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I am not a doctor, but have many familyBirth control and family planning Choosing a primary care provider Ewing’s sarcoma Family troubles - resources members and friends with heart disease. Are you feeling tired and weak? The warfarinWarfarin Warfarin sodium can sometimes make people feel weak and not able to do what they would like to do. The Metoprolol can make people feel tired. The Metroprolol is a beta blocker, Rampril is the ace inhibitor, Warfarin is the blood thinner and Digoxin is for a better fill and stronger heartbeat. You can ask your doctor about the Metroprolol to see if he could prescribed a different beta blocker that would not make you feel so tired (if that is your symptom). Some people take Plavix instead of the Coumadin (warfarin) so you can ask your doctor about that if you have not already tried it. Plavix works more like aspirin. Warfarin is for more deeper artery blood clots. Make sure that you are being monitored closely by your doctor regarding the warfarin. My father has blood draws every 3 months and he is on warfarin and digoxin. It is important to stay on your medications. Taking your medication as prescribed by your doctor will help to keep you out of the hospital. Consult your doctor regarding your medication questions. Do not change any medications dosages without your doctors approval.