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Doctor insights on: Use Of Coumadin And Remicade

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I am on warfarin and getting remicade (infliximab) infusions every 6 weeks. How will the remicade (infliximab) affect my inr?

I am on warfarin and getting remicade (infliximab) infusions every 6 weeks. How will the remicade (infliximab) affect my inr?

May lower it: Remicade (infliximab) might cause the warfarin to be less effective. The inr might decrease during therapy. Remicade (infliximab) alters liver function which in turn changes your response to the warfarin. ...Read more

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


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My INR is 3.3. I accidentally took a double dose of Coumadin today, i.e. an extra 10mg. I have been taking 10mg every day except 5mg one day each week?

My INR is 3.3. I accidentally took a double dose of Coumadin today, i.e. an extra 10mg. I have been taking 10mg every day except 5mg one day each week?

See MD: See the MD prescribing your Coumadin to make some adjustments over the next couple of days. Also ask about switching to a novel anticoagulant that does not require monitoring and has less risk of bleeding. Rest and no vigorous activities that may cause bleeding. Good luck. ...Read more

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What is remicade (infliximab) for?

What is remicade (infliximab) for?

FDA approved for....: Used to treat crohn's disease, ra, spondylitis, psoriatic arthritis, psoriasis. It is used for other problems, but these are the fda approved indications. ...Read more

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What is coumadin (warfarin)?

What is coumadin (warfarin)?

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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What is remicade (infliximab) infusions? What's in it?

What is remicade (infliximab) infusions? What's in it?

See below: It is a tnf inhibitor agent that is used to treat a variety of autoimmune diseases including the ulcerative colitis that you report as having. ...Read more

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What are the dangers of having high levels of coumadin (warfarin)?

What are the dangers of having high levels of coumadin (warfarin)?

Bleeding: Excessive bleeding is the danger of too much coumadin (warfarin). Bleeding into the skin can cause bruising and pain. Into muscle can cause a hematoma and stiffness and could lead to a compartment syndrome. Into a joint, can cause swelling, stiffness, and pain. In the stomach and intestines, can anemia and gastrointestinal bleeding black, tarry stools and diarrhea. Into brain can cause a stroke. ...Read more

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Is Coumadin (warfarin) a narcotic drug?

Is Coumadin (warfarin) a narcotic drug?

No: It is a medication that helps prevent blood from clotting in a way that is dangerous to the patient. It needs to be closely monitored with lab tests to be effective but is in no way addictive. ...Read more

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Could caffeine affect Coumadin (warfarin)?

Could caffeine affect Coumadin (warfarin)?

Yes: Assume all medicines effect coumadin (warfarin) and the INR/ coumadin (warfarin) dose should be adjusted accordingly. ...Read more

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Can I take Coumadin (warfarin) and adderrall?

Can I take Coumadin (warfarin) and adderrall?

Should not be a: Problem. Make sure your physician knows about all the medications you are taking including "natural" supplements. ...Read more

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How does flecainide affect coumadin (warfarin)?

How does flecainide affect coumadin (warfarin)?

None: There are no known, published interactions between warfarin (coumadin) and flecainide. ...Read more

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Can I drink coffee while on coumadin (warfarin)?

Can I drink coffee while on coumadin (warfarin)?

Yes: The fact is, you can eat just about anything you just have to be careful to try to keep your vitamin k intake consistent from day to day. In other words, don't eat a huge baby spinach salad today and tomorrow and nothing with vitamin k the next. ...Read more

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What is risk of Coumadin (warfarin) if pregnant?

What is risk of Coumadin (warfarin) if pregnant?

High risk: Coumadin is a category x which means that it is clear it causes problems. This includes central nervous system defects, spontaneous abortion, stillbirth, prematurity, hemorrhage, and ocular defects when given anytime during pregnancy, and a fetal warfarin syndrome when given during the first trimester. Fetal warfarin syndrome involves facial abnormalities and bone problems. ...Read more

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Probiotics and coumadin, (warfarin) okay to take?

Probiotics and coumadin, (warfarin) okay to take?

Yes, but: The probiotics can affect your prothrombin time/inr so be sure to get your blood checked regularly and don't miss appointments! The dose can be adjusted to accommodate your use of probiotics as long as you're consistent in their use. ...Read more

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What diet pills work well with coumadin (warfarin)?

What diet pills work well with coumadin (warfarin)?

None: I agree with dr. Villaplana. Diet pills are a bad idea, rarely have a prolonged effect, can cause serious side effects, and can have an effect on the how Coumadin (warfarin) works. Better to steer clear. ...Read more

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Can remicade (infliximab) be used during pregnancy?

Can remicade (infliximab) be used during pregnancy?

Probably Not: There is not much data supporting the safety of Remicade (infliximab) use during pregnancy. There are concerns about immunosupression and possibly congenital malformations of the baby. Fortunately some autoimmune diseases such as RA become less active during pregnancy and often do not require medications during pregnancy. Please discuss with your doctor. ...Read more

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Can you use viagra if you're on coumadin (warfarin)?

Can you use viagra if you're on coumadin (warfarin)?

Viagra (sildenafil): Discuss with your doctor, warfarin is not a contraindications to viagra (sildenafil) use but your doctor, who knows your situation is the best judge of safety for you. ...Read more

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Can plavix and Coumadin (warfarin) be taken together?

Yes: In certain situations they can be taken together but ther is a substantial risk of bleeding if both Plavix and Coumadin (warfarin) are taken at the same time. ...Read more

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Which antibiotics interfere with coumadin (warfarin)?

Which antibiotics interfere with coumadin (warfarin)?

Antibiotics: All antibiotics can interfere with vitamin k production in the gut and therefore it is important to check your inr regardless of the medication. ...Read more

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Is there any risk of cancer with remicade (infliximab)?

Is there any risk of cancer with remicade (infliximab)?

Yes: There is a small increased risk of lymphoma in patients on tnf antagonists such as remicade (infliximab). There was also be a risk in patients with a history of more advanced cases of melanoma. ...Read more

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Remicade (infliximab) infusion make you lose your hair?

Remicade (infliximab) infusion make you lose your hair?

See below: It is is possible but the Imuran (azathioprine) and if you are on Prednisone that could be a contributing factor as well. ...Read more

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What can I take for vitamin while on warfrain (coumadin)?

What can I take for vitamin while on warfrain (coumadin)?

Coumarin & Vitamins: Try to avoid vitamin k and possibly vitamin e. The remaining vitamins should be fine and if you are of childbearing age you should consider b complex vitamins at a minimum. ...Read more

Dr. Ted King
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Coumadin (Definition)

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Dr. Jeremy Adler
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Infliximab (Definition)

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