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What may interact with Coumadin?

Do not take Coumadin with any of the following medications:

  • agents that prevent or dissolve blood clots
  • aspirin or other salicylates
  • danshen
  • dextrothyroxine
  • mifepristone
  • St. John's Wort
  • red yeast rice

Coumadin may also interact with the following medications:

  • acetaminophen
  • agents that lower cholesterol
  • alcohol
  • allopurinol
  • amiodarone
  • antibiotics or medicines for treating bacterial, fungal or viral infections
  • azathioprine
  • barbiturate medicines for inducing sleep or treating seizures
  • certain medicines for diabetes
  • certain medicines for heart rhythm problems
  • certain medicines for high blood pressure
  • chloral hydrate
  • cisapride
  • disulfiram
  • female hormones, including contraceptive or birth control pills
  • general anesthetics
  • herbal or dietary products like cranberry, garlic, ginkgo, ginseng, green tea, or kava kava
  • influenza virus vaccine
  • male hormones
  • medicines for mental depression or psychosis
  • medicines for some types of cancer
  • medicines for stomach problems
  • methylphenidate
  • NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
  • propoxyphene
  • quinidine, quinine
  • raloxifene
  • seizure or epilepsy medicine like carbamazepine, phenytoin, and valproic acid
  • steroids like cortisone and prednisone
  • tamoxifen
  • thyroid medicine
  • tramadol
  • vitamin c, vitamin e, and vitamin K
  • zafirlukast
  • zileuton

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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