
Precautions
When comparing Pradaxa, Xarelto and Eliquis, the research showed that the new drugs were either equal or superior to Coumadin in preventing strokes and other blood clots. The agency determined that “all three drugs caused fewer intracranial hemorrhages than warfarin.
Is Coumadin better than warfarin?
warfarin, drug interaction, carbamazepine, cytochrome P-450, anticonvulsant. Introduction. Warfarin therapy has been in use for over 50 years as an anticoagulant and is the most extensively prescribed vitamin K antagonist worldwide for the treatment and prevention of thrombosis.
Is warfarin an anticonvulsant?
- a blood cell disorder (such as low red blood cells or low platelets);
- ulcers or bleeding in your stomach, intestines, lungs, or urinary tract;
- an aneurysm or bleeding in the brain; or
- an infection of the lining of your heart.
What does the name Warfarin mean?
What is Warfarin/Coumadin. Warfarin, also called Coumadin. helps to prevent blood clots from forming. Blood clots can block a blood vessel and cut off the blood supply to a body part. Rarely, clots can break into pieces and travel in the blood stream, lodging in the heart (causing a heart attack), the lungs (pulmonary embolus), or the brain (stroke).
Is Coumadin same as warfarin?

What is the other name for warfarin?
Warfarin (Coumadin, Jantoven) is a medicine that helps keep your blood from clotting. It is also known as a blood thinner.
Is warfarin and Coumadin the same drug?
Warfarin (brand names Coumadin and Jantoven) is a prescription medication used to prevent harmful blood clots from forming or growing larger. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a stroke, heart attack, deep vein thrombosis, or pulmonary embolism.
What classification is warfarin?
Warfarin is also used to treat or prevent venous thrombosis (swelling and blood clot in a vein) and pulmonary embolism (a blood clot in the lung). Warfarin is in a class of medications called anticoagulants ('blood thinners').
Is warfarin a generic for Eliquis?
Direct oral anticoagulants like Eliquis have largely replaced a drug called Coumadin (warfarin), an older treatment that requires more careful monitoring and has many potentially serious drug interactions. Patients taking Eliquis do not need repeated blood testing, making the treatment more accessible to many people.
Why did they discontinue Coumadin?
The manufacturing of all strengths of Coumadin (warfarin sodium) tablets has been discontinued. As announced by Bristol-Myers Squibb, Coumadin's manufacturer, the discontinuation is due to an unexpected manufacturing issue, not because of safety or efficacy issues.
What foods should not be eaten when taking warfarin?
Avoid or drink only small amounts of these when taking warfarin: Cranberry juice. Grapefruit juice. Alcohol....Vitamin K-rich foods include:Kale.Spinach.Brussels sprouts.Collard greens.Mustard green.Turnip greens.Swiss chard.Broccoli.More items...
What are the brand names of warfarin?
Warfarin is commonly called a "blood thinner," but the more correct term is "anticoagulant." It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. Warfarin is available under the following different brand names: Coumadin, and Jantoven.
What foods affect warfarin?
Common foods and drinks that might interact with warfarin include: Cranberries or cranberry juice. Grapefruit. Alcohol....Common supplements that can interact with warfarin include:Dong quai.Garlic.Ginkgo biloba.Ginseng.Green tea.St. John's wort.Vitamin E.
What are the side effects of taking warfarin long term?
Along with bleeding, you may experience skin rashes and hair loss as side effects while on the drug....Side effects of blood thinnersuncontrolled high blood pressure.stomach ulcers or other issues that put you at high risk for internal bleeding.hemophilia or other bleeding disorders.
Which is safer Eliquis or warfarin?
Eliquis was found to be more effective than warfarin in lowering the risk of stroke and systemic embolism. People who took Eliquis also had significantly fewer bleeding episodes than those who took warfarin.
Is Eliquis going generic in 2022?
As the original manufacturers, they own a patent that prevents generics from being introduced until the patent expires. That patent was extended from February 2023 to November 2026. Both drug makers say that's when generics can be made available.
What is the safest blood thinner to use?
Safer Blood-Thinning Drugs to Prevent Stroke The newer medications are Pradaxa (dabigatran), Xarelto (rivaroxaban), Eliquis (apixaban), and most recently Savaysa (edoxaban) — which work by preventing pooled blood in the heart from clotting. Unlike warfarin, the newer drugs are safer and easier for patients to use.
Is warfarin the generic name for Coumadin?
Warfarin oral tablet is available as both a generic and brand-name drug. Brand name: Jantoven (Coumadin was discontinued in April 2020). Warfarin comes only as a tablet you take by mouth. Warfarin is used to treat and prevent blood clots that might result in heart attack, stroke, or death.
Is Coumadin really rat poison?
