Patients with a lupus anticoagulant are prone to excess bleeding, repeated miscarriages, thrombosis and strokes. Patients with
a lupus anticoagulant that presents atleast twice and
a history of thrombosis should be given indefinite treatment with anticoagulants. 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.