Lɛ wi lan mɔ bɔt Warfarin, we na wan mɛrɛsin we de mek blɔd tan.

Yu dɔktɔ go dɔn gi yu wan mɛrɛsin we dɛn kɔl Warfarin fɔ mek blɔd nɔ klɔt na yu bɔdi ɔ fɔ sɔm at sik dɛn. Dis na mɛrɛsin we rili impɔtant, bɔt i kin mek prɔblɛm bak if dɛn nɔ yuz am di rayt we. So tide, lɛ wi tɔk bɔt wetin yu nid fɔ no bɔt dɛn Warfarin pils ya.

Us kayn mɛrɛsin na Warfarin?

Fɔ tɔk am simpul wan, Warfarin na tin we de mek blɔd tan . Dat min se i de mek blɔd we nɔ nid fɔ klɔt na di blɔd vesel dɛn we de insay yu bɔdi. Imajin, sɔntɛnde if blɔd klɔt insay wi blɔd vesel, i kin mek wi gɛt tin dɛn we rili denja. Fɔ ɛgzampul, tin dɛn lɛk at atak ɛn strok.

Dɛn kin yuz wɔfarin mɔ fɔ:

• Stɔp di blɔd we dɔn de fɔ mek i nɔ big ɛn mek nyu wan dɛn nɔ fɔm.
• Ridyus di risk fɔ gɛt strok pan pipul dɛm wae gɛt sɔm kayn hat kɔndishɔn, lɛk atrial fibrillation (AFib).
• Nɔ mek blɔd nɔ klɔt pan pipul dɛn we dɔn gɛt hat valv riplesmɛnt.

Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda rizin dɛn. If yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ ɔ fama.

Dɛn kin sɛl dis mɛrɛsin ɔnda di nem dɛn we dɛn kɔl Coumadin ɔ Jantoven. Bɔt, i kin de bak ɔnda ɔda nem dɛn. Di nem we yu dɔktɔ gi yu impɔtant.

Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a bigin fɔ tek dis mɛrɛsin?

Dis rili impɔtant. Bifo yu bigin fɔ tek Warfarin, sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ. Dis na bikɔs yu dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn us doz fɔ gi yu.

Na sɔm pan dɛn kayn tin ya:

• If yu gɛt adikshɔn to rɔm (Alcoholism).
• If yu gɛt anemia.
• If yu gɛt prɔblɛm wit blɔd.
• If yu gɛt kansa.
• If yu gɛt dayabitis (Diabetes Mellitus).
• If yu gɛt ɔda at sik dɛn.
• If yu gɛt ay blɔd prɛshɔn.
• If yu dɔn ɛva gɛt blɔd na yu bɛlɛ ɔ yu intestinal (blɔd na di gastrointestinal tract).
• If yu bin dɔn gɛt strok bifo, ɔ if yu gɛt ɔda sik ɔ sik we gɛt fɔ du wit yu bren.
• If yu gɛt sik na yu kidni ɔ yu liva.
• If yu gɛt kɔndishɔn lɛk we yu nɔ gɛt Protein C ɔ we yu nɔ gɛt Protein S.
• If yu gɛt prɔblɛm wit yu mɛmori, lɛk saykosis ɔr dis maynia sik.
• If yu jɔs gɛt injuri, ɔ yu de plan fɔ du ɔpreshɔn ɔ ɔda mɛrɛsin tumara bambay.
• If yu gɛt alɛji to warfarin, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ gɛt am.
• I nɔ bad if yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ.

I rili impɔtant fɔ yu yone sef fɔ tɛl di dɔktɔ dɛn tin ya ɛn nɔ ayd dɛn.

Aw yu de yuz dis Warfarin pil ɛksaktɔli?

I rili impɔtant fɔ no gud gud wan aw fɔ yuz dis mɛrɛsin.

