prescription and nonprescription (OTC), can affect the anticoagulant action of Generic Coumadin - Warfarin Some medications can enhance the action of Generic Coumadin - Warfarin and cause excessive blood thinning and life-threatening bleeding. A few examples of such medications include Aspirin, Tylenol, alcohol, ibuprofen (Motrin), cimetidine (Tagamet), oxandrolone (Oxandrin), certain vitamins, and antibiotics. Patients on Generic Coumadin - Warfarin should regularly consult their doctor before instituting any medications on their own. It is also advisable for patients on Generic Coumadin - Warfarin to carry identifications to alert other health professionals.

Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to Generic Coumadin - Warfarin. Carry an identification card or wear a bracelet that indicates that you take Generic Coumadin - Warfarin. Ask your pharmacist or doctor how to obtain this card or bracelet. List your name, medical problems, drugs and dosages, and doctor's name and telephone number on the card. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.