I had a positive lupus antibody and was told i would need lifelong warfarin. is this safe?

Benefit>risk: The benefits of taking warfarin outweigh the risks if you have lupus and your body produces the lupus anticoagulant. Warfarin is generally well-tolerated as long as you maintain your INR within specified margins.

Depends...: Patients who only have lupus anticoagulant or other anti-phospholipid antibodies should not be routinely anticoagulated with warfarin unless they have had a clot. Patients who have not had a clot are best off just taking a baby Aspirin daily. If you have not had a blood clot but you are being prescribed warfarin for just having antibodies, seek a 2nd opinion by another rheumatologist.