Coumadin

Atrial Fibrillation, cardiac valve replacement, mechanical heart valve + 10 more
Treatment
14 FDA approvals
20 Active Studies for Coumadin

What is Coumadin

WarfarinThe Generic name of this drug
Treatment SummaryWarfarin is a blood-thinning drug used to stop the formation and movement of blood clots. It was originally designed as a pesticide, but is now the most commonly prescribed oral anticoagulant in North America. Warfarin can cross the placenta during pregnancy which can lead to fetal bleeding, miscarriage, premature birth, stillbirth, or death of the baby. Other potential side effects include necrosis, purple toe syndrome, osteoporosis, calcification of valves and arteries, and drug interactions. Warfarin does not change the viscosity of blood, but it blocks the body’s
Coumadinis the brand name
image of different drug pills on a surface
Coumadin Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Coumadin
Warfarin
1995
557

Approved as Treatment by the FDA

Warfarin, otherwise known as Coumadin, is approved by the FDA for 14 uses which include Atrial Fibrillation and history of myocardial infarction .
Atrial Fibrillation
history of myocardial infarction
Venous Thrombosis (Disorder)
Deep Vein Thrombosis (DVT)
cardiac valve replacement
Atrial Fibrillation
Systemic Embolism
prophylaxis of Venous thrombosis
Disease
Pulmonary Embolism
Pulmonary Embolism
prophylaxis of Thromboembolic event
Stroke
Heart Attack

Effectiveness

How Coumadin Affects PatientsWarfarin is a blood thinning drug used to prevent dangerous blood clots. It is commonly prescribed to people with deep vein thrombosis or atrial fibrillation, as well as those with cardiac valve disease or valve replacements. The main goal of warfarin therapy is to keep potentially dangerous clots from forming and travelling to the lungs, heart, or brain. However, warfarin can also cause negative side effects, such as cholesterol microemboli leading to visual disturbances, acute kidney injury, central nervous system ischemia, and purple or blue toe syndrome. In some cases, it can also cause warfar
How Coumadin works in the bodyWarfarin is a drug that stops the production of vitamin K in the body. Vitamin K helps create proteins in the blood that are responsible for clotting. Without these proteins, the blood cannot clot, and you may experience excessive bleeding. Warfarin binds to vitamin K epoxide reductase and prevents the recycling of vitamin K, creating an anticoagulation effect. To reverse this effect, you need to take more vitamin K, either through supplements or by removing the inhibition of the enzyme. It takes about 2 days for new clotting proteins to be made in the liver. Taking antibiotics can also reduce the amount of vitamin K

When to interrupt dosage

The measure of Coumadin is contingent upon the identified condition, including Pulmonary Embolism, Atrial Fibrillation and Heart Attack. The portion of dosage fluctuates as per the method of delivery specified in the table below.
Condition
Dosage
Administration
prophylaxis of Thromboembolic event
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
cardiac valve replacement
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
prophylaxis of Venous thrombosis
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Deep Vein Thrombosis (DVT)
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Disease
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Atrial Fibrillation
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Pulmonary Embolism
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Stroke
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
mechanical heart valve
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Transient Ischemic Attack (TIA)
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Pulmonary Embolism
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Heart Attack
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous
Systemic Embolism
, 3.0 mg, 4.0 mg, 10.0 mg, 1.0 mg, 2.5 mg, 5.0 mg, 2.0 mg, 6.0 mg, 7.5 mg, 2.0 mg/mL, 0.0075 mg
, Oral, Tablet, Tablet - Oral, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Warnings

Coumadin possesses twenty-seven contraindications, meaning it should not be administered when encountering any of the conditions given in the table below.Coumadin Contraindications
Condition
Risk Level
Notes
Hypertension, Malignant
Do Not Combine
Hemorrhagic tendencies
Do Not Combine
Pericardial effusion
Do Not Combine
Anesthesia procedures
Do Not Combine
Hemorrhage
Do Not Combine
Eclampsia
Do Not Combine
high risk Patient Non-Compliance
Do Not Combine
Aorta
Do Not Combine
Lumbar Punctures
Do Not Combine
Disease
Do Not Combine
Stomach Ulcer
Do Not Combine
Endocarditis, Bacterial
Do Not Combine
Ulcer
Do Not Combine
inadequate access to laboratory facilities
Do Not Combine
Spontaneous abortion
Do Not Combine
Gastrointestinal Hemorrhage
Do Not Combine
Cerebral Aneurysm
Do Not Combine
Antepartum magnesium sulfate prophylaxis
Do Not Combine
Pericarditis
Do Not Combine
Hemorrhage
Do Not Combine
Heart Valve Prosthesis
Do Not Combine
Nervous system surgery
Do Not Combine
eye surgery
Do Not Combine
large open surfaces
Do Not Combine
Anesthesia procedures
Do Not Combine
Choroid Hemorrhage
Do Not Combine
Ulcer
Do Not Combine
Hemorrhage
Do Not Combine
There are 20 known major drug interactions with Coumadin.
Common Coumadin Drug Interactions
Drug Name
Risk Level
Description
Abemaciclib
Major
The metabolism of Abemaciclib can be increased when combined with Warfarin.
Albutrepenonacog alfa
Major
The therapeutic efficacy of Albutrepenonacog alfa can be decreased when used in combination with Warfarin.
Alectinib
Major
The metabolism of Alectinib can be increased when combined with Warfarin.
Aminophylline
Major
The metabolism of Aminophylline can be increased when combined with Warfarin.
Andexanet alfa
Major
The therapeutic efficacy of Andexanet alfa can be decreased when used in combination with Warfarin.
Coumadin Toxicity & Overdose RiskThe toxic dose of warfarin varies between different animal species, with the lowest toxic dose being 1-2 mg/kg/day in humans. Symptoms of an overdose may include bleeding from the nose, mouth, and other parts of the body, as well as low blood pressure. Warfarin is a known teratogen, posing risk to a fetus when taken during pregnancy. Infants exposed to warfarin in utero may experience nasal hypoplasia, malformations of the heart and limbs, low birth weight, and other abnormalities. Warfarin has been found to not be present in breast milk, though infants should
image of a doctor in a lab doing drug, clinical research

