Can i take warfarin and ibuprofen

The bleeding time was significantly prolonged after 90 minutes p less than 0. No clinical side-effects were observed apart from microscopic haematuria and haematoma. The aim of treatment with warfarin is to thin your blood but not stop it clotting completely. Getting this balance right means your dose of warfarin must be carefully monitored. You'll have a regular blood test called the international normalised ratio INR. It measures how long it takes your blood to clot.

The longer your blood takes to clot, the higher the INR. Most people taking anticoagulants have a ratio of between 2 and 3. This means their blood takes 2 to 3. The dose of warfarin you need depends on your blood test result. If the blood test result has gone up or down, your warfarin dose will be increased or decreased. You'll have the blood tests at your GP surgery or local hospital's anticoagulant clinic.

If your blood test results are stable, you might only need a blood test once every 8 to 12 weeks. If it's unstable or you have just started on warfarin, you might need to have a blood test every week. When you start taking warfarin, you may be given a yellow book about anticoagulants. This explains your treatment. There's also a section for you to write down and keep a record of your warfarin dose.

It's a good idea to take your yellow book with you to all your warfarin appointments. You'll also be given an anticoagulant alert card. Carry this with you all the time.

It tells healthcare professionals that you're taking an anticoagulant. This can be useful for them to know in case of a medical emergency. If you need any medical or dental treatment, show your anticoagulant alert card to the nurse, doctor or dentist beforehand. This includes before you have vaccinations and routine sessions with the dental hygienist. Your doctor may advise you to stop taking warfarin or reduce your dose for a short time before your treatment.

If you have lost your alert card or were not given one, ask your doctor or anticoagulant clinic. It's not a problem if you occasionally forget to take a dose at the correct time. But if you forget often, your blood could be affected — it might become thicker and put you at risk of having a blood clot. If you do not remember until the next day, skip the missed dose and take your normal dose at the usual time. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

If you take an extra dose of warfarin, call your anticoagulant clinic straight away. If you take more than 1 extra dose of warfarin, you're at risk of serious bleeding. If you need to go to hospital, take the warfarin packet or leaflet inside it, plus any remaining medicine, with you.

If you have a yellow book, take that too. While warfarin has enormous benefits, the downside is that it can make you bleed more than normal. This is because while you're taking warfarin, your blood will not clot as easily. You're more likely to get bleeding problems in the first few weeks of starting warfarin treatment and when you're unwell - for instance, if you have flu, are being sick vomiting or have diarrhoea. Apart from the risk of bleeding, warfarin is a very safe medicine.

It's safe to take for a long time, even many years. It's usual to bleed more easily than normal while you're taking warfarin. If it happens, keep taking the warfarin, but tell your doctor if the bleeding bothers you or does not stop. While you're taking warfarin, be careful when you do activities that might cause an injury or a cut or bruising. Like all medicines, warfarin can cause side effects, although not everyone gets them. These side effects are usually mild, but talk to your doctor or pharmacist if these symptoms bother you or do not go away:.

Call a doctor straight away if you develop any of these serious side effects:. In rare cases, warfarin can cause a serious allergic reaction anaphylaxis. These are not all the side effects of warfarin.

For a full list, see the leaflet inside your medicines packet. It's very important to keep your diet stable. This means your dose of warfarin is more likely to stay the same. Any big changes in what you eat or drink can change how your body responds to warfarin. Speak to your doctor or nurse before changing what you eat - for example, before you go on a diet to lose weight. Foods containing a lot of vitamin K can interfere with how warfarin works. It's important that you eat foods containing vitamin K, so rather than leaving them out of your diet, make sure you eat similar amounts of them regularly.

This will mean the level of vitamin K in your blood stays fairly constant and makes it more likely that your INR level stays stable.

Do not drink cranberry juice, grapefruit juice or pomegranate juice while you're taking warfarin. It can increase the blood-thinning effect of your medicine. It can be harmful to the baby, particularly during the first 12 weeks of pregnancy. Many medicines and supplements can interfere with warfarin. Cite Cite S.

Select Format Select format. Permissions Icon Permissions. Abstract It has been stated that ibuprofen can be safely prescribed with concomitant warfarin. Issue Section:. You do not currently have access to this article. Download all slides. Comments 0. Add comment Close comment form modal. I agree to the terms and conditions. You must accept the terms and conditions. Add comment Cancel. Submit a comment. Comment title. You have entered an invalid code. Talk to your doctor, nurse or pharmacist if you have any concerns about warfarin.

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A single copy of these materials may be reprinted for noncommercial personal use only. This content does not have an English version. This content does not have an Arabic version. See more conditions. Warfarin side effects: Watch for interactions. Products and services. Warfarin side effects: Watch for interactions Although commonly used to treat blood clots, warfarin Jantoven can have dangerous side effects and put you at risk of heavy bleeding.

By Mayo Clinic Staff.