Brand Names: Canada
- Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.
What is this drug used for?
- It is used to thin the blood so that clots will not form.
What do I need to tell my doctor BEFORE I take this drug?
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
- If you have an allergy to acenocoumarol or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have any of these health problems: Anesthesia given in your spine, aneurysm, bleeding problems, cancer, diverticulitis, drink too much alcohol, heart valve infection, kidney disease, liver disease, low platelet count, pericarditis, polyarthritis, poor eating habits, recent surgery of the eye or brain, very high blood pressure, unsteadiness, lack of vitamin C, or warfarin-induced necrosis.
- If you know that you will not take the drug as you have been told.
- If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
What are some things I need to know or do while I take this drug?
- Tell dentists, surgeons, and other doctors that you use this drug.
- Wear disease medical alert ID (identification).
- Use care to prevent injury and avoid falls or crashes.
- If you fall a lot, talk with your doctor.
- If you have high blood pressure, talk with your doctor.
- If you have thyroid disease, talk with your doctor.
- If you have had an ulcer or bleeding from your stomach or bowel, talk with your doctor.
- If you have a weak heart, talk with your doctor.
- Have your blood work checked often. Talk with your doctor.
- Do not donate blood while using this drug and for 5 days after stopping.
- Take good care of your teeth. See a dentist often.
- You may bleed more easily. Be careful and avoid injury. Use a soft toothbrush and an electric razor.
- Talk with your doctor before using products that have aspirin, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain drugs, or vitamin E.
- Talk with your doctor before taking multivitamins, natural products, and diet aids. These may have vitamin K in them.
- Limit your drinking of wine, beer, or mixed drinks.
- If you stop smoking, talk with your doctor. How much drug you take may need to be changed.
- Use birth control that you can trust to prevent pregnancy while taking this drug.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Very bad dizziness or passing out.
- A fall or crash when you hit your head. Talk with your doctor even if you feel fine.
- Change in thinking clearly and with logic.
- Very bad headache.
- Very bad belly pain.
- Very bad back pain.
- Black, tarry, or bloody stools.
- Blood in the urine.
- Coughing up blood.
- Throwing up blood or throw up that looks like coffee grounds.
- Very heavy periods (menstrual bleeding).
- Very loose stools (diarrhea).
- An infection.
- Any bruising or bleeding.
- Change in skin color to black or purple.
- Feeling very tired or weak.
What are some other side effects of this drug?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.
- Bleeding problems.
- Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
How is this drug best taken?
Use this drug as ordered by your doctor. Read and follow the dosing on the label closely.
- Use as you have been told, even if you feel well.
- Take this drug at the same time of day.
- Take with or without food. Take with food if it causes an upset stomach.
- Talk with your doctor about how much vitamin K is in your diet. Vitamin K may change how this drug works. Keep how much vitamin K you get each day the same. Many foods have vitamin K in them like green, leafy veggies (alfalfa, asparagus, broccoli, brussel sprouts, collard greens, cabbage, cauliflower, kale, lettuce, spinach, water cress), green tea, liver, and some veggie oils. Get a list of foods that have vitamin K in them. Do not make big changes in your normal diet without talking with your doctor.
- Follow the diet and workout plan that your doctor told you about.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Do not change the dose or stop this drug. Talk with the doctor.
How do I store and/or throw out this drug?
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
General drug facts
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only your healthcare provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your healthcare provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
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Last updated: February 1, 2014