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Ibuprofen vs. Coumadin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ibuprofen (Advil, Motrin) and warfarin (Coumadin, Jantoven) are used for different purposes and belong to different medication classes. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps relieve pain, fever, and inflammation. It is available both over-the-counter and by prescription. You can take it every 4 to 8 hours, depending on the dosage. Common side effects include nausea, heartburn, and stomach pain. Warfarin, on the other hand, is a blood thinner (anticoagulant) that prevents and treats blood clots. It is only available by prescription and is typically taken once daily. Warfarin requires regular blood tests to monitor its effects, and its dosage is adjusted based on these tests. Side effects of warfarin include bruising and serious bleeding. Unlike ibuprofen, warfarin interacts with many foods and medications, and it is not safe to take during pregnancy.

Ibuprofen

 

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Warfarin

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Summary for Ibuprofen

Prescription or over-the-counter

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that's used to temporarily relieve fever, pains, and aches in adults and children. In general, ibuprofen is taken by mouth every 4 to 8 hours, though the dosage depends on your age, weight, and other medical problems. Ibuprofen side effects include nausea, heartburn, and stomach pain, but taking it with food might help prevent these side effects. Ibuprofen is available over the counter and by prescription, depending on the strength you need.

Indications for Ibuprofen

Over-the-counter ibuprofen:

Prescription ibuprofen:

Pros and Cons for Ibuprofen

Pros

  • Works well for fever, pain, and swelling
  • Available over the counter and by prescription and as lower-cost generics
  • Available as tablets, capsules, chewable tablets, and an oral liquid
  • Chewable tablets and liquid can be used in children

Cons

  • Lasts for only about 6 hours, so might need to take multiple doses throughout the day
  • Might not be the best option if you're 65 years or older or if you have kidney, heart, liver, or bleeding problems
  • Has risk of stomach bleeding, stomach ulcers, and kidney problems
  • Shouldn't take other NSAIDs at the same time because of higher risk for side effects

Common Side Effects for Ibuprofen

The following side effects were reported in up to 9% of people in clinical studies.

  • Nausea
  • Stomach pain
  • Heartburn
  • Dizziness
  • Rash

Warnings for Ibuprofen

  • Stomach bleeding and ulcers
  • Heart attack and stroke
  • High blood pressure and heart failure
  • Kidney damage
  • Liver problems
  • Severe allergic reactions
  • Harm to unborn babies
  • Caution use in people with phenylketonuria (PKU) - chewable tablets only

Summary for Coumadin

Prescription only

Warfarin (Coumadin) is a blood thinner (anticoagulant). It's used to prevent and treat blood clots in adults and children with conditions such as deep vein thrombosis (DVT) or pulmonary embolism (PE). Warfarin (Coumadin) is taken by mouth, typically once daily. Your provider will adjust the dose based on your international normalized ratio (INR). Taking too much warfarin (Coumadin) can lead to side effects like bruising and serious bleeding. If needed, your provider can give you an antidote to reverse the effects of warfarin (Coumadin).

Indications for Coumadin

  • Prevention and treatment blood clots in the veins
  • Prevention and treatment blood clots linked to atrial fibrillation (AFib) or heart valve replacement
  • Prevention of more blood clots and to lower risk of death after a heart attack

Pros and Cons for Coumadin

Pros

  • Each strength of tablet is a unique color, making it easy to tell them apart
  • Only needs to be taken once a day
  • Has an antidote available in case of an emergency
  • Available as a lower-cost generic

Cons

  • Only prevents new blood clots from forming or getting bigger; it doesn't work on existing blood clots
  • Requires regular blood draws to check INR levels
  • Interacts with foods and many commonly-prescribed medications
  • Not safe to take during pregnancy

Common Side Effects for Coumadin

  • Bleeding
  • Bruising

Warnings for Coumadin

  • Severe or life-threatening bleeding
  • Risk of blood clots from stopping too early
  • Risk of fat-containing clots
  • Calcium build-up in blood vessels (calciphylaxis)
  • Skin or tissue death and risk of gangrene
  • Not for use during pregnancy

Prices with our coupons for Ibuprofen vs. Coumadin

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Ibuprofen30 tablets / 800mg
$8.92$16.21
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Warfarin30 tablets / 5mg
$4.00$4.00
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