Ask The Doctors: February 2010
Blood Thinners vs. Pain Meds . . . Spinal Decompression . . . Alcohol and Arthritis
Many drug interactions with Coumadin can be dangerous, even fatal. Some of the most common OTC pain relievers, such as ibuprofen (Advil) and naproxen (Aleve), increase the anticoagulant effects of Coumadin and increase the likelihood of harmful bleeding. Even acetaminophen (Tylenol), generally considered safer than aspirin or non-steroidal anti-inflammatory drugs (NSAIDs), can cause problems when used longer than a few days.