Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
OK I went with my Hubby yesterday to his Doctors Appointment in another city about 4 hours away. When we walked into the building I noticed a Anti-coagulation clinic, so while he was in with his doctor I visited the clinic. I explained to them I was from a small town and my Coumadin and anti-coagulation was being managed by my PCP. All well and good, so I asked them for any pamphlets, brochures anything to give me some sort of idea of foods that we're high in vitamin K, and medications to avoid etc.....
OK so I come away with a handful of reading material. Now i want you all to know I have complete and utter faith in my PCP, or at least I did until I started reading. Under the section about Dangerous Medications or as the pamplet puts it (FLAMES) It says FLAMES are dangerous.
1. F -fenofibrate (also known as Tricor)
2. L -levothyroxine (also known as levoxyl, levothyroid, synthroid)
3. A -amiodarone (also called cordarone)
4. M-metronidazole (also called flagyl)
5. E- erythromycin (also called ery-tabs)
6. S- septra (also called Bactrim or sulfamethoxazole/trimethoprim)
Also dangerous if you are on anticoagulants are ketorolac or tordol which is often used as anti anxiety. Pepto bismol, Pepcid, tagament, and prilosec.
Sheesh no wonder my INR is always bouncing off the walls and never leveling out like it should.
I currently take
Tricor, levothyroid, and previcid, Oh and by the way last sinus infection I had they put me on Septra.
I wonder if anyone out there is thinking with the brain that God actually gave them or or they even thinking at all.
Yes I have a call into my Doctor to ask him what planet he happens to be on. Yes I know my doctor sees many patients and i do understand that however you would think between him and my pharmacist they could remember i am on high doses of Coumadin and my life really is in their hands.
OK so I come away with a handful of reading material. Now i want you all to know I have complete and utter faith in my PCP, or at least I did until I started reading. Under the section about Dangerous Medications or as the pamplet puts it (FLAMES) It says FLAMES are dangerous.
1. F -fenofibrate (also known as Tricor)
2. L -levothyroxine (also known as levoxyl, levothyroid, synthroid)
3. A -amiodarone (also called cordarone)
4. M-metronidazole (also called flagyl)
5. E- erythromycin (also called ery-tabs)
6. S- septra (also called Bactrim or sulfamethoxazole/trimethoprim)
Also dangerous if you are on anticoagulants are ketorolac or tordol which is often used as anti anxiety. Pepto bismol, Pepcid, tagament, and prilosec.
Sheesh no wonder my INR is always bouncing off the walls and never leveling out like it should.
I currently take
Tricor, levothyroid, and previcid, Oh and by the way last sinus infection I had they put me on Septra.
I wonder if anyone out there is thinking with the brain that God actually gave them or or they even thinking at all.
Yes I have a call into my Doctor to ask him what planet he happens to be on. Yes I know my doctor sees many patients and i do understand that however you would think between him and my pharmacist they could remember i am on high doses of Coumadin and my life really is in their hands.
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Look at what my best friend did with my picture!
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We all have 24 hours in a day. How we spend these hours is important. Watching a little bit of a video about how sitting affects us made me aware of how much sitting and laying down I do. Gonna have to work on that.Your turn. Tell me another truth.
I'm allergic to penicillin and it's all over my chart ALLERGY. I still have to remind my doc, who is so highly competent and wonderful, every time he prescribes me an antibiotic. I am no great defender of doctors, but they see a gazillion people a day who are on all kinds of medication. When I'm prescribed anything, I proactively ask my doc how it may affect my INR. He then checks and if it sounds nuts, he then prescribes something else. Its a partnership. Even before I was on warfarin, I never just took prescriptions without asking, either my doc or pharmacist, how it was going to affect me.
I visited a coumadin clinic once while I was picking up an RX of lovenox (clinic was located in the pharmacy of the hospital where my doc was located). The person who ran the clinic said I should consider getting tested at the clinic instead of at the regular lab and then she gave me info on warfarin and INR, and I gotta say, to me it was overkill. It all felt very rigid and scary in terms of medications and vitamin K and all the dos and don'ts. It completely turned me off.
I'm not saying we shouldn't be cautious or aware. And the revelation of how many things can impact your INR is interesting. But I assume pretty much anything can mess with my INR and some things more than others. Is the intent never to prescribe these drugs then if youre on warfarin? I think not. I've been on some of these myself. Sometimes, you have to take stuff. To me, it just means if you're not on these drugs consistently, then you'd want to get your INR tested more frequently if you have to start taking them. Like if you just start taking prilosec, youd want to see how it affects your INR. But if youve been taking it prior to starting warfarin, its not a big deal. Your warfarin dose/INR would already take into account the affects of that drug.
I just don't want people to be scared out of their minds if they're on any of these medications. Just test more frequently if needed.
-- shakes head -- I understand they see many patients but our life is just as important as the next.
Let us know what the doc says!
My regular doc always double-checks everything to make sure it won't interact with the warfarin. If I see a different doc who prescribes something, I always ask them to check and then double-check with the pharmacist when picking it up to be sure about interactions. I've been known to call the pharmacy at midnight to ask if something over-the-counter will interact with the warfarin. Just gotta stay on top of it. And, if I'm worried, I'll get my blood drawn.
Ferr, if you're on consistent dosages of all those drugs, it seems like they wouldn't be affecting your INR. If you're constantly changing or starting/stopping, then I suppose that might be the problem...