Coumadin (Warfarin) is a prescribed medication of the coumarin anticoagulant class. It is used to treat thromboembolic disorders (deep vein thrombosis-DVT and pulmonary embolus-PE), atrial fibrillation, and to reduce the risk of death, recurrent MIs, thromboembolic events post-MI (after a heart attack), and in the treatment of mechanical and bioprosthetic heart valves. It is considered highly unsafe and teratogenic in pregnancy but is safe in nursing mothers. The usual starting dose is 2-5mg per day for 3-4 days after which the dose is adjusted based on the patient's measured INR. There are a wide variety of drug interactions with coumadin and the patient should faithfully report any drugs currently being taken as well as the patient's current diet to the provider for optimal management of coumadin regimen.

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