• Tek wit wan glas wata: Dɛn fɔ tek warfarin tablɛt bay mɔt, wit wan glas wata.
• Jɔs lɛk aw di dɔktɔ se: Fɔ fala di instrɔkshɔn dɛn we de na di prɛskrishɔn lɛbl ɛksaktɔli.
• Bifo yu it ɔ afta yu it: Yu kin tek dis mɛrɛsin bifo ɔ afta yu it. I nɔ impɔtant.
• Na di sem tɛm ɛvride: Dis rili impɔtant. Tray fɔ tek di mɛrɛsin di sem tɛm ɛvride. Da we de, di mɛrɛsin go wok di sem we na di bɔdi.
• Nɔ tek pas wetin dɛn tɛl yu fɔ tek: Nɔ tek pas di doz we yu dɔktɔ tɛl yu fɔ tek.
• Nɔ stɔp fɔ tek dis mɛrɛsin if yu dɔktɔ nɔ advays yu: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm pas yu dɔktɔ tɛl yu fɔ tek am. If yu du dat, dat kin mek yu gɛt mɔ blɔd klɔt.
• Riplenish yu mɛrɛsin bifo i dɔn: Nɔ fɔgɛt fɔ gɛt nyu sapɔt fɔ mɛrɛsin frɔm di famasi bifo yu mɛrɛsin dɔn.
• If yu chenj yu doz: Lɛ wi se yu dɔktɔ kɔl ɛn chenj yu warfarin doz. If na so, rayt di nyu doz ɛn ɔda instrɔkshɔn dɛn pan wan pepa. Mek shɔ se yu ɔndastand am, dɔn go to di instrɔkshɔn dɛn wit yu dɔktɔ. Tɛl yu dɔktɔ di miligram trɛnk fɔ di pils dɛn we yu gɛt. Aks ɔmɔs pils yu nid fɔ tek fɔ gɛt di nyu doz. Write the new instructions on the paper, along with the date, and keep them with your medication. Sɔntɛnde, dɛn kin aks yu fɔ stɔp fɔ tek di mɛrɛsin te dɛn du yu nɛks blɔd tɛst. If dis apin, if yu nɔ yɛri bak frɔm yu dɔktɔ insay 24 awa afta yu tɛst yu, kɔl yu dɔktɔ fɔ aks bɔt di nyu doz ɛn ustɛm fɔ bigin tek di ol doz bak.
• MedGuide: Ɛvri tɛm we yu gɛt mɛrɛsin frɔm di famasi, dɛn go gi yu wan MedGuide bɔt di mɛrɛsin. Rid am gud gud wan ɔltɛm. I gɛt bɔku impɔtant tin dɛn fɔ yu.

Impɔtant: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi am to ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.

Yu tink se dɛn fɔ gi pikin dɛn dis mɛrɛsin?

Pikin dɛn nid spɛshal kia we dɛn de tek warfarin, so mek shɔ se yu tɔk bɔt dis wit yu dɔktɔ.

Wetin a go du if a tek bɔku mɛrɛsin?

If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ di ɔspitul imejensi rum we de nia yu wantɛm wantɛm.

Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?

I rili impɔtant fɔ mek yu nɔ skip wan doz fɔ warfarin , bikɔs i kin chenj di we aw di blɔd ebul fɔ tan.

• If yu mis wan doz fɔ mɛrɛsin, kɔl yu dɔktɔ wantɛm wantɛm.
• If i pɔsibul, tek di doz we yu mis jɔs lɛk aw yu mɛmba di sem de .
• Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, nɔ tek di doz we yu mis. Jɔs tek yu nɛks doz na di tɛm we dɛn dɔn sɛtul.
• Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis.

Us ɔda mɛrɛsin dɛn kin miks wit Warfarin?

Dis na sɔntin bak we wi fɔ rili tek tɛm wit. Warfarin na drɔg we kin miks wit bɔku ɔda mɛrɛsin dɛn, ɔyl dɛn, ɛn ivin tin dɛn we pɔsin kin it. Dɛn intarakshɔn ya kin inkrisayz ɔ ridyus di ifɛkt dɛm we Warfarin gɛt. If dis apin, i kin mek blɔd kɔmɔt ɔ blɔd kin klɔt.

Nɔ tek Warfarin wit dɛn mɛrɛsin ya fɔ ɛni rizin:

• Difibrotayd we dɛn kin yuz

Apat frɔm dat, dɛn mɛrɛsin ya kin wok wit Warfarin:

