Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using blood thinners such as heparin or warfarin (Coumadin®), or medicines to dissolve blood clots such as streptokinase (Streptase®), urokinase (Abbokinase®), alteplase (Activase®), or reteplase (Retavase®).
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have a kidney problem, bleeding disorder such as hemophilia, or if you bruise easily. Tell your doctor if you are receiving brachytherapy (a radiation treatment).
You may bleed and bruise more easily while you are using this medicine. Be extra careful to avoid injuries until the effects of the medicine have worn off. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Avoid picking your nose. If you need to blow your nose, blow it gently.
Watch for any bleeding from open areas such as around the injection site. Also check for blood in your urine or stool. If you have any bleeding or injuries, tell your doctor right away.
Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.