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...
From the FDA Consumer Magazine , March-April 2005 by Carol Rados Few people with arthritis would be willing to stop taking a medication that works, especially when nothing else has. But what if joint pain and stiffness are inevitable if you don't take the medication, yet heart problems could occur if you do? Health officials say that, as with any drug, only you and your doctor can determine the level of risk that is acceptable with medications currently available to treat arthritis. The unsettling news in late 2004 that the popular anti-inflammatory arthritis drugs Vioxx (rofecoxib), Celebrex (celecoxib), and Bextra (valdecoxib) could cause a heart attack or stroke or aggravate high blood pressure has left some patients wondering whether they should keep taking them. Data from clinical trials showed that cyclooxygenase-2 selective agents, better known as COX-2 inhibitors, may be associated with an increased risk of serious cardiovascular problems, especially when used in high dose...
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