heparin - injection (cont.)
PRECAUTIONS: Before using heparin, tell your doctor or pharmacist if you are allergic to it; or to pork products; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: very low platelet count (thrombocytopenia), uncontrollable bleeding.Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe high blood pressure (hypertension), heart problems (e.g., infection of the heart, heart attack), recent surgery/procedure, cancer, bleeding/clotting disorders (e.g., hemophilia, antithrombin III deficiency), stomach/intestinal ulcers or tube drainage, liver disease, kidney disease, current/recent bleeding (e.g., from wounds, menstrual period).Before having surgery, tell your doctor or dentist that you are using this medication.This medication contains sodium. Consult your doctor or pharmacist if you are on a salt-restricted diet or if you have a condition that could be worsened by an increase in salt intake (e.g., congestive heart failure).Adults over 60 years of age, especially women, may be at greater risk for bleeding while using this drug.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.This medication does not pass into breast milk. However, consult your doctor before breast-feeding.
DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: antihistamines (e.g., diphenhydramine), antithrombin III, digoxin, mifepristone, nicotine (e.g., patch, gum), nitroglycerin given by injection, other drugs that can cause bleeding/bruising (e.g., anticoagulants such as warfarin, antiplatelet drugs including NSAIDs such as ketorolac), tetracyclines.Check all prescription and nonprescription medicine labels carefully because many contain pain relievers/fever reducers (NSAIDs such as ibuprofen, naproxen, or aspirin) that can increase the risk of bleeding when used with heparin. Low-dose aspirin should be continued if it has been prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 milligrams per day). Consult your doctor or pharmacist for more details.Do not mix or infuse heparin together in the same line or catheter with doxorubicin, droperidol, ciprofloxacin, or mitoxantrone. Cigarette smoking decreases blood levels of this medication. Tell your doctor if you smoke or if you have recently stopped smoking.This medication may interfere with certain laboratory tests (including certain liver function tests, prothrombin time), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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