With the introduction of several new anticoagulation medications it is important for pharmacists and physicians to be aware of some commonly used drugs such as vitamins, over the counter pain relievers, and antidepressants that may increase the risk of bleeding. Pharmacists should remain cognizant of patients possibly forgetting to discontinue previous therapies when they are prescribed these newer agents. Situations have occurred already where a patient on a brand name medication was switched to a generic and accidentally continued to consume both till the mistake was determined.