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. Current dosing recommendations are reviewed, and practical guidelines for the optimal use of warfarin are provided".
Hope this helps, and if you have any further questions or comments you are welcome to respond. Thanks for your question. Take care.
My only experience is Warfarin (generic Coumaden) for about 15 years. I'm at 5 mg daily, and 7.5 mg a couple of times a week. I am always in the 2-3 range, and guess Warfarin would hold be at 2.5 + if I took 7.5 mg a day. I am not suggesting a dose change, just sharing experience.
I eat green vegetables/salads often and it doesn't seem to make any big change.
SDH is subdural hematoma is also commonly seen in the elderly and in alcoholics, who have evidence of cerebral atrophy. It is also more common in patients on anticoagulants, especially aspirin and warfarin. Patients on these medications can have a subdural hematoma with a minor injury and it is abnormal localized collection of blood in which the blood is usually clotted or partially clotted..
The treatment of a hematoma depends on its location and size.
I also wanted to mention that one of the doctors told me that there will likely be alternatives to warfarin in 5 to 10 years. The same goes for heart surgeries (ie: new minimally invasive techniques). Changes in future technology may be a factor in your decision.
Do a lot of internet research to help you with your decision. Whatever you decide, I wish you the best!
my mother underwent for the valve replacemet(mitral valve and tissue valve)before two years.suddenly she got blood clot in her leg.she ask to use warfarin to remove the blood clot.now she is getng back to normal.may i knw why was it happened suddenly and will it occur in fucture? will this lead to stroke? doctor saying cox of the heart rhythm problem.
is that occuring cox of her valve?
I just got back from seeing my doctor and was told that aspirin is no substitute for warfarin. The problem is in establishing a consistent INR reading of 2-3.
as soon as I can achieve that reading I will only have to go for blood test once a month.
The stroke, according to my cardiologist was caused by Afib.
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.
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.
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.
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.
I take warfarin everyday. I had aortic valve replacement in 2001 and had an artificial heart valve installed. The downside to that is I will have to take blood thinners for the rest of my life because of the artificial valve. That is not the case with a tissue valve. It has really not had any affect on me at all. The one thing that I know warfarin affects is Vitamin K. Vitamin K is what causes your blood to clot. Therefore the warfarin cancels out some of the Vit.
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.
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