Do you have to take lovenox (enoxaparin) before warfarin?

Yes: Lovenox (enoxaparin) keeps you anticoagulated while waiting for your warfarin to reach a therapeutic level. If you don't take this as a bridge, you may form a bigger clot.

Yes: It takes at least 5 days for warfarin to work. Lovenox (enoxaparin) will worknimmediately.

Usually: Unless you were on Heparin or one of the other lmwh's (like arixtra), yes it is recommended to be anticoagulated when starting warfarin. This is because there is a brief increase in coagulation tendencies by release of the vit-k dependent clotting factors w/start of warfarin. Once depleted (few days), the Lovenox (enoxaparin) can be stopped.

Often: Lovenox (enoxaparin) for right now blood thinning while we get the warfarin to a good level.A clot maybe deadly.

No: Most people are put on some form of Heparin before coumadin (warfarin).