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Medications that can cause bruises

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By Jan Nissl, RN, BS

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Many medications can cause bruises as a side effect. Some medications cause bleeding and bruising because they decrease your blood's ability to form clots.

Medications that may cause bruising include:

  • Antibiotics, such as penicillins and cephalosporins.
  • Antihistamines, such as Benadryl and Chlor-Trimeton.
  • Blood-thinning medications (anticoagulants), such as warfarin (for example, Coumadin), heparin, or enoxaparin (for example, Lovenox). Taking a nonprescription medication with an anticoagulant may increase your risk of bruising and bleeding. Talk to your health professional or pharmacist before taking any nonprescription medications if you take an anticoagulant.
  • Medications used to treat cancer (chemotherapy), such as adriamycin, Cytoxan, or cisplatin.
  • Medications used to treat heart disease, such as nitroglycerin, beta-blockers, and calcium channel blockers.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen.
  • Psychiatric medications, such as tricyclic antidepressants and major tranquilizers.
  • Steroids, such as prednisone.

If you have unexplained bruises and take one of the above medications, have recently started taking a new medication, or have increased a dose of a medication:

  • Call the health professional who prescribed the medication. He or she can determine whether you should stop taking the medication or take a different one. An appointment may or may not be needed.
  • If you are taking nonprescription medication, stop taking the medication. Call your health professional if you feel you need to keep taking the medication or if you need help to control your symptoms after you stop taking the medication.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD - Emergency Medicine
Specialist Medical Reviewer Alexander H. Murray, MD, FRCPC - Dermatology
Last Updated May 8, 2007
Last Updated: 05/08/2007

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