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Visit your doctor or health care professional for regular checks on your progress. You will need to have your blood checked regularly to make sure you are getting the right dose of Coumadin. When you first start taking Coumadin, these tests are done often. Once the correct dose is determined and you take your medicine properly, these tests can be done less often.

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You should discuss your diet with your doctor or health care professional. Many foods contain high amounts of vitamin K, which can interfere with the effect of Coumadin. Your doctor or health care professional may want you to limit your intake of foods that contain vitamin K. Foods that have moderate to high amounts of vitamin K include brussel sprouts, kale, green tea, asparagus, avocado, broccoli, cabbage, cauliflower, collard greens, liver, soybean oil, soybeans, certain beans, mustard greens, peas (black eyed peas, split peas, chick peas), turnip greens, parsley, green onions, spinach, and lettuce.

Coumadin can cause birth defects or bleeding in an unborn child. Women of childbearing age should use effective birth control while taking Coumadin. If a woman becomes pregnant while taking Coumadin, she should discuss the potential risks and her options with her health care professional.

Avoid sports and activities that might cause injury while you are using Coumadin. Severe falls or injuries can cause unseen bleeding. Be careful when using sharp tools or knives. Consider using an electric razor. Take special care brushing or flossing your teeth. Report any injuries, bruising, or red spots on the skin to your doctor or health care professional.

If you have an illness that causes vomiting, diarrhea, or fever for more than a few days, contact your doctor. Also check with your doctor if you are unable to eat for several days. These problems can change the effect of Coumadin.

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