• Acyclovir we gɛt di sik
• Allopurinol we dɛn kɔl
• Aspirin ɛn ɔda NSAID dɛn (e.g., ibuprofen, naproxen) .
• Sɔm antibayɔtiks (e.g. Ɛritromaysin, Klaritromaysin, Siproflɔksasin) .
• Sɔm antivayrɔs dɛn we dɛn kin gi fɔ sik dɛn lɛk HIV ɔ epataytis
• Ɔda mɛrɛsin dɛn we de mek blɔd nɔ klɔt (e.g., Heparin, Enoxaparin, Clopidogrel) .
• Sɔm mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at ritm dizayd
• Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel (e.g., atorvastatin, simvastatin) .
• Sɔm mɛrɛsin fɔ pwɛl hat, wɔri, ɔr ɔda kayn maynd sik
• Sɔm mɛrɛsin fɔ fungal infɛkshɔn (e.g., Fluconazole, Ketoconazole) .
• Sɔm mɛrɛsin fɔ mek yu gɛt sik (e.g., Carbamazepine, Phenytoin) .
• Di ɔmon dɛn we uman kin gɛt, lɛk di pils dɛn we dɛn kin yuz fɔ kɔntrol di pikin
• Ɛrb ɔ sɔpɔtmɛnt lɛk galik, ginkgo, ginseng, grɛn ti, ɛn Sɛnt Jɔn Wɔt
• Suplεnt dεm we gεt Vitamin K
• Mεdisin dεm we de ridyus di bεlε asid (e.g. Omeprazole, Ranitidine) .
• Steroid-tayp mεdikeshכn dεm (e.g., Prednisone) .

Dis list nɔ de ɔlsay. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɔktɔ gi yu, we yu bay na famasi, ɔyl, vaytamɛn, sɔpɔtmɛnt), ɛn if yu de smok, drink rɔm, ɔ yuz ɔda mɛrɛsin. Sɔm tin kin intarakt wit yu warfarin mɛrɛsin.

Wetin na di tin dɛm we wi nid fɔ tek tɛm wit mɔ we wi de tek Warfarin?

Bɔku tin dɛn de we kin afɛkt yu sef ɛn aw di mɛrɛsin wok fayn we yu de tek Warfarin.

• Blɔd tɛst ɔltɛm (PT/INR): We yu de tek warfarin, yu go nid fɔ du blɔd tɛst we dɛn kɔl PT/INR ɔltɛm. Dis na aw yu dɔktɔ kin chɛk fɔ si if di doz fɔ di warfarin we yu de tek kɔrɛkt. Nɔ skip dɛn blɔd tɛst ya. Dɛn tɛst ya go nid fɔ du bɔku tɛm we yu fɔs bigin fɔ tek di mɛrɛsin. Wae yu dɔn fɛn di rayt doz fɔ yu, di frɛkuɛns fɔ dɛn tɛst ya go dɔŋ.
• Mɛdikal ID: Wear mɛdikal ID breslɛt ɔ chen we se yu de tek warfarin. Dɔn bak, kin kɛr kad wit yu ɔltɛm we gɛt di rayt fɔ gɛt di sik, di nem fɔ di mɛrɛsin, di mɛrɛsin we yu de tek, ɛn di tɛm dɛn we yu de tek am. Dis kin rili impɔtant we ɛnitin apin we nɔ izi fɔ du.
• We yu de stat/stɔp ɔda mɛrɛsin: Nɔ stat ɛni nyu mɛrɛsin ɔ stɔp fɔ tek ɛni mɛrɛsin we yu de tek we yu nɔ gɛt yu dɔktɔ in advays. Dis inklud mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ de bay.
• Di it ɛn Vitamin K: Tɔk to yu dɔktɔ bɔt di it we yu de it. Nɔ mek big chenj dɛn wan tɛm. Dis na bikɔs wan nyutriɛnt we dɛn kɔl Vitamin K de afɛkt di we aw Warfarin de wok. Bɔku it dɛn gɛt Vitamin K. So i impɔtant fɔ it it dɛn we gɛt Vitamin K di sem we, di wan we nɔ de chenj. Fɔ ɛgzampul, grɛn vɛjitebul dɛn lɛk spinach, kabij, brɔkoli, kelɛ, mɔstad grɛn, grɛn ti, asparagus, ɛn brussel sprouts. Nɔ inkrisayz ɔ ridyus di amount of dɛn it ya ɔl wan tɛm.
• Protɛkt yusɛf frɔm injury: We yu de tek warfarin, di risk fɔ mek yu blɔd kɔmɔt. So, tek tɛm bad bad wan we yu de yuz tin dɛn we shap lɛk naif. Protɛkt yusɛf frɔm fɔdɔm ɛn brus. Tek tɛm we yu de ple spɔt. Yuz ilɛktrik reza if i pɔsibul. Tek tɛm we yu de brus ɛn yuz flos yu tit. Tɛl yu dɔktɔ if yu si ɛni wund, brus, ɔ rɛd spat na yu skin.
• If yu sik:Tɛl yu dɔktɔ if yu dɔn sik fɔ pas sɔm dez wit vɔmit, dayarɛa, ɔ fiva. Dɔn bak, if yu nɔ ebul fɔ it fayn fɔ sɔm dez, tɛl yu dɔktɔ. Dɛn tin ya kin chenj di ifɛkt we warfarin gɛt.
• Ivin afta yu dɔn stɔp fɔ tek di mɛrɛsin: Ivin afta yu dɔn stɔp fɔ tek warfarin, i go tek sɔm dez fɔ mek di we aw yu bɔdi ebul fɔ klɔt blɔd kam bak to nɔmal. Aks yu dɔktɔ aw lɔng yu fɔ tek tɛm. If yu go du ɔpreshɔn ɔ wok fɔ yu tit, mek shɔ se yu tɛl dɛn se yu de tek wɔfarin.

