Can I take Warfarin and Amoxicillin together?

لماذا يحدث هذا

Warfarin works by blocking vitamin K, which the body needs to clot blood. Some of this vitamin K is produced by 'friendly' bacteria in your gut. Amoxicillin can kill these bacteria, leading to lower vitamin K levels and making the warfarin effect much stronger. Amoxicillin may also slightly interfere with how the liver processes warfarin.

You must inform the healthcare professional who manages your warfarin (such as your GP or anticoagulant clinic) that you have started amoxicillin. They will likely need to perform an extra blood test (INR test) within 3 to 5 days of starting the antibiotic to check if your dose needs adjusting. Seek medical help immediately if you notice blood in your urine or stools, or if you have a nosebleed that won't stop.

خطر النزيف

Warfarin increases your risk of serious bleeding. You must seek immediate medical attention if you have a fall, a head injury, or notice signs of internal bleeding such as dark/tarry stools or coughing up blood.

Drug interaction

Taking amoxicillin while on warfarin can further increase your risk of bleeding. You will need more frequent blood tests (INR) to monitor your clotting levels while taking this antibiotic.

الحمل

Warfarin can cause serious harm to an unborn baby. You must use effective contraception while taking it and inform your doctor immediately if you think you are pregnant.

حساسية البنسلين

Do not take amoxicillin if you have ever had an allergic reaction to penicillin. A severe reaction (anaphylaxis) can be life-threatening.

الكحول

It is best to avoid or strictly limit alcohol while taking warfarin. Alcohol can affect how your liver processes the medicine, which may increase your risk of bleeding or cause your INR levels to become unstable. If you do drink, keep it to a minimum and do not binge drink.

It is best to avoid or strictly limit alcohol while taking amoxicillin. While there is no direct chemical interaction, alcohol can dehydrate you and interfere with your sleep, which may slow down your recovery from infection. Additionally, both alcohol and amoxicillin can cause stomach upset or nausea, and combining them may make these side effects worse.

Foods high in vitamin K (e.g. spinach, kale, broccoli, Brussels sprouts, asparagus)

Vitamin K helps your blood to clot, which works against warfarin. You do not need to avoid these foods entirely, but you must keep the amount you eat consistent. A sudden increase or decrease in vitamin K intake can change how well your warfarin works.

Cranberry juice and Goji berries

Cranberry juice and goji berry products can significantly increase the blood-thinning effect of warfarin, leading to a higher risk of bruising or bleeding. It is best to avoid these while taking warfarin.

عصير الجريب فروت

Grapefruit juice may increase the levels of warfarin in your blood, which can increase your risk of bleeding. It is best to avoid grapefruit juice.

Pomegranate juice

Some evidence suggests pomegranate juice may interact with warfarin and increase the risk of bleeding. It is best to avoid it.

Taking multiple medicines? Our مدقق تفاعلات الأدوية helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

إخلاء المسؤولية

هذه المعلومات لأغراض تعليمية عامة فقط ولا ينبغي الاعتماد عليها كبديل للنصيحة الطبية المهنية. استشر دائمًا طبيبك العام أو الصيدلي أو أي متخصص رعاية صحية مؤهل آخر قبل اتخاذ قرارات بشأن أدويتك. قد تختلف الظروف الفردية، ولا يمكن إلا لمتخصص الرعاية الصحية الذي يعرف تاريخك الطبي تقديم إرشادات مخصصة.