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Warfarin® Tablets for Atrial Fibrillation
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An oral anticoagulant helps prevent and treat blood clots. It is used to reduce stroke risk in certain heart rhythm conditions and to treat or prevent deep vein thrombosis and pulmonary embolism. This page explains key facts and how to order with US delivery from Canada so you can compare options, even without insurance.
What Warfarin Is and How It Works
Warfarin® is a vitamin K antagonist that lowers the blood’s tendency to clot. As a warfarin medication, it decreases production of clotting factors made by the liver. The effect is monitored with INR blood tests and adjusted by your prescriber to keep you in a safe range. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
It starts working over several days as existing clotting factors wear off. The treatment is often continued for months or long term, depending on your diagnosis and risk factors. Food and other medicines can change its effect, so steady habits and regular monitoring matter.
Who It’s For
This therapy is prescribed to lower stroke risk in nonvalvular atrial fibrillation and after some heart valve surgeries. It is also used to treat and prevent deep vein thrombosis and pulmonary embolism. Explore related guidance for Atrial Fibrillation and for patients with a Mechanical Heart Valve.
People with active bleeding, significant bleeding risks, or known allergies to ingredients should avoid it. Those who are pregnant or planning pregnancy should discuss safer alternatives. Severe liver disease, poor adherence to blood tests, and heavy alcohol use can raise risks and may require a different plan.
Dosage and Usage
The dose is individualized. Most adults take it once daily at the same time. Your prescriber selects a starting dose and adjusts based on INR checks. Many patients aim for a target INR range guided by diagnosis; follow your clinician’s instructions and the official label.
Try to keep your dietary vitamin K intake consistent from week to week. Sudden changes in leafy greens, certain supplements, or alcohol can shift your INR. Tell your healthcare professional about new medicines, missed doses, or any bleeding.
Strengths and Forms
This medicine comes as scored oral tablets. Availability may vary by manufacturer. Many people recognize color-coded strengths. A common strength used for dose adjustments is warfarin 5 mg, but your prescriber may select a different strength based on your INR.
- 1 mg
- 2 mg
- 2.5 mg
- 3 mg
- 4 mg
- 5 mg
- 6 mg
- 7.5 mg
- 10 mg
Your pharmacy may dispense different manufacturers over time; shape or color can change, but the active ingredient remains the same.
Missed Dose and Timing
If you miss a dose, take it the same day when remembered. If it is the next day, skip the missed dose and resume your usual schedule. Do not double the next dose. Note the date in your log and tell your prescriber at your next INR check, as guidance can vary.
Storage and Travel Basics
Store tablets at room temperature, dry, and away from direct light. Keep them in the original, child-resistant container. Do not store in a bathroom. When you travel, pack your labeled bottle in carry-on luggage and bring a medication list or a copy of your prescription. Time-zone changes usually do not require a dose change; keep a consistent local dosing time.
Benefits
This anticoagulant is well-studied and can be adjusted to your INR results. The therapy is reversible with vitamin K in emergency settings. Once-daily dosing fits many routines. Generic availability may lower out-of-pocket costs compared with some newer options.
Side Effects and Safety
- Mild bleeding gums
- Easy bruising
- Nosebleeds
- Upset stomach or nausea
- Hair thinning
Serious effects can include major bleeding, coughing or vomiting blood, black or tarry stools, severe headache, or signs of stroke. Rare reactions include skin necrosis or purple toe syndrome. Seek urgent care if you notice serious symptoms. Learn more in our guide to Warfarin Side Effects.
Drug Interactions and Cautions
Many medicines can raise or lower this anticoagulant’s effect. Examples include antibiotics, antifungals, amiodarone, antiepileptics, and some cholesterol agents. NSAIDs, aspirin, and other blood thinners can increase bleeding risk. Herbal products like St. John’s wort, ginkgo, and ginseng may interact. Keep a consistent intake of vitamin K–rich foods. See practical diet tips in Foods To Avoid.
Always tell your prescriber and pharmacist about all prescription drugs, OTC products, and supplements. Alcohol can change your INR and increase bleeding risk; ask your clinician about safe limits.
What to Expect Over Time
You will usually have INR checks more often at the start, then less frequently once stable. Dose changes may be needed if your diet, other medicines, or health status changes. Keep a simple log of doses, tests, and any symptoms. Carry an anticoagulant alert card so others know you take this therapy.
