I started 5 mg of warfarin on friday..today is sunday and i am seriously considering not taking my dose today at 10am. I started my schedule for taking it at 10am daily. When i took my first dose friday at 10am later that day right around 3 or 4 i started experiencing intense upset stomach.
Since it is the generic for brand Coumadin it is given in same dose. Mom took Warfarin for the 1st three months after her event. Month four, the pharmacy was temporarily out so I took brand name Coumadin (more$$, of course ;-) but it was the exact same dose. Month five, she was back on Warfarin.
Best to you...
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.
Whatever your personal range is supposed to be, you need to know it. Then you need to be taking an adequate dose of warfarin to stay within that range. The amount of warfarin necessary to maintain the same INR can change, especially if any of your other medications have changed. 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.
Warfarin is the oral anticoagulant most frequently used to control and prevent thromboembolic disorders. Warfarin has a complex dose-response relationship that makes safe and effective use a challenge. Loading doses of warfarin are not warranted and may result in bleeding complications. Interactions with other drugs must be considered, and therapy in elderly patients requires careful management.
you have to think of the worse case senario of switching to warfarin having the warfarin be too strong and your wife getting a bleed of some kind. This could be in her GI track, brain etc. and can be very life-threatening and could cause huge hospital bills.
So, depending on how long she will have to take the plavix for, and what she is taking it for, it may actually be less expensive to use the plavix.
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.
No, and after the heavy duty Amiodarone.
I have taken Propafenone at 225 mg three times a day and twice a day when I was in sinus following a couple of electrocardioversion. If you're following me, the cardioversions were not purminate...one time I was in sinus for about 18 months the other time for two years.
As far as I know a dose of Propafenone once a day will not do much, as the medication will "wear off" quickly. That's why I've taken as much as every 8 hours.
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.
Futher to discussion re warfarin & eyebleeds (bleeds in eye), I have fairly frequent eybleeds which I find rather scary! The bleed usually continues for at least 2 days & takes over a week to clear. They have become worse & more frequent since I started on warfarin 2005. My INR tends to fluctuate & on 17/12/08 was 2.37. My current warfarin dose is 8 mg daily. Does this problem get worse over time?
I test my own blood and adjust my dosage of warfarin. Usually I'm right in range 2.5 to 3.5 (2 art heart valves). About 6 to 8 weeks ago, I took augmentin for 10 days, 2 weeks ago, I took another antibiotic for 5 days. Since then, my PT/INR has been too low, 2.0. My diet and meds have stayed the same. I've been increasing my dose, yet it's still too low. Is it normal for this change? Please see my profile! Can it indicate my lupus activity?
My specialist has feferred me for an ablation procedure which I am waiting for now. I was put on warfarin and bisoprolol and due to the nature of my work I cannot go back whilst on warfarin as i work offshore. I was wandering why I cant be put on asprin which will at least allow me to pass my medical to return to work after the ablation. I have been off work for 3 months due to this and without pay which is causing me a great deal of stress and anxiety.
Suspected
Hypoprothrombinemic effects of COUMADIN 4MG TABLETS (BLUE) may be increased by DARVOCET-N 100 TABLETS in a dose-dependent manner. Bleeding may occur, especially when DARVOCET-N 100 TABLETS use exceeds 2000 mg weekly or is prolonged for several days.
Details: Effect: DARVOCET-N 100 TABLETS may increase the hypoprothrombinemic effects of COUMADIN 4MG TABLETS (BLUE). Bleeding may occur.
Mechanism: Unknown.
- 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.
taking warfarin at a high dose for a longer period of time is only advised for individuals who are at a high risk of developing blood clots that could cause a heart attack, stroke or pulmonary embolism. There is a risk/benefit decision that would require professional judgement.
Thanks for your question, and if you have any further questions, you are welcome to respond. Take care.
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