Coumadin and ADD meds?

[Dave T.]

Hello all, I am not exactly new here, but i has been a while since I have been around.
I have a question about mixing ADD meds and Coumadin/Warfarin. I was recently diagnosed and my primary doc deferred this question to my cardiologist...who then bounced the question back to the primary doc stating that he is OK with what my Primary doc's evaluation. This doc has been very dodgy on this issue, likely due more to personal attitudes against medical treatment of ADD more than anything else.
I am on the fence about ADD meds myself, but I would like to give this a try due to personal issues.
Doe anyone here have experience with ADD meds and coumadin?

 

[Ross]

What meds? Need more info.

 

[Dave T.]

That's another part of the problem...My doc has been stalling on me with this question and we haven't even discussed what meds to try as of yet.
He is simply and flat-out against medical treatment and is doing more to stall me on this question than talk about the possibilities.
I know nothing about ADD meds other than they can be "speedy", addictive, and not so good for the heart...but my Cardiologist says to trust my Doc on this one and left the question to him...leaving me nowhere.

 

[Ross]

Ok, gotcha. I thought maybe you were given something and it's messing with your INR. Anything can be adjusted for, but we'd need to know what they're giving you to tell you what to expect.

If ADD is a huge problem for you, perhaps another Doctors opinion is in order?

 

[Dave T.]

yup. Perhaps I'll shop for a new doc while I'm at it.
My current doc is old, forgetful, and only available 3 days a week.

 

[ALCapshaw2]

Ask a Pharmacist about the names of drugs commonly used to treat ADD. Then ask him about interactions with Coumadin / Warfarin.

There are several Drug Interaction sites on the web.
Google should be able to provide links to many.

 

[Bina]

Maybe the doc wants to try you on Ritalin?

 

[Guest]

I don't know about coumadin interactions with ADD meds. The drugs used for ADD and ADHD are Ritalin, Adderall, Cylert, and Strattera. Ritalin, Adderall, and Cylert are stimulants, (amphetamines), therefore the prescribing physician has to use a DEA script rather than a regular script, dispensed amounts are controlled. Strattera is a new drug that is a non-stimulant that is also used in adults, no DEA script, not habit forming. Sometimes antidepressants are used for ADHD (Paxil, Wellbutrin).

My daughter is ADHD and took Ritalin, Adderall, and Cylert through her school years, she is no longer on any meds. She was taken off of Ritalin because it did not seem to work, Cylert causes liver problems so she was taken off of that, then she took Adderall. She was a totally different person on her meds, did a lot better in school, etc.

ADHD and ADD are real conditions. Usually psychologists diagnose ADD and ADHD and consultwith your family physician. Psychologists cannot prescribe meds. Psychologists can also rule out depression and anxiety disorders that can co-exist with ADHD and ADD.

Check out this site Stimulant Medication and ADHD. If you have been diagnosed with ADD, and you feel you need medication to control symptoms, find a doctor who will support your decision to medicate. I have an adult friend with ADD and she takes strattera. She says she has benefited from the medication.

Good luck.

 

[briansmom]

This is an interesting thread for me. My son is ADD and was on adderall before his surgeries. I thought ALL ADD meds would be contraindicated with heart issues. My son now has to muddle along with an ailing heart and ADD. Please let me know if anyone else has info on this.

 

[Ross]

Check Interactions7 potential interactions were found for the drugs you selected.
You searched for interactions between the following drugs:

Adderall
Coumadin Tablets
Cymbalta Delayed-Release Capsules
Paxil Tablets
Ritalin Tablets
Strattera
Wellbutrin
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Start Over with a New List of Drugs

(Note: Not all drug interactions are known or reported in the literature, and new drug interactions are continually being reported. This information is provided only for your education and for you to discuss with your personal healthcare provider. )

WARFARIN SODIUM (in Coumadin Tablets) may interact with PAROXETINE HYDROCHLORIDE (in Paxil Tablets)