Coumadin Novel Uses: Which Conditions Have a Clinical Trial Featuring Coumadin?

Currently, 301 active studies are assessing the potential of Coumadin to address Atrial Fibrillation, Disease and Pulmonary Embolism.
Condition
Clinical Trials
Trial Phases
Atrial Fibrillation
93 Actively Recruiting
Not Applicable, Phase 2, Phase 4, Phase 1, Phase 3, Early Phase 1
Heart Attack
26 Actively Recruiting
Not Applicable, Phase 4, Phase 1, Phase 2, Early Phase 1, Phase 3
prophylaxis of Venous thrombosis
0 Actively Recruiting
cardiac valve replacement
0 Actively Recruiting
mechanical heart valve
0 Actively Recruiting
Transient Ischemic Attack (TIA)
2 Actively Recruiting
Phase 4, Not Applicable
Deep Vein Thrombosis (DVT)
3 Actively Recruiting
Not Applicable, Phase 2
Pulmonary Embolism
24 Actively Recruiting
Phase 4, Early Phase 1, Phase 3, Not Applicable
Stroke
8 Actively Recruiting
Phase 4, Phase 1, Not Applicable
Pulmonary Embolism
0 Actively Recruiting
Disease
0 Actively Recruiting
Systemic Embolism
3 Actively Recruiting
Not Applicable
prophylaxis of Thromboembolic event
0 Actively Recruiting

Coumadin Reviews: What are patients saying about Coumadin?

5Patient Review
5/18/2017
Coumadin for Blood Clot
So far, my mother has not had any more clots since being put on warfarin. I find the blood tests a little irritating, and she sometimes gets annoyed about not being able to eat green leafy vegetables; but all things considered, this medication has been really effective with no notable side effects.
5Patient Review
2/8/2016
Coumadin for Treatment to Prevent Blood Clots in Chronic Atrial Fibrillation
No issues whatsoever. It's very important to have routine blood tests while taking this medication.
5Patient Review
12/22/2014
Coumadin for Blood Clot caused by Artificial Heart Valve
Though it can be tricky to keep the dosage regulated, this drug is still very effective. It's helped me a lot and I follow dietary restrictions closely.
4.7Patient Review
10/19/2015
Coumadin for Blood Clot in Lung
I experienced some rectal bleeding while taking this medication. I would not recommend taking it at the same time as other medications.
4.7Patient Review
7/23/2014
Coumadin for Heart Failure with Paroxysmal Atrial Fibrillation
This medication has been working well for me for the past five years. However, it is important to be mindful of what kinds of food and drugs can interfere with its efficacy.
View All Reviews
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Patient Q&A Section about coumadin

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are Coumadin side effects?

"You may have easy bruising and bleeding, nausea, vomiting, stomach pain, bloating, gas, or an altered sense of taste."

Answered by AI

What is Coumadin used for?

"Warfarin is a prescription medication used to prevent harmful blood clots from forming or growing larger. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a stroke, heart attack, deep vein thrombosis, or pulmonary embolism."

Answered by AI

What is the most common side effect of Coumadin?

"The blood thinner warfarin (sold under the brand name Coumadin) can cause a variety of side effects, including nausea, vomiting, diarrhea, and abdominal pain. The most common side effect, however, is bleeding, which can be fatal."

Answered by AI

Why is Coumadin being taken off the market?

"Coumadin's manufacturer, Bristol-Myers Squibb, has announced the discontinuation of all strengths of the drug due to an unexpected manufacturing issue. The decision is not based on safety or efficacy concerns."

Answered by AI

Clinical Trials for Coumadin

Have you considered Coumadin clinical trials? We made a collection of clinical trials featuring Coumadin, we think they might fit your search criteria.
Have you considered Coumadin clinical trials? We made a collection of clinical trials featuring Coumadin, we think they might fit your search criteria.
Have you considered Coumadin clinical trials? We made a collection of clinical trials featuring Coumadin, we think they might fit your search criteria.
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