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Warfarin in dialysis patients

Common Questions and Answers about Warfarin in dialysis patients

jantoven

Avatar f tn He was on dialysis for a 18 months before his dad gave him a kidney and now, 9 years later, that kidney is failing as well. He was in hospital for a month in Jan and landed up in ICU with blood clots in the lungs. He was given 4 blood transfusions but that has made no difference. He is on warfarin again (it was stopped last year Sept when he landed up in ICU with a nose bleed and got a blood transfusion, the warfarin was then stopped). Could it be his blood causing all these issues?
Avatar f tn Hi, my mom is 81 yrs. old. She gets out of breath just walking a few steps.. She's on dialysis three times a week for three hrs. She has pneumonia for about a month and she has had x-rays done on her lungs when she went in to have blood work done (she's on warfarin). The doctor didn't like the looks of the x-rays and had her take a CT scan. They found a knot on her lung. She'll be seeing a lung doctor next week. Should I be concern she might have cancer?
Avatar m tn There are an estimated 300,000 people in the UK with chronic Hepatitis C. The disease progresses much more quickly in some patients than in others and around one in five of those infected will develop cirrhosis. Treatment to clear the infection is currently effective in only around 50 percent of patients and can have considerable unpleasant side effects such as fatigue, nausea and depression.
Avatar m tn Sorry to hear but I am not familiar with any financial support for dialysis patients in the Philippines. I feel for your uncle. I was first on dialysis when I was 16. Then again at the age of 28 after my first transplant. Now I got a 2nd transplant after 7 years on dialysis so am happy again but the new kidney is not working fully. There is no such thing as being too young for this life time disease.
220090 tn?1379167187 Since the patients were suffering from cancer it isn't as startling as it would be otherwise .I have seen articles about issues/side effects with Epo but they have always centered around cancer patients. Perhaps there is not enough history of Epo use in HCV treating patients but I don't recall seeing anything in that setting. If you have seen something I would appreciate a link.
1013028 tn?1250923267 Blood clots that form in veins (deep vein thrombosis, pulmonary embolism) are mainly made up of clotting proteins and platelets do not play a significant role in venous clots. Coumadin or warfarin is an effective blood thinner that prevens the production of clotting factors in the liver. Anti-platelet drugs like Aspirin or Plavix do not play much of a role in preventing venous clots.
Avatar m tn With warfarin, Vitamin K is used to reverse overanticoagulation in patients, there is no antidote for Pradaxa. Warfarin a lot cheaper than Pradaxa. Good luck with your ablation. Hope you do well on Pradaxa! Best wishes!!
996946 tn?1503249112 Warfarin works by reducing clotting agents present in the blood which means you are more prone to bleeding. You should watch for blood in your faeces and try not to bruise yourself too much. It is also a good idea to have regular blood tests for checking Liver function. Are you on Warfarin long term?
233622 tn?1279334905 The clearance of R-warfarin is generally half that of S-warfarin, thus as the volumes of distribution are similar, the half-life of R-warfarin is longer than that of S-warfarin. The half-life of R-warfarin ranges from 37 to 89 hours, while that of S-warfarin ranges from 21 to 43 hours. Studies with radiolabeled drug have demonstrated that up to 92% of the orally administered dose is recov-ered in urine. Very little warfarin is excreted unchanged in urine.
Avatar n tn Some surgeons request that a patient not be on plavix or warfarin at the time of surgery in order to minimize the risk of bleeding. Traditionally, the effects of plavix on platelets is minimal after 5 days. Usually, blood clots normally about three days after taking warfarin. This is quite variable and can be confirmed by a blood test (either checking INR or prothrombin time), prior to surgery.
Avatar n tn If a patient on warfarin has a condition, such as a stomach ulcer, that makes anticoagulation undesirable, then any bleeding of the ulcer might be considered a side effect of warfarin. There is also an unusual but real conditon called warfarin necrosis, in which the skin ulcerates and sloughs off, but warfarin necrosis is pretty much unmistakable, and it doesn't sound like your father has that.
3287038 tn?1398422427 Another class of drugs called ‘spironolactone antagonists’ such as Aldactone or Eplerenone can be useful but are often reserved for more highly symptomatic patients. Both ACE inhibitors and spironolactone antagonists need to be used with caution in patients with kidney disease due to the risk of high potassium ‘hyperkalemia’.
Avatar n tn He says I have chances of getting a clot in damaged section of heart (anterior) and warfarin is more effective. For last two yesrs I am on asprin+clopidogrel. My EF is 35% due to MI in 2007. Anyone who has experience and/or information on above, please advise.
Avatar n tn Even the dialysis nurses would probably have good information for you. Sometimes nurses are more in touch with patients than the doctors due to the amount of time spent with patients. :) Of course, I am a little partial!!!!
Avatar m tn My experience with dialysis is that in the United States, unless something has recently changed, dialysis patients apply for and receive Medicare to cover the cost of dialysis.The social worker at the dialysis center will assist the patient with the application process and everything is billed directly after that. I have never heard of anyone coming out of pocket for dialysis. I am sure someone will set me straight if I am incorrect.
Avatar f tn I have on many occassions stopped my warfarin for medical procedure reasons. I take only 5 mg a day. So, in my exlperience on can stop "cold turkey" without any problems other than an increased chance of blood clots and storke. I have several risk factors, oncluding permenant AFib, so I have no choice. I do not have many side effects from Warfarin, but I am on less than half the dose you are taking. Do discuss with your doctor at your earliest, surely within a week or two.
Avatar f tn Now Im on dialysis and waiting for a kidney transplant. I have been called 3 times but not a match yet. First in Oct, then Nov. And now last in March. I have been through all the testing and had been cleared to go forward with the transplat when a good match comes forward. This last test in March I was in the hospital for the potential kidney and the Drs came in saying that I was showing Hep C+. You cant even emagine what I felt. I told them they had to be wrong. and demanded a second test.
Avatar n tn I work in a dialysis unit and the loss of voice during the end of treatment and for a time afterwards has been reported to me by quite a few patients of mine over the years. The doctors always say its nothing to worry about.
Avatar m tn It will not take cancer out, I am sorry, I wondered about it one time too. My sister has been a dialysis Rn for 35 years. Dialysis patients have almost as bad trouble with it, as we do chemo. They have to have the shots for their red blood counts and all that. I wish I could tell you it worked for cancer.I hope your mom feels better soon.
Avatar m tn I was given argotroban in the hospital. Apixiban and dabigitran are nonapproved for mechanical heart valve patients.
612551 tn?1450022175 CoQ-10 is frequently recommended for reducing side effects in patients taking statins ( like Lipitor) and I haven’t heard of anyone on warfarin having issues. I would recommend consulting your doctor first (obviously) and maybe refraining from COQ-10 unless you have some nasty symptoms that you absolutely can’t tolerate which COQ-10 has been shown to alleviate.
Avatar m tn Hello and hope you are doing well. For the infection he may need antibiotics. The antibiotic dose needs to be adjusted for patients on dialysis. He should avoid eating outside and should take proper precautions with the fluids consumed. If he is aware of a medicine or food that’s causing the diarrhea, then avoid it. Further avoid foods like milk and milk products, high fat or greasy food, foods that have a lot of fiber like citrus fruits and very sweet foods, such as cakes and sweets.
Avatar f tn In spite of the fact that I am 78 years old and have a moderately leaky mitral valve I was recently put on Pradaxa because of my Afib. What effect does Pradaxa have on the mitral valve?
1420905 tn?1282427611 my dad is on hemo now for 3 months...dry skin is caused by lack of water in your system...dialysis removes excess water from you...