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Heparin bridge to coumadin

A 31-year-old member asked:
Dr. Calvin Weisberger
Cardiology 51 years experience
Coumadin (warfarin): Coumadin (warfarin) takes a minimum of 2days to lower the inr. It is necessary to overlap drugs when bridging.
Dr. Steven Busuttil
Vascular Surgery 33 years experience
Generally Yes: Generally yes, usually "bridging" means using quick acting Heparin injections (most often lmwh) to anticoagulate until the Coumadin (warfarin) adequat... Read More

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A 36-year-old member asked:
Dr. John Ricotta
Vascular Surgery 48 years experience
Tests differ: Coumadin (warfarin) and Heparin prevent clots in different ways and the two tests measure different things. the Partial THromboplastin Time (PTT) is a... Read More
A 35-year-old member asked:
Dr. Creighton Wright
General Surgery 56 years experience
Ok: Morphine all routes possible- oral, im, iv coumadin oral heparin sub cutaneous and iv, not muscular in general insulin subcutaneous and iv.
A 60-year-old female asked:
Dr. Calvin Weisberger
Cardiology 51 years experience
Warfarin: Actually the warfarin doesn't dissolve the clots it prevents new ones from forming. The bodies own thrombolytic system takes care of the existing clot... Read More
A 24-year-old female asked:
Dr. Klaus d Lessnau
Pulmonary Critical Care 36 years experience
OMG: This is difficult. You need a really good doc, especially for your age. This is something that needs a very close eye on, a doc's eye. Do not hesitate... Read More
A 24-year-old female asked:
Dr. Michael Dugan
Specializes in Hematology
Heparin is used: To achieve rapid full anti coagulation. Warfarin is then introduced, but takes 5-7 days to establish a therapeutic level.
A 38-year-old member asked:
Dr. Bennett Werner
Cardiology 44 years experience
INR?: If your inr is between >2.5 stop the warfarin, skip 2 doses and on the next morning, start heparin. If your inr is.
A member asked:
Dr. Bac Nguyen
Family Medicine 23 years experience
Coumadin (warfarin) resistance: 95% of people get adequate response to Coumadin (warfarin) with dosage between 1-9mg. Thus leaving about 5% of people need above 9mg--because of sever... Read More
A 51-year-old member asked:
Dr. Calvin Weisberger
Cardiology 51 years experience
Heparin: warfarin works by interfering with production of clotting factors so needs a living body. Heparin is a direct clotting factor inhibitor. It can work i... Read More
A 26-year-old male asked:
Dr. Adeshola Ezeokoli
Internal Medicine 20 years experience
It doesn't: Only heparin can cause this

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