Increased chance of bleeding viibryd and other antidepressant medicines may increase your chance of bleeding or bruising, especially if you take the blood thinner warfarin coumadin , jantoven , a non-steroidal anti-inflammatory drug nsaid , or aspirin.

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As heparin may affect the INRpatients receiving both heparin and COUMADIN should have INR monitoring at least:

You also should not take Coumadin if you are are prone to bleeding because of a medical conditionsuch as:

Frequency not reportedHypersensitivityallergic reactionsanaphylactic reactionsRef]

All medicationsincluding warfarinshould always be kept out of the reach of children and pets.

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if therapy with coumadin is discontinued, patients should be cautioned that the anticoagulant effects of coumadin may persist for about 2 to 5 days.