other meds and coumadin

[psalmist]

I have a stubborn nail fungus that I can't get rid of. They make a Lamisil pill that I heard about and I am interested in getting. I know someone who has taken it and it works. Does anyone one hear know anything about this stuff and how it would affect your coumadin?

 

[njean]

Try googling coumadin drug interactions & see if there's any information there.

 

[Bina]

Seth, it's funny that you mention this because after my OHS I got a nail fungus and I've never had this before in my life.

 

[KristyW]

I have a stubborn nail fungus that I can't get rid of. They make a Lamisil pill that I heard about and I am interested in getting. I know someone who has taken it and it works. Does anyone one hear know anything about this stuff and how it would affect your coumadin?

Look it up Seth or even better, ask your pharmacist. Anti-fungals are notorious for messing stuff up, so make sure you check.

 

[Alanis]

Hi,
There is an interaction with Coumadin. BUT even people on Coumadin can be well treated!! I mean, you have to tell the people that ajust your Coumadin that you're taking a new medecine and they WILL deal with it. Maybe you'll see that your doses of Coumadin my vary during your treatment. But, it's not because you're taking Coumadin that you can't be treated well. Discuss with your Doctor about it. He will maybe choose another way to treat you or give you this medecine if he thinks that it's the best treatment for you.

Have a good day!
Alanis

 

[Ross]

1 potential interaction was found for the drugs you selected.
You searched for interactions between the following drugs:

Coumadin Tablets
Lamisil Tablets


TERBINAFINE (in Lamisil Tablets) may interact with WARFARIN SODIUM (in Coumadin Tablets)

Warfarin is generally used to prevent your blood from "coagulating" or forming blood clots. This drug is broken down and removed from the body by the liver. If this happens too quickly, then potentially less warfarin would be available for the body to use and blood levels could become too low. Terbinafine may cause warfarin to be broken down at a faster rate than normal. When terbinafine and warfarin are used at the same time, warfarin may be less effective and this could cause the blood to clot more. If these drugs are taken together, your doctor may want to monitor you closely when warfarin. If you are experiencing problems, it may be necessary to adjust the dose of warfarin. Ask your healthcare provider about these drugs and this potential interaction as soon as possible.

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

Last Updated: December 2003

As Alanis pointed out, a simple adjustment in dosage is all that's needed.

 

[psalmist]

Ross,
That scares me. The thing is that it has gotten under 4 fingernails and they just come loose. Not the whole nail. It hasent affected the nail other than being loose. It's embarassing and I would like to be rid of it. I don't like stuff that messes with my meds though. Do you think it would be managable if I tested enough.

 

[Ross]

Ross,
That scares me. The thing is that it has gotten under 4 fingernails and they just come loose. Not the whole nail. It hasent affected the nail other than being loose. It's embarassing and I would like to be rid of it. I don't like stuff that messes with my meds though. Do you think it would be managable if I tested enough.

Certainly Seth, they'll have to increase your dose of Warfarin as needed, but there isn't any reason not to do it. I've got major issues with my toenails that I'd like to be rid of. The darn drugs cost so much and aren't covered by my lame HMO, so I can't do anything about it. Some have told me to apply Vicks Vapor rub to the nails and put band aids over them for a month or two and that would do the trick. Don't know if it's true, but I'm sure thinking about it.

 

[Bina]

I've also used Tea Tree Oil.....same idea. Natural eucalyptus with antibacterial effects.
It probably depends on the severity of the damage as to what you choose to use.

 

[heartfelt]

Hey Ross, I know this is off the subject but I just can't pass up another opportunity to tell you how good I look reflected in your shades! Thanks!

On the subject...lavendar oil is a natural antiseptic, great for taking out the sting from bees, wasps, and works great for lots and lots of things. It's one of the essential oils (like tea tree)that is safe to put directly onto your skin. I'd give lavender, teatree and eucalyptus a try before I took a drug unfriendly with your anti-coagulant and you can use them together. You might try soaking your nails in warm water with about 10-20 drops of all three mixed in.
heartfelt

 

[Ross]

Hey Ross, I know this is off the subject but I just can't pass up another opportunity to tell you how good I look reflected in your shades! Thanks!

Well why wouldn't you give me your phone number then?

 

[heartfelt]

WOW, I didn't know you wanted it It's a bummer that I'm always geographically undesireable and then there's the matter of that gigantic zipper the heart surgeon left me with; haven't had on my pink bikinni top since.
Us blondes have to stick together right?

 

[Ross]

WOW, I didn't know you wanted it It's a bummer that I'm always geographically undesireable and then there's the matter of that gigantic zipper the heart surgeon left me with; haven't had on my pink bikinni top since.
Us blondes have to stick together right?

Honey if you could handle all the scars I have and put up with Oxygen being stuck in my face, I would have no qualms with anything of yours. I look more like Frankensteins monster then human without clothes. Maybe I should have my head flattened?

 

[Bina]

Personally, I find Herman Munster very attractive......

 

[psalmist]

Coumadin Nurse Response

Coumadin Nurse Response

I spoke with my coumadin nurse and her response was that the Lamisil would probably increase the effect of my coumadin and she would want me to test more often. She told me to ask my GP if he would prescribe it to me. I wanted her to know that the reason I was asking her opinion was because she was the medical professional What do you think?

 

[Bina]

I would think that as long as you can test often enough, you will be able to control what is going on with your INR.
Let us know what happens. Good Luck.

 

[csutherland]

Jerry is on the anti-fungal Itraconazole, which is high-powered stuff (& high-priced!) He has Blastomycosis which initially presented as pneumonia in July, has also disseminated to the skin, and the story is long. I have a couple threads in Small Talk. Anyway, it definitely messes with Warfarin, at least at first. He's constantly running to the Coumadin Clinic but last time they said 2 wks and if it's still in range he can go back to 1 month. If you're on Lipitor you have to suspend that as well.

Treatment is for 6-12 months. I sure hope it also helps his toenails!

 

[pamela]

I went to a general surgeon because of a nail fungus and chronic athletes' foot to discuss nail removal. My toes were constantly infected from ingrown nails and generally ugh...

The surgeon asked me to try this for 6 weeks and if I didn't see significant improvement to then come back for a consult. His recommendation:

cut my nails back to the quick and bathe my toes in a solution of TABLE SALT (iodized) and boiling water. Use 3 tablespoons of salt to 1/4 cup water to make a super supersaturated solution and just daub the cooled liquid on with a cotton ball and swabs every time you think of it but at least 4 times a day.

I did it and yes, the initial nail trim hurt badly and bled a bit (you can work the nail back over a period of days) but now I have lovely thin, clear and healthy nails and toes after using the salt cure. Salt in that measure is an excellent, plentiful and cheap, non-mutating antibacterial (as is vinegar) that creates a truly hostile environment in which few microbes can survive.

Don't use sea, epsom or kosher salt and the like, you want regular, run-of-the-mill iodized table salt. I carried a small ziploc baggie around full of soaked cotton balls to apply on breaks and in the rest room at work.

 

[Ross]

Pamela I once had athletes foot terribly bad. My then brother in law, an ex WW II soldier gave me a recipe for an effect solution. You'll have to go to the drug store and I'm fairly sure you'll still have to ask the pharmacist for it, but get Carbolic Acid. 2 Tablespoons in a gallon of water and pour it over your feet every night until the fungus is dead and gone. I forget now how long it took, but it wasn't very long.

Reading around, they say not to anymore. Use your own discretion.