warfarin therapy

- why a clot should form in my heart when the muscles were damaged six years back and considering that I am on aspirin+clopidogrel which too have anti clotting function. - warfarin may be slightly better as compared to aspirin+ clopidogrel, but in my case with no AF, does it makes sense getting into this risky business of conatantly monitoring of INR and fear of bleeding. - I have seen on net some other drugs in market which are equally good as warfarin with lower risk of bleeding.

continue warfarin therapy, withhold warfarin therapy for a period of time before and after the procedure, or temporarily withhold warfarin therapy and also provide a "heparin bridge" during the perioperative period. Which management option to follow is primarily determined by the characteristics of the patient and by the nature of the procedure.

0), age ≥ 65, highly variable INRs, history of gastrointestinal bleeding, hypertension, cerebrovascular disease, serious heart disease, anemia, malignancy, trauma, renal insufficiency, concomitant drugs (see PRECAUTIONS), and long duration of warfarin therapy. Regular monitoring of INR should be performed on all treated patients. Those at high risk of bleeding may benefit from more frequent INR monitoring, careful dose adjustment to desired INR, and a shorter duration of therapy.

Severe headache while being on Warfarin therapy needs immediate medical attention. Please get a fresh MRI of the brain done to find out if there is any bleeding or any clots in the brain which may be causing the symptoms of sharp headaches. The symptoms may also be due to drug interactions if you are taking other drugs along with Warfarin. It may interact with other medications like OTC pain killers or cold medications. Alcohol interacts adversely with Warfarin and increases the INR.

5/’09, hospitalized due to methyldopa induced cholestasis, diagnosed w/ A fib. 8/’09, 14 days into Warfarin, she fell (cause unknown), suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. Initially paralyzed left side & recovered almost 90%. On our request, switched to Aspirin. 12/’09, open cholecystectomy due to acute cholecystitis w/ pigmented gallstones. In 5/’10 , she had a minor stroke.

I was in bed so much after Doxil also and should have been wearing the compression socks to prevent blood clots. I have not been on hormone therapy. I am on the shots and Coumadin (Warfarin).

Archives of Ophthalmology, June 2011 Patients on warfarin therapy appear at no increased risk for vitrectomy complications This retrospective, case-control study compared outcomes between 60 patients who continued warfarin therapy during the surgical period with patients not on any type of anti-coagulant therapy.

hi st142 , I assume DVR stands for "Double Valve Replacement"; the fact that you are on Warfarin and monitoring your PT/INR indicates that you are on therapy to prevent embolism from a mechanical/bio-prosthetic valve in the heart. While you are on Warfarin - and this would be life-long for you - you are at risk from both under-dosing, which would lead to embolism, and over-dosing, when you could have bleeding from some part of your body, including the brain.

Once you have it, the more likely you will stay in it or go back into it. Which means warfarin therapy permanently, just as if you had a mechanical valve. At your age you will want a mechanical valve so it doesnt wear out, they rarely replace mitral valves with tissue if at all. Anyways, why would you want to have this done? Well because with RHD given what youve said, its inevitable that you will have to have it done.

I am male 60yo have afib.I take warfarin and have been told painkillers mess with INR.

I'm a 47 year old male permanent afib have been on warfarin for 1 year by ep doctor because he wanted to convert me and put me on flecanide I opted not to take the drug because it does'nt realy bother me and he told me I don't need to take warfarin anymore because I'm otherwise cardio healthy and to just take a 325 aspirin, but my primary doc wants me to stay on warfarin, so I have been staying on warfarin until 2 days ago went to doc for something else and his assistant looked a

I started taking Warfarin 3 weeks ago after my PVI ablation. Since my first dose, I've been experiencing headaches almost every day. I rarely get headaches (maybe one or two a year) so it is significant to have them every day. A few weeks ago the headaches were on and off but it has been constant since last Friday and seems to be getting worse. I've been trying to ignore it but it is starting to affect my productivity. Did anyone else experience these headaches while on Warfarin?

