Warfarin with aspirin
Common Questions and Answers about Warfarin with aspirin
jantoven
- 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.
However, when I visited the Cardiologist for the first time last Wednesday he informed me that neither he nor any of the other Cardiologists wanted me to continue taking Warfarin, and that they wanted me to switch over to one 81 mg baby aspirin a day. Does this make any sense, and if so, what is their reasoning?
This discussion is related to <a href="/posts/Heart-Rhythm/How-long-to-stay-on-Tykosin-/show/514573">How long to stay on Tykosin </a>.
With AFib you need some anticoagulant protection. A better protection is to use Coumadin or Warfarin. They require a prescription, but the generic Warfarin is available at very low cost, e.g., Walmart. The bigger cost for being on an anticoagulant is getting the blood tests to be sure the level of medication is right. But given you can't take aspirin (did you take them with food?), there doesn't seem to be another choice.
I do not know anything about Ginseng...
If you happen to suffer a cut, you will bleed more because of Warfarin, but most minor cuts are not a problem. The same, to a lesser degree, can be said about aspirin.
As you seem to have only periods of risk for a clot, and even during those times a person suffering from AFib/Flutter is only at a slight risk of "throwing" a clot, I'd not be too concerned about spending a period of time off of Warfarin, but would, take a full does aspirin, not a "baby" or reduced dose.
The protocol guidelines are aspirin and plavix for year or a little longer if the implant was DES. Drug enduced stents have propensity to form a clot when compared to bare metal stents.
After a year the consensus is to continue aspirin (81mg is OK), and unless there is a special need for an additional anti-platelet medication the plavix should be discontinued based on the risk of uncontrolled bleeding, etc. is greater than any benefit.
So he suggested using Plavix combined with 81mg aspirin. He said it provides more protection than aspirin but not as much as coumadin. He will talk to my neurologist and see what he recommends. I am a 40 year old female who had valve repair and MAZE procedure at Cleveland 9 months ago. After my surgery because of a pericardial effusion I was taken off coumadin and left on aspirin even with arrhythmias. My afib is not constant right now. Hope this helps.
Hi... I also was on Warfarin, but only for a month after undergoing an ablation. The procedure was on Jan.29 and i was put on warfarin for 30 days. I had a normal period in february but then in march it started and never really stopped. I've basically had my period for six months straight. could this possibly be from the warfarin to be going on for this long? Is there anything that could be done about this?
I have recently been put on Warfarin for Paroxysmal Atrial Fib. I feel miserable and anxious on this drug. They continue to up my dose, 11mg. at present. I have decided to quit the Warfarin but wonder how to go about this. Do I quit cold turkey or taper off? Anyone else has quit Warfarin and how did you do it?
There are other people besides yourself who require both Plavix and warfarin. Sometimes aspirin is used in place of the Plavix, and the patient will be on aspirin and warfarin. That type of combo regimen is used when the doctor doesn't think that one drug alone is enough to do the job, and one drug obviously wasn't enough in your case. It seems that your Plavix and warfarin regimen is working, so I'll join you in giving thanks for that.
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 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.
He said new, I asked cost, he said higher than Warfarin (but then Warfarin is about as expensive as aspirin - but there is the cost of the blood tests to add to that). I said not now.
Looking on my prescription plan site a 90 day supply of Pradaxa was something like $250. I pay about $10 for warfarin.
As noted, coumadin/warfarin/pradaxa are just about clot reduction (stroke reduction). Other drugs are used to control HR and to, hopefully, stop AFib, put the heart in normal sinus rhythm.
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