The chemicals in question are anticoagulant rodenticides (ARs), which work like the human blood-thinning drug warfarin. Warfarin is itself used as a rat poison, but is what environmental toxicologists call a first-generation AR, less lethal and less prone to bioaccumulation than its second-generation successors.
Who should not take warfarin?
Do not take warfarin if you cannot take it on time every day. Warfarin increases your risk of severe or fatal bleeding, especially if you have certain medical conditions, if you are 65 or older, or if you have had a stroke, or bleeding in your stomach or intestines.
What are the risks of taking Coumadin?
What are the side effects of warfarin?Severe bleeding, including heavier than usual menstrual bleeding.Red or brown urine.Black or bloody stool.Severe headache or stomach pain.Joint pain, discomfort or swelling, especially after an injury.Vomiting of blood or material that looks like coffee grounds.Coughing up blood.More items...
Before Taking This Medicine
You should not take warfarin if you are allergic to it, or if: 1. you have very high blood pressure; 2. you recently had or will have surgery on yo...
How Should I Take Warfarin?
Take warfarin exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose...
What Happens If I Miss A Dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...
What Happens If I Overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can cause excessive bleeding.
What Should I Avoid While Taking Warfarin?
Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth. You ma...
Warfarin Dosing Information
Usual Adult Dose of Warfarin for Prevention of Thromboembolism in Atrial Fibrillation:Initial dose: 2 to 5 mg orally once a dayMaintenance dose: 2...
What Other Drugs Will Affect Warfarin?
Many drugs (including some over-the-counter medicines and herbal products) can affect your INR and may increase the risk of bleeding if you take th...
Product (s) containing warfarin
Brand names: Coumadin, Jantoven Drug class (es): coumarins and indandiones Warfarin systemic is used in the treatment of:
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
What is warfarin used for?
Warfarin is used to treat and prevent blood clots that might result in heart attack, stroke, or death. It’s also used for blood clots in atrial fibrillation, heart valve replacement, venous thrombosis, and pulmonary embolism.
How does warfarin work?
Warfarin works by stopping your body from forming blood clots. It does this by blocking the formation of blood clotting factors, which are needed to make clots.
What enzyme breaks down warfarin?
CYP450 enzyme helps your body to break down and process medications. Drugs that affect this enzyme may affect how your body handles warfarin.
Is warfarin a short term drug?
Warfarin may be a short-term or long-term drug treatment. How long you take this medication depends on your condition. It comes with risks if you don’t take it as prescribed.
Does warfarin increase bleeding?
Your risk of bleeding is increased when you take warfarin with selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Examples are:
Can you take Warfarin with other medications?
Warfarin oral tablet can interact with other medications , vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.
Is Warfarin a prescription drug?
Warfarin is a prescription drug. It comes only as a tablet you take by mouth.
When is warfarin given?
When warfarin (or another 4-hydroxycoumarin derivative) is given during the first trimester—particularly between the sixth and ninth weeks of pregnancy —a constellation of birth defects known variously as fetal warfarin syndrome (FWS), warfarin embryopathy, or coumarin embryopathy can occur.
What anticoagulant is used for warfarin?
Several types of anticoagulant drugs offering the efficacy of warfarin without a need for monitoring, such as dabigatran, apixaban, edoxaban, and rivaroxaban, have been approved in a number of countries for classical warfarin uses.
What is the target INR for warfarin?
In particular, target INR may be 2.5–3.5 (or even 3.0–4.5) in patients with one or more mechanical heart valves.
How does warfarin kill vampire bats?
Warfarin is used to cull vampire bat populations in areas where human–wildlife conflict is a concern. Vampire bats are captured with mist nets and coated with a combination of petroleum jelly and warfarin. The bat returns to its roost and other members of the roost become poisoned as well by ingesting the warfarin after reciprocal grooming. Suspected vampire bat roosts may also be coated in the warfarin solution, though this kills other bat species and remains in the environment for years. The efficacy of killing vampire bats to reduce rabies transmission is questionable, however; a study in Peru showed that culling programs did not lead to lower transmission rates of rabies to livestock and humans.
How long does Warfarin last?
A few days are required for full effect to occur, and these effects can last for up to five days. Warfarin first came into large-scale commercial use in 1948 as a rat poison. Warfarin was formally approved for human use by the US FDA to treat blood clots in 1954.
What is the best medicine for pulmonary embolism?
Warfarin, sold under the brand name Coumadin among others, is a medication that is used as an anticoagulant (blood thinner). It is commonly used to treat blood clots such as deep vein thrombosis and pulmonary embolism, and to prevent stroke in people who have atrial fibrillation, valvular heart disease or artificial heart valves. Less commonly it is used following ST-segment elevation myocardial infarction (STEMI) and orthopedic surgery. It is generally taken by mouth, but may also be used by injection into a vein.
What are the indications for warfarin?