Aw Warfarin kin afɛkt mama dɛn we gɛt bɛlɛ ɛn we de gi pikin dɛn bɛlɛ?

Dis na tin we rili impɔtant.

• We uman gɛt bɛlɛ: Warfarin na mɛrɛsin we kin mek di pikin we nɔ bɔn yet gɛt prɔblɛm ɛn blɔd kɔmɔt. So, uman dɛn we dɔn rich di ej fɔ bɔn pikin fɔ yuz fayn fayn bɔn kɔntrol if dɛn de tek warfarin.
• If yu gɛt bɛlɛ we yu de tek warfarin, tɔk to yu dɔktɔ wantɛm wantɛm ɛn tɔk bɔt di prɔblɛm dɛn we kin apin to yu ɛn di tin dɛn we yu go ebul fɔ du.
• We yu de gi pikin in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, yu fɔ tɔk bak to yu dɔktɔ bɔt aw fɔ tek warfarin.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, wɔfarin kin mek sɔm bad bad tin dɛn apin. Sɔm kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔm dɛn nɔ kin rili siriɔs.

Di sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm:

• Alɛji: Skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
• Blɔd we de kɔmɔt: .
• Blak, tarry stɔl, ɔ blɔd na di stɔl.
• Fɔ vɔmit blɔd, ɔ fɔ vɔmit sɔntin we brawn lɛk kɔfi grɔn.
• Yurin de tɔn rɛd ɔ dak brawn.
• Smɔl smɔl rɛd ɔ pepul spat dɛn na di skin.
• Brus ɔ blɔd we nɔ kɔmɔn (e.g. blɔd we de kɔmɔt na di nos, blɔd we de kɔmɔt na di gɔm).
• Blɔd we de kɔmɔt na di bren: I nɔ kin izi fɔ mek yu ed at, yu nɛk kin stif, yu kin kɔnfyus, yu kin tɔn yu ed, yu kin si chenj, yu fes, yu an, ɔ yu fut kin swɛla ɔ wik, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka, yu kin vɔmit.
• Dak ɔ pepul fut finga dɛn we de mek pɔsin fil pen.
• Ebi prɛgnɛshɔn na uman dɛn.
• Di skin kin swel, i kin wam, i kin rɛd, i kin gɛt blista, ɔ i kin gɛt sɔri na di skin.

Sayd ɛfɛkt dɛm wae nɔr kin nid dɔktɔ advays, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu:

• Rɔnbɛlɛ
• Di ia we de lɔs

Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, duya go to yu dɔktɔ.

Aw yu kin kip dɛn Warfarin pils ya?

• Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich. Dis rili impɔtant.
• Stɔr am na rum tɛmpracha. Dat min se, i go kol bitwin 15 ɛn 30 digri sɛlshiɔs (59 ɛn 86 digri F.
• Protɛkt frɔm layt.
• Trowe di mɛrɛsin we dɔn pas.
• Nɔ flush am dɔŋ di tɔylɛt.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Warfarin na drɔg we kin sev layf if yu yuz am di rayt we, bɔt i kin denja bak if yu nɔ yuz am di rayt we. Dat mek,

• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, di rayt tɛm ɛn di rayt doz.
• Mek shɔ se dɛn du yu PT/INR blɔd tɛst pan di de dɛn we dɛn dɔn sɛtul.
• Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, ɔyl dɛn, ɛn di chenj dɛn we yu de it ɛn drink we yu de tek.
• Yu fɔ no ɛni sayn we de sho se yu de blɔd. Tɛl yu dɔktɔ, ilɛksɛf na jɔs smɔl.
• If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, aks yu dɔktɔ ɔ fama. Nɔ fred ɔ shem fɔ aks.

A op se dis infɔmeshɔn dɔn ɛp yu fɔ ɔndastand mɔ bɔt Warfarin. Stay wit wɛlbɔdi!

` Warfarin, blɔd klot, blɔd tin, at sik, strok, PT/INR, vaytamɛn K