Quick Answer: What Antibiotic Can Be Taken With Coumadin?

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What antibiotics are safe with coumadin?

Cephalexin and clindamycin, which have minimal interactions with warfarin, are considered low-risk antibiotics, said the researchers.

Can I take amoxicillin with warfarin?

While rare, clinically significant increased INR and potentially life threatening bleeding can occur when amoxicillin /clavulanate is concomitantly administered with warfarin. Prompt recognition and intervention is necessary to avoid life threatening complications from warfarin – amoxicillin /clavulanate interaction.

Can you take blood thinners and antibiotics at the same time?

Patients on warfarin who take antibiotics known to interact with the anticoagulant are at a significantly increased risk of serious bleeding events, according to recent research.

Does amoxicillin affect INR?

Several case reports and retrospective studies stated that amoxiclav increased INR and/or the risk of bleeding with an odds ratio (OR) of 7 in patients treated with warfarin [4–8]. Amoxicillin increased the risk of hospitalization for gastrointestinal bleeding with an OR ranging from 1.20 to 1.64 [4].

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Do antibiotics raise your INR?

Many antibiotics and related medications, including azole antifungal agents, heighten warfarin’s blood-thinning ability and raise the risk of internal bleeding.

What antibiotics can be used with warfarin?

THE BOTTOM LINE When prescribing antibiotics for patients taking warfarin, try to choose agents with a lower likelihood of affecting INR such as penicillin G, clindamycin, and 1st- and 4th-generation cephalosporins.

Can you eat bananas while taking warfarin?

So, go bananas! But be sure to eat green bananas in normal portions and make sure you keep testing your regular blood test to make sure your INR doesn’t drop below your target range.

What medications can you not take with warfarin?

Common drugs that can interact with warfarin include:

  • Aspirin or aspirin-containing products.
  • Acetaminophen (Tylenol, others) or acetaminophen-containing products.
  • Antacids or laxatives.
  • Many antibiotics.
  • Antifungal medications, such as fluconazole (Diflucan)
  • Cold or allergy medicines.

What are side effects to amoxicillin?

Side Effects

  • Abdominal or stomach cramps or tenderness.
  • back, leg, or stomach pains.
  • black, tarry stools.
  • bleeding gums.
  • blistering, peeling, or loosening of the skin.
  • bloating.
  • blood in the urine.
  • bloody nose.

Does amoxicillin cause blood clots?

Taking amoxicillin with certain medications raises your risk of side effects from these medications. Amoxicillin increases the amount of these drugs in your body. Examples of these drugs include drugs to treat blood clots. If you use them with amoxicillin, you have a higher risk of bleeding.

Can antibiotics cause a blood clot?

A rare but important side effect of antibiotics is their inhibitory effect on haemostasis and blood coagulation. Modern antibiotics with a wide spectrum like cephalosporins of the 2nd and 3rd generation, as well as semisynthetic penicillins, can imitate warfarin in its effect on the blood clotting system.

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Do antibiotics interfere with warfarin?

In a study of patients taking antibiotics and warfarin, warfarin users who were prescribed antibiotics considered to be high-risk for interactions with warfarin (trimethoprim/sulfamethoxazole, ciprofloxacin, levofloxacin, metronidazole, fluconazole, azithromycin, and clarithromycin) were are at higher risk for serious

What antibiotic does not affect Coumadin?

In addition to interacting with warfarin via cytochrome P450-2C9, these antibiotics may also eliminate vitamin K-producing bacteria in the intestines to further alter INR. Conversely, cephalexin and clindamycin are believed to have only minimal interactions with warfarin.

Why do you need to take warfarin at 6pm?

In order to shorten the response time for making a dosing change, patients are traditionally advised to have their INR test in the morning and to take their warfarin in the evening (so that the INR test result will be back in time to change that day’s warfarin dose if needed).

What medications increase INR?

  • Colestipol. Estrogens. Sucralfate. Dicloxacillin, Naficillin.
  • Primidone. Rifampin. Ginseng. Griseofulvin.
  • Vitamin C (>500mg/day) CoEnzyme Q10. Green tea. Vitamin K.

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