Lovenox warfarin bridge

Common Questions and Answers about Lovenox warfarin bridge


I am going to a different hospital for oncology and they want me to discontinue Warfarin 7 days before and use a <span style = 'background-color: #dae8f4'>lovenox</span> <span style = 'background-color: #dae8f4'>bridge</span> injection for the interim. I called my regular EP and they say no need. What would you do? 7 days seems a long time without blood thinner -- I'm on it because I'm at risk for strokes, right? Any comments and/or advice would be welcome. Also, any pep talks welcome!
Recently, I had a total knee replacement. <span style = 'background-color: #dae8f4'>lovenox</span> was used to <span style = 'background-color: #dae8f4'>bridge</span> before and after surgery. I have used <span style = 'background-color: #dae8f4'>lovenox</span> many times in the last three years for various procedures etc. I have never had a problem. But, this time, lovenox was started the day after surgery and coumadin on the day of surgery. Within two days I began to bleed into the knee...four units of blood replacement were required not to mention all the other complications.
They are using the lovenox as a "bridge" drug so your blood is still thin while you are off the warfarin. They gave me lovenox in the hospital, and I used it at home before my warfarin levels were up to where they wanted them after cardioversion. I did read of one post on here where the woman had a stroke after going off her blood thinning therapy before a colonoscopy. I have yet to have my colonscopy and that is one of the reasons.
continue through with warfarin, or to stop the warfarin and <span style = 'background-color: #dae8f4'>bridge</span> in between with enoxaparin or heparin (as snconorm had done). So continuing through with warfarin seems to be the newer strategy. What would NOT be done is to stop anticoagulation altogether.
I was administered Heparin, a fast acting anti-coagulant which has a very short half life. By the time I left the hospital several hours after the procedure, its strength had diminished to a quarter of the dose.