Timing of children using anticoagulant Warfarin (Cofarin)

People with mechanical valves: As the mechanical valve is a foreign object, if blood clots occur, the normal activities of the valve will be blocked, and in severe cases, people go into shock as the heart will not be able to pump enough blood, or the blood clots stuck on the valve will move to important organs such as the brain, which may cause stroke.Therefore, the appropriate use of anticoagulants is very important in treatment.

Precautions for children using anticoagulant Warfarin (Cofarin)

• Children with valve replacement should take anticoagulant Warfarin on a regular basis according to the dosage prescribed by the physician. Blood should be drawn regularly at the outpatient clinic to follow up the prothrombin time (PT) and the international normalized ratio (INR) for doctors to adjust the anticoagulant dose.
• Do not change dosage or discontinue medication without the doctor's instruction.
• The possible side effects of this drug are diarrhea, rash and bleeding.
• Children on anticoagulants may engage in safe exercise, such as jogging, swimming, etc. They should avoid strenuous exercise that may involve physical collision. Always be aware of any bleeding, such as nosebleed, gingival bleeding, bloody stool or black stool, hematuria or dark brown urine, subcutaneous bruising, etc. Seek medical advice immediately if any of the above situations occurs.
• Before tooth extraction or surgery, consult your prescriber for the need to discontinue or adjust the anticoagulant dose.
• The anticoagulant effect of this drug lasts for more than 24 hours. If you forget to take the medicine at the prescribed time, you can take the medicine on the same day. If you forget to take the medicine for more than one day, you should not take the double dose but seek the doctor for help.
• If pregnant, please inform the doctor or pharmacist before taking the medicine.
• The medicine should be stored at room temperature (15-30℃) in a dry and airtight container away from light and not easily accessible to children.
• Maintain a balanced diet. The foods that may affect the effectiveness of the drug are as follows: