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.
Granted, I take Warfarin and it's been around for a very long time. But, I often think that maybe it's time to turn to a newer generation blood thinner in which INR levels are not a concern and the drug interaction list is a bit smaller and less concerning.
All drugs have risks associated with them. But when I ever saw the lists of stuff to stay away from, I really started to question my agreement to take Warfarin. I don't know about anyone else but every ache and pain or headache that I get, taking tylenol or acetomiophin products, which is what I was told I could take, makes me hold off until I absolutely can't take the discomfort any longer.
Funnier still (not really funny) is I take 2 medications every day that are known to have "moderate" drug interactions with Warfarin. I have to take those two meds. No choice. My doctors know about all of the drugs I take on a daily basis but didn't seem concerned. I am concerned but they keep talking over me. "No, it's not a problem. Warfarin doesn't cause this, doesn't cause that" blah blah blah blah. But guess what, it does when mixed with other drugs. Even the prilosec I was taking, suggested by the hospital, can cause moderate issues. Like itchy skin!!! I started a post on that and found out it's the prilosec that caused my skin issues. -_-
Sorry, I'm on a rant. -_- Thanks for being patient with me.
If you were on a medication prior to starting warfarin that interacts with warfarin, your dosage of warfarin is going to account for that. I take 2 drugs that potentially interact with warfarin but since they're accounted for already, my INR is fine. That's why your docs aren't concerned.
The potential issue is when you introduce a new drug post warfarin use, but even then, if you're monitoring your INR, it's not that big of a deal.
And no, if I have a headache, why would I wait to take pain relief? I get me some tylenol.
Deep breath, sister...
Say I take a drug every day that brings my INR down, I just take a slightly higher dose of warfarin to adjust for that. If you take anything regularly, your warfarin dose should be adjusted to address that.
Of course, with starting something new, you should keep an eye on your INR for a couple weeks, but then you should be able to adjust your warfarin dose (if necessary) to account for the new med. Anytime I add anything new to my regime, I keep an eye on my INR for a couple of weeks, just to see if it does anything.
Of course, it is harder if you take something short-term, like antibiotics, but even that is manageable.
And why delay taking Tylenol? It doesn't affect INR for the most part, so ought to be fine to toss back at any point. I take it semi-regularly myself.