to our Senior's Health Section.
We have set this section aside especially for you! Often
many Senior's may feel no one cares about them. Well - we do, that is
why we are providing this section especially for you!
We feel you need an area where
you can read in plain language, non dramatic articles concerning your
health and well being and this is what we are going to provide!
Please remember to check the Link in your City for Medical Supplies
& Equipment. You will find there listings
of your local suppliers who provide everything from walking sticks to
can I ensure I take My Medicine when I should?
There can be a lot to remember when taking medicines! Remember why you
are taking your medicines! Remember the times it should be taken! And
also how often you have to take it as well as the number of pills you
need to take!
All these things you need to pay strict
It is just so important that you take your medicine correctly and in
accordance with your Doctors advice. If you are in doubt after you leave
your Doctor remember, ask your Pharmacist! He is there to help and advise
to. You will find them all so helpful!
If you fail to follow your Doctor's instructions, you maybe wondering,
what could happen? Importantly, if your medicine isn't taken the correct
way, (and that means in accordance with your Doctor's instructions)
it may fail to help you. It may also cause side effects that can be
mild to bad. They could work against one another. Also if not taken
correctly you may have side effects of nausea and dizziness or worse!
What can I do to help me to remember to take
get into the habit of taking it at the same time each day.
Take it along with meals or other daily happenings.
asking your husband or wife to remind you can help.
a written record is also good, providing you make a note as soon
as you take your medicine.
can use special pillboxes to help you keep a record. You can purchase
pill boxes which are divided into days of the week. However, please
make sure they are air tight as some medications may deteriorate
if not kept in an airtight container.
Even turning the container upside down when you take it can help.
Upside down in the morning and right side up at night! Get into
the habit of doing this immediately you take it.
a little reminder note on your refrigerator or some other area
where you will see it continually can also help.
Other things you need to remember!
Store your medicine the way your Chemist or Doctor tells you.
all medicines in original containers.
Think of what tablets and medicines you can and can't take together.
Remember to ask your Doctor or Pharmacist's advice if you are
taking over the counter medicines including Vitamins,
Herbal remedies or anything sold as a natural product. This
is extremely important!
to have your prescription filled in plenty of time to avoid you
to advise your doctor if you experience any side effects.
thing you are in doubt about please make a note so as to remind
you to ask your Doctor or Pharmacist.
keep to the prescribed dose!
Remember, always check with your Doctor before you stop taking
Also, that very important one! No over the counter medicines without
your Doctor or Pharmacist's advice!
Remember what you are taking as well as the doses. If consulting
a new Doctor it is always wise to take your medications with you!
ever take someone else's medicine!
And very importantly keep all medicines
out of the reach of children.
If you are a traveller or planning
a trip in the future. Here are some more important suggestions
your medicine with you in your handbag or carry bag and not in
your checked in luggage.
Make sure you have enough scripts and medication to last you whilst
you are away.
It is always wise to take reserves with you just in case you cannot
get your script filled where you are going.
your dosage schedule with your Doctor or Pharmacist before you
you are going overseas enquire from your Doctor or Pharmacist
if you should make allowances for changes in time zones.
keep a list of all your medicines and dietary supplements with
you. (We suggest you do this at all times)
well as the name of a contact person and Doctor in case of an
remember, if in doubt about anything at all concerning your medications
or your health, always ask your Health Professional!
Warfarin- What you should know!
What is this medicine used for?
contains an active ingredient called "warfarin". It helps
to prevent blood from excessive clotting or forming harmful clots.
This type of medication is called an anticoagulant. Some people
refer to anticoagulant medicines as "blood thinners".
Excessive clotting sometimes occurs when physical mobility is low.
If excessive clotting is not treated, it can lead to serious health
problems such as strokes or heart attacks.
There are two brands of warfarin. They are called COUMADIN and
MAREVAN. Do not swap from one brand to the other. You should not
combine these brands.
