What Is Warfarin (Coumadin) Used For?
Brand names: Coumadin, Jantoven
Warfarin is a powerful blood thinner used to prevent and treat dangerous blood clots. It requires careful monitoring and has many food and drug interactions.
What is Warfarin used for?
- Prevention of deep vein thrombosis and pulmonary embolism
- Atrial fibrillation (prevents stroke)
- Mechanical heart valve patients
- Treatment of existing blood clots
How does Warfarin work?
Warfarin blocks vitamin K which the liver needs to make clotting factors. Without these factors, blood takes longer to clot, reducing dangerous clot risk.
Dosage information
- 1mg through 10mg tablets (multiple strengths)
Highly individualized based on INR blood tests. Typical dose is 2โ10mg daily, adjusted frequently based on monitoring.
Side effects
Common
- Bleeding more easily
- Bruising easily
- Prolonged bleeding from cuts
โ ๏ธ Serious โ contact your doctor
- Serious internal bleeding (emergency for unusual pain, swelling, or headache)
- Intracranial hemorrhage
- Skin necrosis (rare)
Important warnings
Drug interactions
These substances may interact with Warfarin. This is not a complete list โ always tell your doctor and pharmacist ALL medications and supplements you take.
Pregnancy & breastfeeding
๐คฐ CONTRAINDICATED in pregnancy โ can cause fetal harm and bleeding
Always consult your doctor or obstetrician before taking any medication during pregnancy or while breastfeeding.
Frequently asked questions
What is warfarin used for?
Warfarin prevents and treats dangerous blood clots, reduces stroke risk in atrial fibrillation, and is used in people with mechanical heart valves.
What foods should I avoid with warfarin?
You don't need to avoid vitamin K foods (green vegetables) but must eat them consistently. Sudden large changes in spinach, kale, broccoli will change your INR. Limit alcohol and cranberry juice.
What is INR and why is it important?
INR measures how long your blood takes to clot. Warfarin dosing aims for a target range (usually 2โ3). Too low = clot risk; too high = serious bleeding risk. Regular testing is essential.
Can I take ibuprofen or aspirin with warfarin?
Avoid both โ they significantly increase bleeding risk. Use paracetamol (acetaminophen) for pain relief instead.
What if I miss a dose of warfarin?
Take the missed dose the same day if you remember. If not until the next day, skip it โ never double up. Record the missed dose and inform your anticoagulation clinic.
Related medications
Information on this page is sourced from general pharmaceutical references and is provided for educational purposes only. Drug information may change โ always verify with your pharmacist or prescriber. PillCodex.com is not affiliated with any pharmaceutical company.