Although the cause of this potential interaction is not clearly understood, paroxetine may increase the anticoagulant effect of warfarin. Warfarin is generally used to prevent your blood from "coagulating" or forming blood clots. When paroxetine and warfarin are used at the same time, your blood may be much less likely to clot and this may increase the risk of excessive bleeding. If these drugs are taken together, your doctor may want to monitor you closely for at least 10 days after therapy with paroxetine is either started or stopped. Blood tests can be used to make sure that you are getting the right amount of warfarin. If you are experiencing problems, it may be necessary to adjust the dose of warfarin. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: April 2007



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WARFARIN SODIUM (in Coumadin Tablets) may interact with DULOXETINE (in Cymbalta Delayed-Release Capsules)

Although the cause of this potential interaction is not clearly understood, duloxetine may increase the anticoagulant effect of warfarin. Warfarin is generally used to prevent your blood from "coagulating" or forming blood clots. When duloxetine and warfarin are used at the same time, your blood may be much less likely to clot and this may increase the risk of excessive bleeding. If these drugs are taken together, your doctor may want to monitor you closely for at least 8 to 10 weeks after therapy with duloxetine is either started or stopped. Blood tests can be used to make sure that you are getting the right amount of warfarin. If you are experiencing problems, it may be necessary to adjust the dose of warfarin. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: April 2007



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AMPHETAMINE (in Adderall) may interact with DULOXETINE (in Cymbalta Delayed-Release Capsules)

Although the cause of this potential interaction is not clearly understood, duloxetine may increase the effects of amphetamine. This could cause an increase in side effects including irritability and depression, restlessness, and anxiety. Other more serious side effects include an increase in blood pressure, a rapid heart beat, and an abnormal heart rhythm. If duloxetine and amphetamine are used together, your doctor may want to monitor you closely for side effects and adjust the dose of either drug if needed. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: June 2008



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DEXTROAMPHETAMINE (in Adderall) may interact with DULOXETINE (in Cymbalta Delayed-Release Capsules)

Although the cause of this potential interaction is not clearly understood, duloxetine may increase the effects of dextroamphetamine. This could cause an increase in side effects including irritability and depression, restlessness, and anxiety. Other more serious side effects include an increase in blood pressure, a rapid heart beat, and an abnormal heart rhythm. If duloxetine and dextroamphetamine are used together, your doctor may want to monitor you closely for side effects and adjust the dose of either drug if needed. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: June 2008



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PAROXETINE HYDROCHLORIDE (in Paxil Tablets) may interact with AMPHETAMINE (in Adderall)

Although the cause of this potential interaction is not clearly understood, paroxetine may increase the effects of amphetamine. This could cause an increase in side effects including irritability and depression, restlessness, and anxiety. Other more serious side effects include an increase in blood pressure, a rapid heart beat, and an abnormal heart rhythm. If paroxetine and amphetamine are used together, your doctor may want to monitor you closely for side effects and adjust the dose of either drug if needed. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: June 2008



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PAROXETINE HYDROCHLORIDE (in Paxil Tablets) may interact with DEXTROAMPHETAMINE (in Adderall)

Although the cause of this potential interaction is not clearly understood, paroxetine may increase the effects of dextroamphetamine. This could cause an increase in side effects including irritability and depression, restlessness, and anxiety. Other more serious side effects include an increase in blood pressure, a rapid heart beat, and an abnormal heart rhythm. If paroxetine and dextroamphetamine are used together, your doctor may want to monitor you closely for side effects and adjust the dose of either drug if needed. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.

This interaction is poorly documented and is considered moderate in severity.

Last Updated: June 2008



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PAROXETINE HYDROCHLORIDE (in Paxil Tablets) may interact with ATOMOXETINE (in Strattera)

Although the cause of this potential interaction is not clearly understood, paroxetine may increase the effects of atomoxetine. Atomoxetine is generally used to increase attentiveness and decrease hyperactivity in children and adults with ADHD. If these drugs are taken together, the doctor may want to monitor ADHD symptoms more closely especially when paroxetine is either started or stopped. If you are experiencing problems, it may be necessary to adjust the dose of atomoxetine. You may want to ask your healthcare provider about this potential interaction if you think you are having problems.

This interaction is poorly documented and is considered minor in severity.

Last Updated: March 2005

 

[Dave T.]

Wow, everyone...Thank you so much for help & research.
I'll update this post when I can catch my doctor in the office.