Your doctor may prescribe COUMADIN for a purpose that is not listed
above. Ask your doctor if you have any questions about why COUMADIN
has been prescribed for you.
There is no evidence that COUMADIN is addictive.
is only available with a doctor's prescription.
What does it looks like?
tablets are available in three different strengths.
Each strength has a separate colour to distinguish it from
the others. Be sure you are taking the right tablet by checking
the colour and strength.
strength appears as follows:
1 mg: light tan, scored, marked "1" and COUMADIN
on one side and plain on the other.
2 mg: lavender, scored, marked '2' and COUMADIN on one side
and plain on the other.
5 mg: green, scored, marked '5' and COUMADIN on one side and
plain on the other.
Each bottle of COUMADIN contains 50 tablets.
tablets contain 1 mg, 2 mg or 5 mg of warfarin sodium as the
The other ingredients in COUMADIN are:
Starch - Tapioca
Magnesium Stearate (470)
Amaranth (123) (COUMADIN 1 mg and COUMADIN 2 mg)
Indigo Carmine (132) (COUMADIN 2 mg)
Brilliant Blue FCF (133) (COUMADIN 5 mg)
Quinoline Yellow (104) (COUMADIN 1 mg and 5 mg)
COUMADIN contains NO sucrose, gluten or tartrazine.
Before you use COUMADIN
must not use it during pregnancy.
Taking COUMADIN during pregnancy may harm the developing baby.
If you are considering becoming pregnant or it is possible
for you to become pregnant while taking COUMADIN, tell your
doctor who can help you weigh the benefits of taking COUMADIN
against the possible risks.
not take COUMADIN if you have had an allergic reaction
Any of the other ingredients in COUMADIN (listed above)
Marevan® (another brand of warfarin)
You may get an itchy skin rash, have difficulty breathing
or swelling of the face and tongue if you take it.
Do not take COUMADIN If
have bleeding tendencies or abnormal
COUMADIN may make bleeding tendencies
not take COUMADIN if you have severely
high blood pressure.
The risk of bleeding in this situation
may be increased by taking COUMADIN.
not take COUMADIN after the expiry
date (EXP) printed on the bottle.
It may have no effect at all, or worse,
an entirely unexpected effect if you
take it after the expiry date.
not take COUMADIN if the packaging
is torn or shows signs of tampering.
commence using COUMADIN please tell
you are going to have any dental treatment
you have recently had or are going to undergo any surgical procedures
you are starting any sports activities that may result in traumatic
you are going to travel or go on holidays
Your doctor or pharmacist is best able
to advise you about combining these situations with taking COUMADIN!
Tell your doctor if you currently have
or have had any of the following health/medical conditions:
kidney or intestinal disease such as coeliac disease
deficiency in Protein C
ulcer in your stomach or duodenum
or black bowel motions
bleeding such as bleeding in the brain
Fits or convulsions
infections, diarrhoea, vomiting or fever
doctor will consider all these factors when
advising you about taking COUMADIN.
tell your doctor or pharmacist if you are taking
any medications, including those you might buy
from a chemist, health food shop or supermarket.
Some commonly used medicines and products that
interfere with COUMADIN include:
medication used to treat arthritis
medications used to treat blood clots or heart
or any cough or cold preparations
large amounts of green leafy vegetables and/or
drastic changes in dietary habits. These may
be affected by COUMADIN or may affect how well
may need to take different amounts of these
or you may need to take something different.
How warfarin interacts with common herbs and
Adverse reactions after mixing pharmaceutical
drugs and herbs or supplements are becoming
increasingly common. Coumadin is one such drug
that has many herbal, supplement, and food contraindications.
The importance of consulting an appropriately
trained health care provider before taking herbal
medicine and supplements can not be overemphasized.
Some of the items on this list are not absolute
contraindications and can be safely taken with
warfarin under professional supervision.
