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Thread: What cold/sinus medicine can I take with Warfarin?

  1. #1
    Join Date
    Nov 2009
    Location
    Trussville, AL - USA
    Posts
    38

    Default What cold/sinus medicine can I take with Warfarin?

    Hi folks,
    Can I take Claritin and/or Tylenol Allergy Multi-Symptom while taking Warfarin?
    Got the sniffles and slight sore throat and just wanted to know what to take.

    Thanks again!

    Kurt
    AVR Repacement 12/29/2009
    St. Jude Mechanical
    Dr. David McGiffin (UAB/Kirklin Clinic)

  2. #2
    Join Date
    Nov 2007
    Location
    North Texas
    Posts
    1,636

    Default

    There's a sticky with a link to check drug interactions. See the anticoagulation forum.

    You can check your cold med against the coumadin/warfarin on that.
    Laurie
    MVR & maze & pacemaker-2006
    ICD-2007;
    AVR & tricuspid repair w/ ring 8/11/2010
    home testing since 2006

  3. #3
    Join Date
    Sep 2003
    Location
    near Fort Worth TX
    Posts
    5,974

    Default

    Hmmmmmmm. Sniffles and slight sore throat. It's that time of the year again!

    This should be transferred to the Anticoagulation Forum so more will see it there.

    However, Claritin (loratadine) won't affect your INR, according to drug interaction sites online.
    Tylenol's website says to consult your doctor before taking Tylenol Allergy Multi-Symptom if you are taking "the blood thinning" drug warfarin. I've taking Extra Strength Tylenol & the PM version before, never had a problem, but I haven't taken more than perhaps 4 capsules a day, and not for long periods. I would check with a doctor first, because the Tylenol product contains a decongestant; many cardiac patients are advised to avoid decongestants. I have not taken a decongestant since my surgery.

    You may want to ask your doctor for an Rx for a nasal spray something like fluticasone (Flonase) to prevent symptoms of allergies in the future. Our PCP has Rxed fluticasone for both my husband and me. It's pretty reasonably priced; I pay $15 at Walmart. My husband has his filled at Costco (1 bottle for $15.48); when we picked up his last refill, 2 bottles were in the sack. He started to decline the 2nd bottle, but they said the price on 2 bottles was less than 2 individual refills, so he took them and saved about $9.
    Marsha (7-28-50), MVP 1990/MVR (St. Jude) & ASD repair 6/24/03 Baylor University Medical Center, Dallas Texas. Hometesting since 11/03, first with ProTime 3, now with INRatio.
    John (3-13-46), MV repair 5/10/07, Dallas Presbyterian, port-access incision, Dr. William Ryan. Chordae ruptured 12/05 in car crash.

  4. #4
    Join Date
    Sep 2009
    Location
    Logan Utah USA
    Posts
    7

    Default

    I use Zicam and it has not effect on my INR

  5. #5
    Join Date
    Feb 2007
    Location
    East Ontario, Canada
    Posts
    12,616

    Default

    Kurt, OTC cold meds containing Tylenol (or Acetaminophen), will be fine with warfarin for the short term.
    If you are taking BP meds, then you need to be careful because the decongestants and antihistamines may raise your BP.
    BAV-Aortic Stenosis...AVR Oct 11, 2005 / St.Jude Regent mechanical 21mm
    INR Home testing since 2007 with Coaguchek XS...Self-Dosing

    "Caution: I may have been in contact with Nuts"

  6. #6
    Join Date
    Feb 2007
    Location
    louisville, KY USA
    Posts
    2,008

    Default

    I've taken 10mg Loratadine, the generic of Claritin, daily for tha past few years for seasonal allergies and "Ohio Valley" sinus problems . It has not interacted with my warfarin and/or INR. I also take 1000mg typlenol daily for spinal disc pain without any interaction with warfarin.
    Starr-Edwards mechanical AVR 1967 at age 31.....University of Kentucky Med. Ctr., Dr. Richard Wood & Dr. Gordon Danielson surgeons. No surgery (heart or otherwise) since. On Warfarin ACT since surgery. No diet, lifestyle, or activity restrictions....and I live one day at a time.

  7. #7
    Join Date
    Nov 2002
    Location
    S.E. Mi
    Posts
    1,314

    Default

    Kurt,
    I have used the Tylenol multi-symptom with no problems, including both the night and day versions. The anti-histamine in it should not be a problem, but the de-congestant in it can raise your BP. In addition it also contains alcohol. But for the short term you shouldn't have a problem. The nightime version can give you a good nights sleep.
    Rich
    Rich
    AVR 7-29-96
    St. Jude Mechanical
    Wm. Beaumont Hospital
    Royal Oak,Mi.
    Dr. Paul Clancy

    "Life is not measured by the number of breaths we take, but by the moments that take our breath away"
    Geo. Carlin

  8. #8
    Join Date
    Feb 2006
    Location
    New York, NY
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    121

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    My cardio has told me: Antihistamines OK, Decongestants not OK.

  9. #9
    Join Date
    Dec 2001
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    25,981

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    I take whatever brings relief whether it's on the no no list or not. There isn't much that you can't take. Sudafed could be a problem or others of that nature, but for the most part, just about any cold remedy is fine.

  10. #10
    Join Date
    Mar 2003
    Location
    North Alabama
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    6,910

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    Don't forget, you can ALWAYS ASK your Pharmacist at ANY Hour they are open and for NO Charge :-)

    Most Coumadin / Anti-Coagulation Clinics have one or more Nurses who handle Telephoned Questions about drug interactions (or at least mine does). Your anti-coagulaton manager is another good source of information as well.

    For stopped-up sinuses (sp?), I've been told to that Mucinex works well and seems to have little or no interaction with anti-coagulation.

  11. #11
    Join Date
    Jul 2007
    Location
    Canada
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    5,787

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    Lets try "stuffed-up" sinuses ........I use Dristan at night.
    Laughter is the Best Medicine

    MVR March 30/07 Carbomedics Valve - Said and done in 5 days - Shocked & Dumbfounded
    I've learned..That to ignore the facts does not change the facts

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