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Tell your doctor if you take any of the following medications anticoagulants blood thinners such as warfarin coumadin, jantoven ; aspirin; other nsaids such as ketoprofen and naproxen aleve, naprosyn ; oral steroids such as dexamethasone, methylprednisolone medrol , and prednisone rayos ; selective serotonin reuptake inhibitors ssris such as citalopram celexa , fluoxetine prozac, sarafem, selfemra, in symbyax , fluvoxamine luvox , paroxetine brisdelle, paxil, pexeva , and sertraline zoloft ; or serotonin norepinephrine reuptake inhibitors snris such as desvenlafaxine khedezla, pristiq , duloxetine cymbalta , and venlafaxine effexor xr .

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perform additional inr tests when other warfarin products are interchanged with coumadin, as well as whenever other medications are initiated, discontinued, or taken irregularly.

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a person taking a blood thinner like coumadin may become more vulnerable to a dangerous bleeding ulcer.

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abnormal bleeding fluoxetine and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin coumadin , jantoven , a non-steroidal anti-inflammatory drug nsaids, like ibuprofen or naproxen , or aspirin.

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