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Some Specific Home Anticoagulant
This is a partial list of anticoagulation
medications that patients may be prescribed.
A Patient’s Guide to
Morristown Medical Center
Some are primarily used while in the hospital
These medications differ and new anticoagulant
and some are used both in and out of the
medications continue to become available. Yourphysician or healthcare provider will prescribe for you,
Comprehensive information is available for
Overlook Medical Center
each of these medications while in the
hospital and from your pharmacy after you
Warfarin (Brand Names-Coumadin® and Jantoven®):
leave the hospital. This information should be
reviewed with your care givers to understand
Newton Medical Center
- Is a medication taken by mouth, usually once
dosing, route, drug to drug and food to drug
interactions, the requirement for follow up lab
- Blood tests
are ordered and monitored to
tests, side effects or any questions you may
determine if your therapy is optimal. Dose
have about these medications. (as of 04/12)
Atlantic Home Care and Hospice
changes may be determined by your test values.
Unfractionated Heparin (No Brand Name)
It is important to have regular monitoring
Injection or IV
and to have blood testing as requested to
ensure optimal therapy and safety.
Enoxaparin (Brand Name - Lovenox®) Injection
Atlantic Rehabilitation Institute
Fondaparinux (Brand Name - Arixtra®) Injection
tablets come in different strengths;
Argatroban (No Brand Name) IV
each is a different color, with dose printed on
Bivalirudin (Angiomax®) IV
the tablet. If the color or dose of the tablet
For a referral to an Atlantic Health physician,
appears different than those taken previously,
Lepirudin (Refludan®) Injection or IV
call 1-800-247-9580 or visit us online at
the patient should immediately notify their
Dabigatran (Pradaxa®) By Mouth
Rivaroxaban (Xarelto®) By Mouth
Warfarin (Coumadin) By Mouth
Carefully follow your prescribed diet
instructions. Avoid making major changes in
It is not the intent of this brochure to provide all
dietary habits. Greatly varying your daily intake
the information you may need to know for
of vitamin K can interfere with this anticoagulation
every type of anticoagulation medication. It is
therapy and change its action. Vitamin K is found
important to review the medication information
in dark green, leafy vegetables such as broccoli,
you receive from your Doctors, Pharmacists
cabbage, asparagus, spinach and salad greens.
and other care providers.
You may eat these items, just eat about thesame amount each day to keep vitamin K levelseven. Speak with a healthcare provider regardingmajor diet changes or concerns.
For further information please speak to your
Physician or Pharmacist
Additional information specific to Coumadin/Warfarin is also
available from the U.S. Department of Health and Human
Services’ Agency for Healthcare Research and Quality
online at ahrq.gov/consumer/coumadin.htm. The booklet is
titled, Your Guide to Coumadin/Warfarin Therapy.
A Patient’s Guide to
Possible Side Effects while using
Other medications that may interact with
Call your physician and consider emergency
Ask your physician(s), healthcare provider or
What is anticoagulation therapy?
Follow up monitoring is very important. Your
medical care if you notice any of these
pharmacist before stopping or starting
physician or healthcare provider may need to
other medication, including over-the-counter (OTC)
Anticoagulation therapy is medication taken to
check your blood at regular intervals while you
medicines, vitamins, and herbal products. Many
reduce or prevent harmful blood clots from forming.
are using anticoagulant therapy. Be sure to keep
Allergic reaction: itching or hives, swelling in
medications, including prescription, herbals and
Why do I need anticoagulation therapy?
all appointments and always bring your current
your face and hands, swelling or tingling in
Over The Counter medications may interact with
To prevent harmful blood clots called Pulmonary
your mouth or throat, chest tightness, trouble
anticoagulant medications. Always inform your
Emboli (PE) and Deep Vein Thrombosis (DVT).
You may bleed more easily while on anticoagulants.
physician(s) about all medications you are taking
Clots can cause a stroke, heart attack, or other
Stay away from contact sports or other situations
as well as when to stop or start any medications.
Persistent bleeding from your gums, nose or a
serious problems. It is important to continue this
where you could be bruised, cut, or injured.
medication as long as prescribed by your physician.
wound, bruising easily, or coughing up blood
Brush and floss your teeth gently. Be careful
that may interact are listed below. There are many
when using sharp objects, including razors and
others and if you have any questions about any
General and safety considerations while
fingernail clippers. Avoid picking your nose, if you
on anticoagulation therapy:
medication, please, contact your physician(s),
Bloody or black, tarry stools or blood in urine
need to blow your nose, blow it gently.
Make sure all your physicians and healthcare
Alcohol interacts with your liver and may affect
Vomiting of material that looks like coffee
providers know you are on anticoagulant therapy.
Aspirin also called acetylsalicylic acid, salicylate
anticoagulant medications. You should avoid
Provide them a list of all the medications you
or ASA. Some examples of other medications
alcohol while on an anticoagulants. You should
are taking at each visit. The list should include
Yellowing of your skin or the whites of your
discuss with your physician or healthcare
the names, the dose, how often you take each
providers if you have questions or concerns.
For UNCONTROLLED BLEEDING seek
It is important to take the medication as
Always review the drug information provided by
Anti-inflammatories such as ibuprofen (Motrin,
immediate medical attention.
your pharmacist or caregivers for all your
Midol, Nuprin, Advil), naproxen (Aleve) or
anticoagulation therapy is important to your
Potentially less serious side effects are:
safety. Be sure to refill your prescription so you
It is important to understand the potential for
Acetaminophen (Tylenol) in high or frequent
do not run out. If you forget or miss a dose, do
Nausea, vomiting, diarrhea, or upset stomach
adverse drug reactions and interactions. This
doses may interact with some anticoagulants
not take a double dose to make up for a missed
includes drug and food interactions for the
dose. It is very important to take this medication
and should be discussed with your healthcare
medications you take and diet you follow.
at the same time/times each day to keep the
blood level of medication consistent.
Carry an ID card or wear a medical alert bracelet
Cold and allergy preparations may contain the
to let any emergency caregivers know you are
It is necessary to immediately inform your
physician and healthcare providers if youbecome pregnant or are breast feeding.
Keep all medications safely and properly stored,
Herbal and Alternative medications: may not
have been tested to see if they interact with
Inform your physician if you have liver disease,peptic ulcer, history of bleeding or blood
anticoagulant medications but many have the
Do not share any medication prescribed for you.
disorders, kidney disease, congestive heart
potential to do so. If you start or stop any
For UNCONTROLLED BLEEDING seek
failure, high blood pressure, diabetes, any type
herbal medication, contact your physician to
immediate medical attention.
of infection or any other medical condition.
ensure that it won’t affect your anticoagulation
Also tell your physician if you have recently had
This Anticoagulation Guide does not take the
place of talking with your doctor about your
medical condition or your treatment.
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