Balancing the Benefits: Drug therapies for Atrial Fibrillation and Depression
Coumadin is an important drug in the treatment of atrial fibrillation. In some people, however, combining it with an antidepressant may increase the risk of bleeding. Doctors may prescribe both types of drugs when the risk of bleeding is outweighed by the benefit of managing depression and anxiety and maintaining a high quality of life. My advice to clients with issues similar to yours is to work with the prescribing doctor to find the drug regimen that best addresses one’s anxiety, as well as the need for anticoagulation. Blood levels of Coumadin are to be closely monitored when a drug is added or a dosage is changed.
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June 29, 2009 
From the Pharmacy
Call First, Act Later
One of the most rewarding parts of my work as a
pharmacist is answering questions people have about their medicines. It is also one of my most frustrating jobs, especially when people call with a question about a medication that they have already taken. At that point, I’m unable to help them avoid potential drug [...]
Be Careful with Coumadin
Warfarin (Coumadin), a prescription drug used to
prevent blood clots, saves countless lives. However, many drugs and supplements (even common pain
medicines like aspirin and ibuprofen) can intensify its anti-clotting effect and put patients at risk of excessive bleeding. When Coumadin therapy is indicated, give your doctor—and your pharmacist—a comprehensive list of your prescription drugs, [...]
Shingles Solutions
An attack of shingles (caused by the reactivated
chickenpox virus, which usually stays dormant in
people who had the disease) is typified by burning pain and sensitive skin, followed by a blistering rash that takes weeks to resolve. The antiviral drugs acyclovir, valacyclovir, and famciclovir may reduce symptoms
if started within three days of getting [...]
Water Pill Basics
Water pills (called diuretics) get rid of extra fluid in the body, making it easier for the heart to pump, and help reduce blood pressure. Common diuretics: hydrochlorothiazide (Microzide and others) and furosemide (Lasix). When to take: in the morning to limit nighttime
bathroom trips. What to watch for: Some people suffer leg cramps when [...]
Allergy Relief
Don’t suffer needlessly from springtime allergy
symptoms. Taken once or twice daily, over-the-counter (OTC) products that contain the active ingredient
loratadine (Claritin) or cetirizine (Zyrtec) help treat runny nose, sneezing, and itchy and watery eyes. These drugs, which may be used in combination
with OTC pseudoephedrine (Sudafed) to relieve congestion, sometimes cause a dry mouth. [...]
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