For instance, I know of someone who had to be on it throughout pregnancy, because she needed anticoagulation therapy, and warfarin has effects on the fetus. I know those shots aren't fun, but I wonder if you could use them from time to time, to give your hands a break.

Has your cardiologist discussed a lower "impact" clot therapy, just aspirin? Sorry, I don't know if your condition makes aspirin not possible. I take both a half aspirin and 5 mg warfarin for clot control, my case being AFib. Does the colitis make you more susceptible to GI bleeding? My understanding is if I can keep my INR between 2 and 3, my bleeding risk is limited to impact trauma or abrasion/cut, I believe.

I take my warfarin before bed, so my time off warfarin is more like 1.5 days than two days. I go back on warfarin right after the exam, may take 7.5 mg instead of the usual 5 mg to get back on INR faster. I believe being off of warfarin increases my risk of a clot, but the risk is still low. Anyway, I split the difference toward the side of limiting clot risk while slightly increasing the risk of bleeding due to (minor) surgery.

I have not heard of such a pattern. Has your husband ever had a 30 day event monitor? This could be very helpful diagnosing the exact rhythm disturbance. As for the need for anticoagulation recommended by Jerry_NJ, this therapy would be warranted only if this were Atrial Fibrillation, which can increase your risk of stroke from the formation of clots. If you have no other risk factors for clot formation, most Dr's will prescribe a full strength aspirin (325mg).

ve tried to read as much as I can about warfarin along the way. I even went to a day-long CEU workshop for medical professionals on warfarin management and got the certificate. But I'm still not an expert. To my way of thinking, the experts are the hematologists, pharmacists, and other health professionals who manage large numbers of people's warfarin on a daily basis.

We, as her family, favor to use aspirin therapy for her AF to mitigate her risk of thromboembolism, as opposed to continuing with Warfarin. But given her near death brain-bleed while using Warfarin, is it wise to use ANY blood thinners now, even low dose aspirin? 2. Should the patient have an echocardiogram to determine the nature and extent of the clotting she is/may be forming due to her AF? What type of echocardiogram? Transthoracic or transesophageal ?

Neodymium magnet therapy is not a good idea. Magnet therapy may have some value, but it can also induce malignancies.

I am a 71y male, active , working medical professional, with Hx of Htn & carbamatic mechanical aortic valve in 2000 for AI. Non Eluding Stent in Nov. 2009. Although published INR range is b/w 2-3 for patients on triple anti-thrombotic therapy of 75mg clopidogrel, 80mg asprin & warfarin,I've also heard that INR of 1.5 - 2 is also acceptable. Kindly verify, confirm, advise, forward relevant studies/trials PDFs.Thank you for your timely response and effort.

I am 53 and just had my 2nd open heart surgery 2 months ago. 3 years ago a bovine aortic valve was put in and there was major scarring that occured. So in December they replaced it with a mechanical valve. I'm now on Warfarin 7.5 and have been maintaining an INR of 2.5-2.8. Last week I had a severe stomach virus and became very dehydrated. I went in for my draw yesterday and recieved a call last night from my cardiologist.

I see both a vascular surgeon and in the hospital after I was diagnosed I saw a hematologist who did blood clotting testing as well as monitor my warfarin therapy for 6 months at their clinic. I would see both.

The basis of therapy of AF are treating the underlying heart disease, restoring the rhythm, maintaining the rhythm and anticoagulation to prevent complication. For restoring the rhythm medications like Flecanide are used. Without rhythm control, the main complication is increased ventricular rate. Also, exercise tolerance is better with rhythm control. So, based on your present clinical symptoms and AF status, therapy can be planned.

Given that yesterday he said to not take the warfarin he was changing me from the genertic warfarin and putting me on the brand name of the med coumadin. Said some folks do not tolerate warfarin well but do well on coumadin and i am to start the coumadin today. I would be lying if i didn't say i am a bit gunshy at this point. This med has made me absolutely miserable and today is my 43rd bday...

Warfarin therapy

Common Questions and Answers about Warfarin therapy

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