Can I take pain medications if I am also taking Coumadin??
The following story is fictional but is comprised from encounters with a few different patients I have seen over the years. I have changed details and combined the stories in order to comply with my patients' privacy.
I had a patient come in the other day and tell me that she had terrible knee pain but that there was really nothing that could be done because she was on Coumadin?. She had only come to see me because I had helped her best friend, and her best friend had insisted I could help her as well. I asked why she thought nothing could be done for her simply because she was on Coumadin?.
I learned that that this patient -- let's call her Mary -- was 82 and had suffered with knee pain for several years. She had been taking pain medications, but after she developed atrial fibrillation one year ago, her doctor put her on Coumadin? and took her off her pain medications. Mary was not doing any physical therap...
Generic Name: WARFARIN - ORAL Pronounced: (WARF-uh-rin) Coumadin Oral Interactions
Drug interactions may change how your medications work or
increase your risk for serious side effects. This document does not contain all
possible drug interactions. Keep a list of all the products you use (including
prescription/nonprescription drugs and herbal products) and share it with your
doctor and pharmacist. Do not start, stop, or change the dosage of any
medicines without your doctor's approval.
Warfarin interacts with many prescription,
nonprescription, vitamin, and herbal products. This includes medications that
are applied to the skin or inside the vagina or rectum. The interactions with
warfarin usually result in an increase or decrease in the "blood-thinning"
(anticoagulant) effect. Your doctor or other health care professional should
closely monitor you to prevent serious bleeding or clotting problems. While
taking warfarin, it is very i...
Most people think that the big advantage of being able to test their Coumadin levels at home would be the convenience of not having to get tested at a clinic every month. But in fact the big advantage is the more information and therefore greater control you would get from weekly testing at home. Few people are getting those levels tested at home yet. Before my wife died four and one-half years ago we tried in vain to get medical insurance coverage for that home testing. She had had to take Coumadin for atrial fibrillation, which was probably one of the complications that she had from her diabetes. Medicare started covering home testing for people who had mechanical heart valves in 2001. But it wasn’t until 2008, a year after Catherine died, that they started covering that testing for chronic atrial fibrillation and deep vein thrombosis. If you have Medicare the cost is minimal. Medicare covers 80 percent of the cost, and if you have a secondary supplement, it picks up the rest, $2...
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