Blood thinners

Taking blood thinners (other than warfarin) safely

• Take your blood thinner properly.
  • Take your medicine at the same time each day.
  • If you miss a dose, don't take an extra dose to make up for it. Your doctor can tell you exactly what to do so you don't take too much or too little.
  • Store your medicine the right way. A few medicines must be stored in their original containers so they don't spoil. If your medicine label has this instruction, then don't use a pillbox for that medicine.
• Prevent falls and injuries.

  For example:

  • Wear slippers or shoes with nonskid soles.
  • Remove throw rugs and clutter.
  • Rearrange furniture and electrical cords to keep them out of walking paths.
  • Keep stairways, porches, and outside walkways well lit. Use night-lights in hallways and bathrooms.
  • Be extra careful when you work with sharp tools or knives.
• Be careful with other medicines.

  Taking certain medicines along with a blood thinner can cause bleeding. It also can change how well your medicines work.

  • Tell all of your doctors, dentists, and pharmacists that you take a blood thinner.
  • Give your list of medicines to every doctor and dentist who treats you. Include all of the prescription medicines, over-the-counter medicines, antibiotics, vitamins, and herbal products that you take.
  • Talk to your doctor before you start or stop taking any medicines, vitamins, or natural remedies.
  • Don't take aspirin and other pain relievers, such as ibuprofen (for example, Motrin), unless your doctor tells you to take them and when and how to take them.
• Talk to your doctors about surgeries and tests.

  Talk with your doctor about whether you need to stop taking your blood thinner for a short time before any surgery or medical or dental procedure. Your doctor will tell you when it is safe to start taking your medicine again.

• Wear medical alert jewelry.

  These are bracelets, pendants, or charms that let others know you take a blood thinner. You can buy them at most drugstores.

• Talk to your doctor if you are pregnant, breastfeeding, or trying to get pregnant.

  You and your doctor will decide what medicines are safe.

• Know when to get help for signs of bleeding.

  Call 911 or other emergency services right away if:

  • You have a sudden, severe headache that is different from past headaches.
  • You cough up blood.
  • You vomit blood or what looks like coffee grounds.
  • Your stools are maroon or very bloody.

  Call your doctor now or seek medical care right away if:

  • You have new bruises or blood spots under your skin.
  • You have a nosebleed.
  • Your gums bleed when you brush your teeth.
  • You have blood in your urine.
  • Your stools are black.
  • You have blood in your stools.
  • You have vaginal bleeding that is different (heavier, more frequent, at a different time of the month) than what you are used to.