Dr. Gott: Coumadin causing rash, itching
Dear Dr. Gott: I am a 78-year-old female. Eight months ago, I was diagnosed with atrial fibrillation and congestive heart failure. I was put on Coumadin, but take generic warfarin.
Since the regimen began, I have itched all over, especially in body crevices. I have a number of lesions and, even as I write this, I have bandages on three areas of my torso trying to protect spots where the skin is raw from scratching because of the itch.
I went to a dermatologist, who gave me a sample of a white ointment and recommended I buy a small bar of soap for $10. This has helped little, if at all.
Before being put on the warfarin I never had any problems like this. The Coumadin clinic I go to for lab work and my doctors seem unconcerned. In fact, I asked my doctor about another treatment, and all I got was that Coumadin is what I need, period!
For information, I take medication to lower my blood pressure and Prilosec for heartburn from a hiatal hernia. None of my medications have been changed.
Dear Reader: Coumadin and its generic form of warfarin act as an anticoagulant to help reduce the formation of blood clots. The medication was prescribed because of your atrial fibrillation, a rapid and irregular heartbeat. This is important because most people with this condition are at higher risk of blood clots, which may lead to stroke.
Hives, rash and itch are side effects. You are likely experiencing an allergic reaction to the drug or a possible cross reaction from the hypertensive medication you are on. I believe your dermatologist is off base. Lotion will not make your problem go away.
If your physician is unwilling to work with you, request a referral to another physician or cardiologist. Also, consider seeing an allergy specialist.
•Write to Dr. Gott c/o United Media, 200 Madison Ave., 4th fl., New York, NY 10016.
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