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How to take warfarin for rheumatic heart disease

The information on this page is from the handout Warfarin patient information by Te Whatu Ora | Health New Zealand. 

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Infographic - warfarin patient information sheet
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Share or print a PDF version of the booklet in your preferred language.

You can also see the warfarin guide for rheumatic heart disease on KidsHealth.

Warfarin Guide For Rheumatic Heart Disease

Steps to taking warfarin for rheumatic heart disease

Warfarin stops clots forming or getting bigger.

Illustration of different warfarin tablets

The right dose = the right INR.

Too high - may bleed.
Too low - won't work. 

Illustration to show the range of INR (from too low to too high)

Take your tablets at the same time every evening.

Your doctor or nurse will tell you how many tablets to take and when to go for your next blood test.

Illustration about taking your tablets at the same time every evening

Call a health profesional if any of the following happen:

  • any unusual bleeding or bruising
  • severe unexplained pain
  • fever, vomiting, diarrhoea, infection
  • becoming pregnant
  • missed doses
Illustration showing a hand holding a phone and words about when to call a doctor or nurse

Other medicines can affect warfarin.

Ask your pharmacist or doctor about all your medicines.

Illustration of bottles of tablets with words about other medicines affecting warfarin

Mix your green vegetables with other coloured vegetables.

This does not apply if you are on dialysis. You must consult with a dietitian. 

Illlustration of a clock and words about mixing green vegetables with other coloured vegetables

Phone your health professional for your INR results on the day of your blood test.

Take the recommended dose until your next blood test.

Follow 3 steps when taking warfarin

1

Keep to your scheduled date and time for your blood test.

2

Call ________ that same afternoon and request your INR result.

3

Take the prescribed dose of warfarin at the same time each evening with a glass of water. Record that the dose has been taken - you could make a cross on a calendar.

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