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NCLEXPacePatient Education

Taking Warfarin: Your Daily Safety Guide

Medical-Surgical · Cardiovascular

Warfarin is a blood thinner that helps prevent harmful clots. It also makes bleeding harder to stop.

Take the right dose

  • Take warfarin at the same time each day. Follow your dose calendar.
  • If you forget, take it when you remember that same day.
  • If you remember the next day, skip the missed dose and call your clinic.
  • Never double a dose.

Keep your blood tests

  • Your INR blood test checks how long your blood takes to clot.
  • Your target range: ____________. Next test: ____________.
  • Most targets are 2.0 to 3.0. Some heart valves need 2.5 to 3.5.

Keep food choices steady

  • Eat similar amounts of leafy greens from week to week. Do not cut them out.
  • Avoid large amounts of cranberry juice or cranberry products.
  • Tell your clinic about major diet changes, vomiting, or diarrhea.

Ask before adding medicines

  • Check all new medicines, including antibiotics, with your pharmacist.
  • Do not add aspirin, ibuprofen, or naproxen unless approved.
  • Check before using garlic pills, ginkgo, or St. John's wort.

Prevent bleeding and injury

  • Use a soft toothbrush and electric razor. Avoid contact sports.
  • Tell every provider and dentist. Wear a medical alert ID.
  • Get emergency care after any head injury, even if you feel well.

Call your provider today if you have

  • New bruising, repeated small nosebleeds, or bleeding gums
  • Red urine or heavier periods: call promptly
  • A missed or extra dose, or possible pregnancy

Call 911 or your local emergency number if you have

  • Heavy bleeding or bleeding that will not stop
  • Vomiting blood, or black, sticky stool with dizziness or weakness
  • Sudden severe headache, weakness, trouble speaking, confusion, or fainting