A member asked:

Is it ok to smoke while on coumadin after being diagnosed with pulmonary embolism. just until my severe anxiety goes away(started paxil (paroxetine) for anxiety)?

16 doctors weighed in across 7 answers
Dr. Creighton Wright answered

Specializes in surgery

Preferably NO: Nothing good comes from smoking-particularly after pe.

Answered 3/16/2013

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Never ok to smoke!: Nothing further to comment here if you are looking for justification.

Answered 9/28/2016

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Dr. Randy Stevens answered

Specializes in General Surgery

Not good to smoke: Smoking is a very addictive habit. It causes changes in your body from the nicotine. This raises your blood pressure and causes spasm of your arteries. This can cause blood clots. Starting Coumadin (warfarin) means you may already be getting blood clots. Anything you can do to stop smoking will help the Coumadin (warfarin) work better. A pulmonary embolism can be deadly. Talk to your doctor about relaxation tech.

Answered 6/24/2014

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Dr. Creighton Wright answered

Specializes in surgery

No: Likely your lung has emphysematous and surface changes from chronic smoking! if you had a blood clot( pulmonary embolism )this further damages the lungs. There may be worse things than smoking in this situation but I am having trouble listing them.

Answered 2/16/2013

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NO! Refrain: Any kind of smoking will irritate the lining of your lungs which may cause the emboli to dislodge. If you need a nicotine "fix", use nicorette gum as directed (chew and park technique) to curb your desire to smoke. Use with caution and very sparingly because nicotine will cause the Coumadin (warfarin) to breakdown in your body at a faster rate than someone who does not use nicotine products.

Answered 3/18/2017

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Dr. Sammy Pedram answered

Specializes in Internal Medicine

No!: Unfortunately smoking increases the risk of thrombosis. Despite being on coumadin, you want to minimize anything that could cause a recurrent clot. If you need additional medications on top of Paxil (paroxetine) for anxiety, let your doctor know. They should be able to help you through this tough time.

Answered 9/28/2016

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Dr. Benjamin Lerner answered

Specializes in Vascular Surgery

Horrible idea: Smoking increases your risk of further clot, and makes your pulmonary sx worse. Please stop.

Answered 5/1/2016

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