Herbs and supplements that can potentially reduce
the effect of warfarin
· Vitamin C
· Coenzyme Q10 (CoQ10)
· St. John's wort
Your doctor or pharmacist
has a more complete list of medicines to avoid
while taking COUMADIN. Please
be sure to enquire.
Herbs and supplements
that can potentially magnify the effect of warfarin
· Dan shen
· Devil's claw
· Gingko biloba
· Dong quai
· Vitamin E
· White willow
· Chuan xiong (Ligustici chuanxion)
· Tao ren (Persicae)
· Hong hua (Carthamus tinctorii)
· Shui zhi (Hirudo seu whitmania)
The above is a partial list and should not replace
medical consultation, as herbs and supplements
are continually added to the list when new interactions
are discovered. Once
again please remember to check with your Pharmacist!
How much to take
You should follow your doctor's directions exactly
about how much COUMADIN to take.
Different people require different amounts of
COUMADIN and the dosage is adjusted to suit
each patient. Your directions should be printed
on the pharmacy lable.
By using the results of a blood test, your doctor
will decide what amount of COUMADIN you need.
This means that your doctor may sometimes alter
your dose of COUMADIN so that your dose is right
When do you take it?
will usually work best if it is taken at about
the same time every day.
How to take it
Swallow COUMADIN with a glass of water. Do not
crush or chew the tablets.
COUMADIN can be taken with or apart from food
How long to take it
You may not feel any differently while taking
COUMADIN from the way you were prior to taking
it. However, COUMADIN will continue to be prescribed
while there is a risk of excessive clotting.
Do not stop taking COUMADIN or reduce your dose
unless your doctor advises you to do so.
If you forget to take
you forget to take a dose take the dose as soon
as you remember and then go back to taking it
as you would normally. However, if it is almost
time for your next dose (eg. within 8 hours),
skip the missed dose and take your next dose
when you were meant to.
Do not try to make up for a missed dose by taking
more than one dose per day.
If you have trouble remembering when to take
it, see our article above for some hints on
taking your medication!
If too much COUMADIN
is taken (overdose)
Immediately telephone your doctor or the Poisons
Information Centre (telephone 13 11 26) or go
to the casualty department at your nearest hospital
if you think that you or anyone else may have
taken too much COUMADIN, even if there are no
signs of discomfort or poisoning.
Keep the telephone numbers for your doctor,
the Poisons Information Centre and your nearest
hospital handy so that they are accessible in
case of an emergency.
Possible signs of taking too many COUMADIN tablets
include bleeding. Blood may be seen in stools
or urine. Abnormal bruising or abnormal menstrual
bleeding may also be experienced.
While You Are Using
Things you must do
Make sure that all of the doctors, dentists
and pharmacists that are treating you know that
you are taking COUMADIN.
It is recommended that you also carry identification
stating that you are taking COUMADIN.
your doctor immediately if you become pregnant
while taking COUMADIN.
sure to keep all of your appointments for blood
tests so that the effect of COUMADIN can be
Eat a normal, balanced diet. This minimises
the possibility of dietary habits interfering
Things you must not do
not start or stop any other medicines while
you are taking COUMADIN unless you have discussed
this with your doctor. This includes medicines
you can buy without a prescription from a pharmacy,
supermarket or health food shop.
There are two brands of warfarin called COUMADIN
and MAREVAN. Do not swap from one brand to the
other. It may not be safe to change between
Do not take COUMADIN to treat any complaint
other than that directed by your doctor.
It may not be safe to take COUMADIN for another
Do not give COUMADIN to anyone else, even if
their symptoms seem similar.
It may not be safe for another person to take
Tell your doctor or pharmacist as soon as possible if you do not
feel well while you are taking COUMADIN. Even if you do not think
the problem is connected with the it.
COUMADIN helps most people, but it may have unwanted side effects
in some people.
Remember, any articles on any of our pages
are for reference purposes only. Please, we urge you to always seek
the advice of your Health Professional for diagnosis and treatment
and answers to any questions you are seeking.
For continuation of articles please click
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