![]() So be careful, keep monitoring the INR as requested by the physician and if in doubt make sure you contact the physician. Note if taking statins for example Lipitor, it can cause serious effects), various antibiotics especially macrolides which interact with the metabolism of warfarin thus increasing anticoagulation (azythromycin etc), broad spectrum antibiotics which decrease vitamin K synthesis in our guts and giving us increased anticoagulation, statins themselves also interact with warfarin (Simvastatin is a good example). As an example ginger (must eat enough to be an issue but it can), ginseng (reduces anti coagulation effect), leafy greens (presence of vitamin K, decreases effect), grapefruit (interaction with an enzyme called CYP450. Just as a side note, keep in mind that a plethora of medications/diet interact with many anticoagulants, especially warfarin (common brand name Coumadin, Lawarin, Jantoven etc). Of course all of this is dependent on your INR. Sadly it will still take a decently long time, but in most cases it should stem the flow of blood within 4-6 minutes. If still bleeding lightly blot the area with a paper towel and reapply styptic and continue putting pressure. Thus apply your clotting agent (in this case styptic pencil) and really apply so pressure (press relatively hard in the area) for 4-6 minutes, slowly lift your fingers from the area and see how much it has slowed down. ![]() ![]() In terms of helping stop the bleeding as just mentioned apply pressure at the wound site. Clearly you are at a very big disadvantage and make sure that your INR is always within the treating physicians values. First and foremost good to hear that you are now well.Īs a physician we are taught early on during our surgery, trauma, ICU and ER rotation that pressure is key to helping stop any kind of bleeding.
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