Bridging warfarin with heparin

Common Questions and Answers about Bridging warfarin with heparin

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Avatar f tn It has been suggested that patients on long-term warfarin therapy (including those with mechanical heart valves or atrial fibrillation) who are undergoing minor elective invasive outpatient procedures (eg, colonoscopy, dental procedures) may have a slightly increased risk of perioperative bleeding if placed in some form of heparin therapy (eg, heparin bridge) than those who have their oral anticoagulation withheld for 4-5 days (major hemorrhage 3.7% vs 0.
Avatar m tn I have the same history you do, of valve surgery and post-surgical HIT. You can take warfarin with a history of HIT. If you happen to have a mechanical valve, I'm sure you already are taking warfarin. If you're on warfarin, and you're wondering what to use for bridging, that would be Arixtra (fondaparinux). Fondaparinux is dispensed in syringes for subcutaneous injection, to be self-administered once a day. I've used it, and it's easy.
Avatar n tn My husband - who is on coumadin--was told to stop all his meds except BP a week prior to surgery--he is having a hip replacement and was told he could get heparin to inject daily a week prior. supposedly heparin is a fast acting anticoagulant and it leaves the body after 24 hours.
1013028 tn?1250923267 Thrombosis can be prevented with heparin administration and treated with heparin and warfarin. If clots occur heparin followed by warfarin ( coumadin )is usually prescribed. Higher-than-usual doses of warfarin may be needed. Warfarin or Coumadin is prescribed to prevent strokes arising from atrial fibrillation and DVTs forming in the legs usually.
Avatar m tn heparin is used because it acts immediately. Warfarin might be given, but it takes a day or two to begin working. But heparin is given by injection or instead usually by IV, so it's not practical except when the patient is in the hospital. Warfarin is oral. IV is better because the dose that is delivered to the bloodstream is more sure. Injecting heparin into the body can results in variable dosing, depending on the nature of where the heparin is injected (e.g.
Avatar n tn continue through with warfarin, or to stop the warfarin and bridge in between with enoxaparin or heparin (as snconorm had done). http://www.circ.ahajournals.org/cgi/content/full/116/22/2531 So continuing through with warfarin seems to be the newer strategy. What would NOT be done is to stop anticoagulation altogether.
Avatar n tn Can you take what with it? In general, patients on heparin should not experiment with supplements without their doctor's approval. Supplements can be great, but they aren't as exact in their dosing as a drug like heparin, and doctors don't know much about them.
Avatar n tn They put her on enoxaparin and wanted her to rest for 5 days until the next control. She refused to be put on heparin or warfarin because of her history of gastrointestinal bleeding and recent surgery. We've been told thrombectomy would be extremely risky, given her medical history. I read somewhere enoxaparin only prevents further occlusion of the vein and does not lyse existing clot.
Avatar m tn The only way I am aware that a woman with a mechanical valve might be able to carry a pregnancy to term is by taking daily heparin injections for anticoagulation purposes. Most people with a mechanical heart valve take warfarin tablets, but warfarin is contraindicated in pregnancy. Heparin is supposed to be safe for the baby, but there is no oral heparin; it has to be injected.
Avatar n tn Ten days after giving birth to my 1st baby I had a pulmonary embolism so had Clexane injections initially along with 6 months of warfarin tablets. I am scared of this happening again so this time I am wanting to have Clexane injections during the pregnancy to prevent. Does anyone know at what stage of pregnancy I am likely to start these injections?
Avatar n tn I recently had an outpatient procedure and also had to stop coumadin for 5 days before. What I did was stop the Coumadin 5 days before, and then 4 days before started Lovenox to bridge up until the surgery (Lovenox is a subcutaneous injection and is a Low Molecular Weight Heparin that will keep the blot thin enough to prevent clotting).
612551 tn?1450022175 Right, laprascopic, I have a problem with words longer than four letters. I think I had a endoscopic heart echo in the build up to my heart surgery in 2007, and that word got associated with getting into one's body through small holes. I read you profile and philosophy on life and death.
Avatar f tn I have a call into our primary doctor to see if either he could work with us on bridging or get us into a different practice tomorrow.
Avatar f tn The treatment is by medications like heparin and warfarin which are blood thinners. Please discuss this with your doctor and keep us posted!
Avatar m tn As for pregnancy, mechanical valves do greatly raise the risk of fetal problems, such as still births. The culprit is believed to be the anti-coagulant (warfarin) which crosses the placenta barrier. Trials are trying to establish if dosage could be the answer. Heparin was tried instead of warfarin but this caused the valves to have problems and valve replacement was necessary in many cases, some even fatal.
Avatar f tn My father is a survivor of colon cancer. Unfortunately he has complications from that and/or chemotherapy. He has blood clots in his lungs that haven't dissolved yet (They've tried Warfarin, heparin, etc.). He was not accepted as a candidate for surgery to remove the clots as they are too deep in his lungs. He said the doctor said his is a part of 2% of people who do not have the enzyme to dissolve clots. Is there anything out there (even clinical meds) that could dissolve them?
286207 tn?1249282027 I had 3 miscarriages and they tested them and they were "chromosonally normal" so then they knew it was something with me that was causing the mc's. So they put me on heparin and baby aspirin and I conceived and gave birth to a healthy little girl in April. I will do heparin and baby aspirin again when starting to try for #2!!!
Avatar n tn There are biological treatments that can either dissolve the vegetations (clots) or at a minimum, stabilize it until the body can eliminate the clot. Anticoagulant medication (heparin, warfarin, etc.) can prevent any further clotting (stabilize) or a more potent agent (streptokinase, urokinase, tPA, etc,) which actively dissolve clots. Can be delievered with minimum intervention directly to the site of interest or no intervention with injection to the blood stream.
351404 tn?1299489130 My husband got this also and as we lived abroad a couple of years ago where there was no real choice, he got reverted with drugs in hospital a few times (you probably had heparin into the stomach to break up any blood clotting) and then went into permanent AF where he has been for the past two years! So it doesn't appear to kill you.... He has no real symptoms from it. I know each one is different though.
Avatar f tn She had a pulmonary embolism last week (no known cause) and is currently receiving warfarin and heparin injections. I am concerned that these drugs may not be suitable for an AVM person. She hasn't yet seen a consultant to determine treatment options for the AVM. I also wonder whether the PE could be connected to the AVM. Does anyone have a similar experience or some advice about whether there are alternatives or I am worrying about nothing?
Avatar f tn Hi i suffer from blood clots i suffered a PE, arterial clots and dvt all at the same time, i also clotted while on warfarin in hospital so the doctors want my inr higher than most between 2 and 3. My last inr results were 2.9 and i take 8mg of warfarin.
612551 tn?1450022175 In particular, people taking fish oil or long-chain omega-3 fatty acid (EPA and DHA) supplements in combination with anticoagulant drugs, including aspirin, clopidogrel (Plavix), dalteparin (Fragmin), dipyridamole (Persantine), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid) and warfarin (Coumadin), should have their coagulation status monitored using a standardized prothrombin time assay (INR).