Compare With Alternatives
Direct oral anticoagulants such as Eliquis® and Pradaxa® are options for many patients. These do not require routine INR checks but are not right for every condition, such as some mechanical valves. They are not a generic for warfarin; your prescriber will help choose based on your medical history, kidney function, and interactions.
Pricing and Access
Compare Canadian pricing and see how warfarin cost without insurance may fit your budget. Check the product page to review current options and available manufacturers. We offer transparent pricing and secure checkout. This product ships from Canada to US with clear import documentation when required.
If your prescriber changes your dose or brand, you can review alternatives within our Cardiovascular category and discuss with your clinician before switching.
Availability and Substitutions
Stock and manufacturers can vary by time. A valid warfarin prescription is required for dispensing. If a strength or manufacturer is unavailable, your prescriber may recommend a therapeutically equivalent alternative or a different strength combination. We do not promise restock dates.
Patient Suitability and Cost-Saving Tips
This treatment may suit adults who can attend INR checks, keep a consistent diet, and coordinate medicines across prescribers. It may not suit those with a high bleeding risk, planned pregnancy, or barriers to monitoring. Ask your clinician about your individual risks.
To lower out-of-pocket costs, consider multi-month fills when appropriate, keep a steady diet to avoid extra visits, and use refill reminders. Traveling soon? Arrange tests ahead of time and bring enough tablets for your trip.
Questions to Ask Your Clinician
- My INR target: what range and how often to check?
- Diet: how consistent should my vitamin K intake be?
- Interactions: which antibiotics or pain relievers should I avoid?
- Safety: what warning signs require urgent care?
- Procedures: how to manage before dental or surgical work?
- Travel: how to time doses across time zones?
- Alternatives: could a DOAC fit my medical history?
Authoritative Sources
FDA Medication Guide: Warfarin
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How is the dose chosen and adjusted?
The dose is individualized and adjusted using INR blood tests. Your clinician sets a target range based on your condition, then changes the daily amount as needed to stay in range. Diet, new medicines, and illnesses can shift your INR. Keep intake of vitamin K–rich foods steady, and report any missed doses or bleeding. Do not change your dose on your own; always follow the plan given by your healthcare professional.
Which foods and supplements can interfere?
Green leafy vegetables, certain vegetable oils, and some nutritional shakes contain vitamin K, which can lower the effect if intake changes abruptly. Alcohol can raise bleeding risk. Many supplements interact, including St. John’s wort, ginkgo, ginseng, coenzyme Q10, and fish oil. Consistency matters more than avoidance. Discuss any diet shifts with your clinician, and review our quick guide on foods to manage while using this anticoagulant.
What monitoring will I need over time?
You will have INR checks more often when starting or after changes, then less frequently once stable. Illness, new prescriptions, and travel can affect control. Keep appointments, maintain a dose and INR log, and carry an anticoagulant alert card. Contact your prescriber if you notice unusual bruising, bleeding, dark stools, or severe headache, as these can signal problems requiring prompt medical attention.
Can I take pain relievers with this medicine?
Some pain relievers can increase bleeding risk. NSAIDs like ibuprofen and naproxen, as well as aspirin, may be risky unless specifically recommended. Acetaminophen can be used cautiously, but high or frequent doses may still affect your INR. Always check with your pharmacist or clinician before taking over-the-counter products, and avoid combining multiple products with similar ingredients.
What should I do before surgery or dental work?
Tell your surgeon or dentist that you take an anticoagulant. You may need a plan to pause therapy or adjust timing around the procedure, based on your clotting risk and the type of procedure. Never stop on your own. Coordinate among your prescriber, surgeon, and pharmacist well in advance so you have clear instructions and know when to restart safely afterward.
Is this medicine safe during pregnancy or breastfeeding?
This anticoagulant is generally not recommended during pregnancy due to potential harm to the fetus. Alternatives may be considered in consultation with a specialist. For breastfeeding, guidance is more individualized; discuss risks and benefits with your clinician. If pregnancy is planned or suspected, contact your prescriber promptly to review safer options and monitoring needs.
What if I miss a dose more than once a week?
Frequent missed doses can swing your INR outside of the target range. Do not double up doses. Resume your usual schedule, note the dates, and inform your clinician. They may suggest an earlier INR check and review habits that support better adherence, such as using pill organizers or phone reminders. Consistent routines and clear communication help reduce risks while on therapy.
