x
Browse
156 Physicians Online

Question:

Warfarin: interaction with pain killers

Dear Ask The Doctor:
What painkiller can i take when on warfarin


Answer:

 Warfarin (“Coumadin”) is an anticoagulant or “blood thinner”, reduces the formation of blood clots by blocking some clotting factors. You should take this medication exactly as your doctor prescribes it, to the letter. Many medications may cause serious problems if taking them with Warfarin. Any medicine that affect blood clotting or increase the risk of stomach bleeding should be avoided, this includes: aspirin, “celebrex”, “advil”, “motrin”, “voltaren”, “cataflam”, “indocid”, “aleve”,”feldene” and the rest of Non-steroidal anti inflammatory medications (NSAIDs). In general, if you take warfarin with this kind of painkillers increase the chance of bleeding. Taking small occasional doses of Acetaminophen (“Tylenol”) is unlikely to affect the INR (warfarin action) also Codeine may be used to control pain in persons taking warfarin(this last one is a controlled substance and you will need prescription from your doctor).



Sign In to join in the conversation.

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA

Related Answers:

Had strange pain in back of lower leg (slightly lower than calf muscle) for around 3 weeks. Got progressively worse o...

My foot is numb from sciatic pain - is this nerve damage permanent? I am on a nSAID that has not helped. I have a l...

Two weeks ago, I found out that I have an avulsion fracture of my index finger pip joint on my dominant hand. Unfort...

I had a vasectomy about a year and half ago, I'm having tugging pain in the left side of my scrotum, the tugging pain...

My right elbow aches and my right hand is ice cold. I touched my husband with both hands and he even noticed a diffe...

How soon after a partial thyroid removal can you have a cervical fusion

Hi, I have an occasional feeling of a needle poking the skin/Tiny stabs on my left leg. Almost like when the extr...

Hi I am really at my wits end my doctor keeps fobbing me off and telling me my symptoms are part of the aging process...

I have intermittent low pelvic pain. I can go days with nothing and then it becomes a mild bilateral intermittent pai...

Pain and swelling in roof of mouth, headache, body aches, swollen gums, pain in teeth p, low grade fever