Warfarin Sodium

INDICATIONS & USAGE

WARFARIN SODIUM CONTRAINDICATIONS

WARNINGS

PRECAUTIONS

• ●     Bromelains, danshen, dong quai (Angelica sinensis), garlic, Ginkgo biloba, ginseng, and cranberry products are associated most often with an INCREASE in the effects of warfarin.

• ●     Coenzyme Q10 (ubidecarenone) and St. John's wort are associated most often with a DECREASE in the effects of warfarin.

INFORMATION FOR PATIENTS

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY

PREGNANCY

PEDIATRIC USE

GERIATRIC USE

WARFARIN SODIUM ADVERSE REACTIONS

• ●     OVERDOSAGE-Treatment.)

• ●     Bleeding which occurs when the PT/INR is within the therapeutic range warrants diagnostic investigation since it may unmask a previously unsuspected lesion, e.g., tumor, ulcer, etc.

• ●     Necrosis of skin and other tissues. (SeeWARNINGS.)

• ●     Adverse reactions reported infrequently include: hypersensitivity/allergic reactions, including anaphylactic reactions, systemic cholesterol microembolization, purple toes syndrome, hepatitis, cholestatic hepatic injury, jaundice, elevated liver enzymes, hypotension, vasculitis, edema, anemia, pallor, fever, rash, dermatitis, including bullous eruptions, urticaria, angina syndrome, chest pain, abdominal pain including cramping, flatulence/bloating, fatigue, lethargy, malaise, asthenia, nausea, vomiting, diarrhea, pain, headache, dizziness, loss of consciousness, syncope, coma, taste perversion, pruritus, alopecia, cold intolerance, and paresthesia including feeling cold and chills.

OVERDOSAGE

DOSAGE & ADMINISTRATION

• ●     5 hours after the last IV bolus dose of heparin, or

• ●     4 hours after cessation of a continuous IV infusion of heparin, or

• ●     24 hours after the last subcutaneous heparin injection.

HOW SUPPLIED

REFERENCES

SPL MEDGUIDE

• ●     Take your WARFARIN exactly as prescribed to lower the chance of blood clots forming in your body. (See "What is WARFARIN?").

• ●     Warfarin is very important for your health, but it can cause serious and life-threatening bleeding problems. To benefit from WARFARIN and also lower your chance for bleeding problems, you must:

• ●               Get your regular blood test to check for your response to WARFARIN. This blood test is called a PT/INR test. The PT/INR test checks to see how fast your blood clots. Your healthcare provider will decide what PT/INR numbers are best for you. Your dose of WARFARIN will be adjusted to keep your PT/INR in a target range for you.

• ●               Call your healthcare provider right away if you get any of the following signs or symptoms of bleeding problems:

• ●                    pain, swelling or discomfort

• ●                    headaches, dizziness, or weakness

• ●                    unusual bruising (bruises that develop without known cause or grow in size)

• ●                    nose bleeds

• ●                    bleeding gums

• ●                    bleeding from cuts takes a long time to stop

• ●                    menstrual bleeding or vaginal bleeding that is heavier than normal

• ●                    pink or brown urine

• ●                    red or black stools

• ●                    coughing up blood

• ●                    vomiting blood or material that looks like coffee grounds

• ●     Many other medicines, including prescription and non-prescription medicines, vitamins and herbal supplements can interact with WARFARIN and:

• ●               affect the dose you need, or

• ●               increase WARFARIN side effects.

• ●     Do not take other medicines that contain warfarin. Warfarin is the active ingredient in WARFARIN.

• ●     Some foods can interact with WARFARIN and affect your treatment and dose.

• ●               Eat a normal, balanced diet. Talk to your doctor before you make any diet changes. Do not eat large amounts of leafy green vegetables. Leafy green vegetables contain Vitamin K. Certain vegetable oils also contain large amounts of Vitamin K. Too much Vitamin K can lower the effect of WARFARIN.

• ●               Avoid drinking cranberry juice or eating cranberry products.

• ●               Avoid drinking alcohol.

• ●     Always tell all of your healthcare providers that you take WARFARIN.

• ●     Wear or carry information that you take WARFARIN.

• ●     your chance of having bleeding problems is higher than the possible benefit of treatment. Your healthcare provider will decide if WARFARIN is right for you. Talk to your healthcare provider about all of your health conditions.

• ●     you are pregnant or plan to become pregnant. WARFARIN can cause death or birth defects to an unborn baby. Use effective birth control if you can get pregnant.

• ●     you are allergic to warfarin or to anything else in WARFARIN.

• ●     have bleeding problems

• ●     fall often

• ●     have liver or kidney problems

• ●     have high blood pressure

• ●     have a heart problem called congestive heart failure

• ●     have diabetes

• ●     drink alcohol or have problems with alcohol abuse. Alcohol can affect your WARFARIN dose and should be avoided.

• ●     are pregnant or planning to become pregnant. See "Who should not take WARFARIN?"

• ●     are breastfeeding. Warfarin Sodium Tablets may increase bleeding in your baby. Talk to your doctor about the best way to feed your baby. If you choose to breastfeed while taking WARFARIN, both you and your baby should be carefully monitored for bleeding problems.

• ●     Take WARFARIN exactly as prescribed. Your healthcare provider will adjust your dose from time to time depending on your response to WARFARIN.

• ●     You must have regular blood tests and visits with your healthcare provider to monitor your condition.

• ●     Take WARFARIN at the same time every day. You can take WARFARIN either with food or on an empty stomach.

• ●     If you miss a dose of WARFARIN, call your healthcare provider. Take the dose as soon as possible on the same day. Do not take a double dose of WARFARIN the next day to make up for a missed dose.

• ●     Call your healthcare provider right away if you take too many WARFARIN.

• ●     Call your healthcare provider if you are sick with diarrhea, an infection, or have a fever.

• ●     Tell your healthcare provider about any planned surgeries, medical or dental procedures. Your WARFARIN may have to be stopped for a short time or you may need your dose adjusted.

• ●     Call your healthcare provider right away if you fall or injure yourself, especially if you hit your head. Your healthcare provider may need to check you.

• ●     Do not start, stop, or change any medicine without talking with your healthcare provider.

• ●     Do not make changes in your diet, such as eating large amounts of green, leafy vegetables.

• ●     Do not change your weight by dieting, without first checking with your healthcare provider.

• ●     Avoid drinking alcohol.

• ●     Do not do any activity or sport that may cause a serious injury.

• ●     WARFARIN is very important for your health, but it can cause serious and life-threatening bleeding problems. See "What is the most important information I should know about WARFARIN?"

• ●     Serious side effects of WARFARIN also include:

• ●               death of skin tissue (skin necrosis or gangrene). This can happen soon after starting WARFARIN. It happens because blood clots form and block blood flow to an area of your body. Call your healthcare provider right away if you have pain, color, or temperature change to any area of your body. You may need medical care right away to prevent death or loss (amputation) of your affected body part.

• ●               "purple toes syndrome". Call your healthcare provider right away if you have pain in your toes and they look purple in color or dark in color.

• ●     Store WARFARIN at room temperature between 68and 77Protect from light.

• ●     Keep WARFARIN and all medicines out of the reach of children.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION