warfarin and oral surgery

t know how warfarin is affecting your life style. I have been on warfarin for years and had no concerns about running and bike riding, and using power wood working tools. All of these activities puts one at an increased risk of a cut and bleeding, but I simply take the risk. On the other hand, I don't sky dive, or pick fights ....

Anyone know why the surgeon would prescribe this very expensive form of anticoagulant when oral administered warfarin is very inexpensive and doesn't require sticking oneself with a needle? I suppose it is more effective - I'll ask him myself if I ever see him again.

Some prospective studies have suggested that patients on long-term warfarin therapy who undergo minor invasive procedures and are taken off their oral anticoagulation for up to 5 days have a less than 1% risk of experiencing a thromboembolic event".

Coumadin is a commonly prescribed blood thinner, and is used for heart patients, and also patients like your mom going through this type of surgery.. I found this information at Health Scout : "The terminal half-life of warfarin after a single dose is approximately one week; however, the effective half-life ranges from 20 to 60 hours, with a mean of about 40 hours.

Two years ago I had a stenosis in my small intestine which required surgery to correct.Seven months ago I had a pulmonary embolism and I am told this may have been the second one.I am taking 7 mg of warfarin a day and my INR is 2.5.I had a liver transplant 10 months ago,and was told my vascular system was not great.Given my overall situation I am concerned about heart attacks and strokes.Do you think I should be taking 75mg of aspirin a day as well as the warfarin?Thanks.

8 which is high (supposed to be 2-3) and took me off meds and today it was down to 4.4, so staying off until Sunday and then going on 1/2 dose and rechecking levels again on Monday. No more complaining about MS! Finally getting some daytime energy, now that Dog is sleeping all night again. Took her out this morning for socializing and she did pretty good, she went to the clinic with me. Hope everyone has a good week-end….

I believe it could be a FATAL mistake if you stopped taking the warfarin. Mechanical valves will clot without warfarin and this could cause a heart attack, stroke or heart failure and could cause you to have to have another open heart surgery. PLEASE ,PLEASE talk to your doctor about any changes in the warfarin.

The most common anticoagulation drug prescribed after heart valve surgery is warfarin (Coumadin). The newer blood thinners are apixaban and dabigatran, also known as Pradaxa and are expensive. The main concern is that specific antidotes for bleeding are available for warfarin but not yet developed for the new drugs. Hope this helped and do keep us posted.

warfarin(1.5mg), spironolactone, Capoten, metoprolol. Latest INR is 2.39. The conclusions made by the local pediatricians and surgeons are: 1. LOVT is related to the replaced mitral valve extrusion. 2. Pulse pressure 84mmHg, may causes sudden death; 3. Since the patient is too young and her weight gain is not obvious, the valve ring size is estimated not to change since the MV replacement. No smaller valve available even if accepting surgery. Close observation is suggested. Question: 1.

warfarin(1.5mg), spironolactone, Capoten, metoprolol. Latest INR is 2.39. The conclusions made by the local pediatricians and surgeons are: 1. LOVT is related to the replaced mitral valve extrusion. 2. Pulse pressure 84mmHg, may causes sudden death; 3. Since the patient is too young and her weight gain is not obvious, the valve ring size is estimated not to change since the MV replacement. No smaller valve available even if accepting surgery. Close observation is suggested. Question: 1.

A drastic change in diet can alter INR also, but in my own personal experience, it has usually been other meds that caused me to need to change my warfarin dosage and not my diet. An INR that is consistently out of range is dangerous. Don't worry about maintaining the same dose of warfarin. Worry about maintaining an INR that is consistently within range. Whatever dose of warfarin you have to take to stay in range is okay.

He was also on Warfarin after his second surgery. Last December, he had sore throat for three weeks and one day he vomitted and in like 15 mintues he passed away. I am not surre if his tissue valve failed or something else.

I am on alot of meds but mostly Warfarin, nexium, Metformin, adn pain pills and muscle relaxers. No my doctor is not a cardio doc. General pract. but followed by my Neuro who is my MS specialist.

Xarelto is one of the newer blood thinners, but my ep told me there is no antidote to the newer drugs and should you need emergency surgery they could be a problem. With Warfarin you can be given Vitamin K or plasma to reverse the effects. I wonder if trying the brand Coumadin might help you? I know the genericss are supposed to be the same, but sometimes people do better on the original drug. Just a thought. I say definitely discuss it with your doctor.

stop warfarin 5 days pre-op; restart warfarin post-op as soon as oral fluids are tolerated. High thromboembolic risk: stop warfarin 4 days pre-op and start low molecular weight heparin (LMWH) at therapeutic dose; stop the LMWH 12-18 pre-op; restart LMWH 6 hours post-op (assuming haemostasis achieved); restart warfarin when oral fluids are tolerated; stop LMWH when INR = 2.0.

for 40-50 yrs i have had p. a.d. and have managed to keep it under control w/ exercise and one surgery. so what is least amount of warfarin i should take. i'm not just another of their text book persons i'm my own person.

My mother had gone through a sleeve gastrectomy operation 3 weeks ago. On the 22nd post-operative day, due to severe pain in the epigastric zone, her doctor ordered an abdominal CT. It turns out that portal vein and superior mesenteric vein are thrombosed. 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.

Enhanced hypoprothrombinemic response to warfarin has been reported in patients with acute alcohol intoxication and/or liver disease. The proposed mechanisms are inhibition of warfarin metabolism and decreased synthesis of clotting factors. Binge drinking may exacerbate liver impairment and its metabolic ability in patients with liver dysfunction. The risk of bleeding may be increased. Conversely, reductions in INR/PT have also been reported in chronic alcoholics with liver disease.

Clearly your question is one for your doctor to answer. In my experience with Warfarin, and I get along well with it, aspirin is much easier to deal with if it is sufficient. I don't know the relationship between having a pacemaker and needing Warfarin. Warfarin is a blood anticoagulant (thinner) as I'm sure you know. It is taken to reduce clot formation caused by something line Atrial Fibrillation or mechanical heart valves.

I was taking warfarin for the knee surgery that was done feb. l4.and the Dr. took me off it on the after surgery follow up appointment this past thur. I don't know if I have Atrial Firillation. I do take blood pressure mediine.

Now after a week of Warfarin and Lovemox shots, I am scheduled for a venogram, thrombolysis and then surgery to remove my 1st rib. After that lots of Heparin and more Warfarin for at least a month..not to mention LOTS of painkillers as this is a tough surgery. My question is how damaging are these blood thinners, anesthesia, painkillers and contrasts to the liver? Is there anything I can do to help my liver through this?

Hi, I had a double bypass in May 2011, three months ago and in the past two weeks i am getting very intense chest pain like i had before the surgery. I am having an angiogram in 5 days time and i am worried as they cannot put stents in because i am on Warfarin (Comadum} and they cannot give me another blood thinner for the platlets as they do when they put in stents. I have just turned 60. Thanks a mill!

I am concerned about possible drug interactions between the antibiotic azithromycin and the two heart medications warfarin and amiodarone. My relative has brief history of heart problems span one and a half years (though the underlying heart condition itself appears to be congenital). Rhythm problems resulted in CHF, hospitalization, and later diagnosis and heart surgery. Subsequent dysrhythmia and CHF has been prevented adequately with medication.

Until 2 months back I was taking 150mg Ecosprin and 5mg Warfarin daily, then I was diagnosed with Hepatitis E and my INR value increased suddenly, so my doctor cut on the warfarin for few days until it dropped to <1.5 and then I started taking my warfarin again but my INR didn't increase. 2 weeks back my doctor increased my dose from 5 to 6mg but still my INR value is 1.4 and it is not increasing from past 2 months. Please help.

Warfarin and oral surgery

Common Questions and Answers about Warfarin and oral surgery

jantoven