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Doctor insights on: Coumadin Withdrawal

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I am getting off of Coumadin for leech therapy. Should i expect withdrawals?

I am getting off of Coumadin for leech therapy. Should i expect withdrawals?

Leech therapy: There is a paucity of controlled scientific evidence of this form of therapy. If you have thromboembolic disease, i would be most careful about this decision. ...Read more

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Dr. Adam Smith
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Dr. Ted King
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Coumadin (Definition)

Coumadin also called as warfarin is a medication commonly used to prevent blood from clotting. It requires monitoring of inr (international normalized ratio) to make sure that dose is adequate for patient and disease entity ...Read more


Dr. Adam Smith
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What vegetables do you suggest that i eat or don't eat that will not affect the Coumadin while im taking it?

What vegetables do you suggest that i eat or don't eat that will not affect the Coumadin while im taking it?

The problem: The problem is not so much what vegetables to avoid, but in being consistent with your intake. Vegetables and their nutrients are very important for your overall health. I agree with my colleagues that large amounts of vit k can interfere with coumadin's anti-thrombotic effect, but your Coumadin dose can be adjusted to your diet. Whole foods are much safer than vit k supplements in this regard. ...Read more

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Foods that are safe to eat while taking coumadin?

Foods that are safe to eat while taking coumadin?

Avoid....: Herbs, dark leafy greens, broccoli, brussel sprouts, asparagus, cabbage and pickles all contain high amounts of vitamin k. These foods need to be eaten sparingly if you are on coumadin. To keep your pt/inr level stable, you need to have a consistent intake of vitamin k. ...Read more

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Dr. Adam Smith
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Whats the maximum dosage of coumadin?

Whats the maximum dosage of coumadin?

Varies: I love dr. Klein's answer: "the dose that works." he is absolutely right. Certain south-east asian populations have the genetics he mentioned that makes them require higher doses of Coumadin than others the same weight. Generally, smaller people need less than larger, too, but not always. Diet has a lot to do with dosage need. ...Read more

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Are there foods to avoid when taking warfarin/coumadin?

Are there foods to avoid when taking warfarin/coumadin?

Greens and such!: If you are on coumadin/warfarin, you should avoid foods high in vitamin k. If you eat set amounts of these foods on a daily basis, you shold inform the person managing your coumadin. Adjustments in your dosing will be made. You should either avoid them or maintain a steady state of the foods you eat. This is a very serious drug with complications and you must compy with care very closely. ...Read more

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What is coumadin?

What is coumadin?

An anticoagulant: Used for conditions that cause or predispose someone to abnormal coagulant states such atrial fibrillation, mechanical heart valves or clots in leg or arm veins as well as during certain sugeries on blood vessels. ...Read more

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How does not eating/fasting effect you when taking coumadin/warfarin? Should i take lower dose if planning to fast? I plan on fasting for 72 hours.

Impossible to say: It would be impossible to say because of the many intricate effects of foods and beverages on coumadin. I recommend you let your prescribing doctor know that you are fasting. I am sure your doctor will want you to get your inr checked right after the fast (and maybe before.). ...Read more

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Warfarin (Definition)

Warfarin is a medication used to thin the blood and to prevent or treat people with blood clots. It requires frequent blood ...Read more


Withdrawal (Definition)

Symptoms upon abrupt discontinuation or decrease in intake of substances such as ...Read more


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