Thus, common clinical indications for warfarin use are atrial fibrillation, the presence of artificial heart valves, deep venous thrombosis, and pulmonary embolism (where the embolized clots first form in veins).
What is warfarin used for?
Warfarin is used to treat blood clots (such as in deep vein thrombosis - DVT or pulmonary embolus -PE) and/or to prevent new clots from forming in your body. Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type ...
When to start warfarin?
Initiate warfarin on day 1 or 2 of LMWH or unfractionated heparin therapy and overlap until desired international normalized ratio ( INR ), THEN discontinue heparin
What Other Drugs Interact with Warfarin?
If your medical doctor is using this medicine to treat your pain, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.
How long to overlap warfarin with parenteral anticoagulant?
Initiate warfarin on day 1 or 2 of parenteral anticoagulation therapy (e.g., LMWH or unfractionated heparin) Overlap warfarin and parenteral anticoagulant for at least 5 days until desired INR (greater than 2.0) maintained for 24 hours, then discontinue parenteral therapy. INR range and treatment duration.
Why does the elderly show greater than expected PT/INR response to anticoagulant effects of warfarin?
Elderly show greater than expected PT/INR response to anticoagulant effects of warfarin, possibly because of decreased hepatic function resulting in decreased warfarin metabolism and impaired synthesis of clotting factors
What is the dosage of Fontan?
Use 0.1 mg/kg to initiate therapy with liver impairment or in patients who have had a Fontan procedure
Can you take Coumadin with Jantoven?
This medication contains warfarin. Do not take Coumadin or Jantoven if you are allergic to warfarin or any ingredients contained in this drug.
What is Coumadin?
Coumadin (warfarin) is an anticoagulant (blood thinner). Warfarin reduces the formation of blood clots.
What other drugs will affect Coumadin?
Many drugs (including some over-the-counter medicines and herbal products ) can affect your INR and may increase the risk of bleeding if you take them with Coumadin. Not all possible drug interactions are listed in this medication guide. It is very important to ask your doctor and pharmacist before you start or stop using any other medicine, especially:
How should I take Coumadin?
Take Coumadin exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take warfarin in larger or smaller amounts or for longer than your doctor tells you to.
How long do you have to stop taking Coumadin?
You may need to stop taking Coumadin 5 to 7 days before having any surgery, dental work, or a medical procedure. Call your doctor for instructions. Wear a medical alert tag or carry an ID card stating that you take warfarin. Any medical care provider who treats you should know that you are taking this medicine.
What tests are needed to determine if you are taking Coumadin?
You will need frequent "INR" or prothrombin time tests (to measure your blood-clotting time and determine your warfarin dose). You must remain under the care of a doctor while taking Coumadin.
How long does it take for a bleed to stop after stopping Coumadin?
Use extra care to prevent bleeding while shaving or brushing your teeth. You may still bleed more easily for several days after you stop taking Coumadin.
Does Warfarin cause bleeding?
Warfarin increases your risk of severe or fatal bleeding, especially if you have certain medical conditions, if you are 65 or older, or if you have had a stroke, or bleeding in your stomach or intestines. Seek emergency help if you have any bleeding that will not stop.

Overview
This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body.
May Treat: Cerebral thromboembolism · Deep vein thrombosis · Deep vein thrombosis with pulmonary embolism · Deep venous thrombosis · Myocardial reinfarction and more
Brand Names: Coumadin · Jantoven · Athrombin-K · Coufarin · Panwarfin and more
Drug Class: Anticoagulants - Coumarin
Availability: Prescription Required
Pregnancy: Do not use. This medication may be harmful to an unborn child.
May Treat: Cerebral thromboembolism · Deep vein thrombosis · Deep vein thrombosis with pulmonary embolism · Deep venous thrombosis · Myocardial reinfarction and more
Brand Names: Coumadin · Jantoven · Athrombin-K · Coufarin · Panwarfin and more
Drug Class: Anticoagulants - Coumarin
Availability: Prescription Required
Pregnancy: Do not use. This medication may be harmful to an unborn child.
Lactation: Does not adversely affect lactation
Alcohol: Limit intake while taking this medication
Medical uses
Contraindications
Adverse effects
Overdose
Interactions
- Warfarin (OS: DCIT, BAN)
- Warfarine (OS: DCF)
- Warfarin Sodium Clathrate (OS: BANM)
- Warfarin sodium clathrate (PH: Ph. Eur. 9)
Chemistry
Pharmacology
Warfarin, sold under the brand name Coumadin among others, is a medication that is used as an anticoagulant (blood thinner). It is commonly used to prevent blood clots such as deep vein thrombosis and pulmonary embolism, and to prevent stroke in people who have atrial fibrillation, valvular heart disease or artificial heart valves. Less commonly it is used following ST-segment elevatio…