What can you do to lower the risk of bleeding?

To reduce the risk of a bleeding event from warfarin treatment, follow these guidelines:

• Tell your doctor about all medications, herbal remedies or supplements you take. Ask if you need testing to see if a new medication affects your warfarin treatment.
• Tell your doctor and dentist that you take warfarin before you have any medical or dental procedures. Share this information even before minor procedures, such as vaccinations and routine dental cleanings. If you're going to have surgery, you may need to decrease or stop your warfarin dose at least five days before the procedure. Your doctor might prescribe a shorter acting blood thinner (heparin) while you're not taking warfarin.
• Protect yourself from injury. Avoid contact sports or activities with a high risk of head injury. Wear a bicycle helmet. Tell your doctor if you are unsteady while walking or have a history of falling.
• Use safer hygiene and grooming products. A soft-bristle toothbrush, waxed dental floss and an electric razor for shaving can help prevent bleeding.
• Consider wearing a bracelet or carrying a card that says you take warfarin. This identification can be useful if emergency medical providers need to know what medications you take.