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Division of Digestive and Liver Diseases, USA
*Corresponding author: Stephanie S Maldonado, Division of Digestive and Liver Diseases, Los Angeles, California, USA
Submission: August 20, 2019; Published: September 05, 2019
ISSN 2637-7632Volume3 Issue4
Anticoagulants are among the most commonly prescribed medications worldwide. With the legalization of marijuana across an increasing number of states, cannabis use has steadily increased nationwide in North America. There are limited studies on effects of natural cannabis on commonly prescribed anticoagulants such as vitamin K antagonists. The following case serves to educate on this potential interaction and encourage future studies given the prevalence of warfarin and marijuana and possible concomitant use in the United States. We present a case of a 53-year-old male on a stable dose of warfarin who presented to the emergency department with one week of progressively worsening lower abdominal and back pain, constipation and hematuria. He had a past medical history of stroke, interatrial septal aneurysm with patent foramen ovale. He began experiencing these acute gastrointestinal and urological symptoms soon after getting a prostate MRI to workup an elevated PSA level.
Ph.D in Agriculture from Faculty of Agriculture, Tohoku University
Research Professor, PhD, Holistic Research Institute
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute
Chancellor Emeritus / Professor Emeritus of Chemistry and Physics, University of Missouri–St. Louis
Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil
Assistant Professor in College of Architecture, Art and Design
Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University
Professor of numerous training courses in Family Medicine
Assistant Professor, Department of Electronics and Computer Science
Wenzhou Medical University, China
Fooyin University, Taiwan
Saglik Bilimleri University, Turkey
Vincent Pol University, Poland
National Defence University of Malaysia, Malaysia
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Council for Agriculture Research and Analysis of Agri Economy (CREA), Italy
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Institute of Solid State Physics of RAS, Russia
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