Doctor insights on:
Contraindication To Anticoagulation
Pretty good, but...: They are essentially equivalent in thinning the blood to replace coumadin (warfarin), (warfarin) but they require twice daily dosing. Yes, you don't have to get your blood tested like you do with coumadin (warfarin), (warfarin) but if you have a bad bleed, there is no antidote for either you mentioned, like there is for coumadin (warfarin). So one must weigh the risks vs. The benefits, as we do everyday in medicine. ...Read moreSee 1 more doctor answer
Daily: Unless history of stomach ulcers or bleeding problems. ...Read more
Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?
Anticoagulant: We have a variety of oral and injectable anticoagulants. The appropriate one(s) depend on the clinical status of the patient, such things as age, kidney and liver function all figure in to the problem. Talk to your doctor about which is the best for you. ...Read more
I'm allergic to Coumadin (warfarin) and want to donate plasma. Should I considering the donation process consists of using an anticoagulant?
If a patient has an pt of 60.1 and is taking plavix (clopidogrel) for atrial fibrillation, what orders would you take? Would you discontinue the plavix (clopidogrel)?
Coagulation defect: With a pt of 60 your risk of bleeding is high. Why you have it is a problem. Plavix (clopidogrel) is an anti platelet agent but at the risk of bleeding you have i would stop it. Your doctor has to talk to you and find out all the medicine you are taking, evaluate your liver and your coagulation system to find out why you have coagulopathy. ...Read more
Patient received pacemaker to control atrial fibrillation. Does she still need to be on blood thinner (Xarelto)?
Any risks to wearing jewelry with magnetic closures when taking Coumadin (warfarin) or a blood thinner?
Coumadin (warfarin): no direct risk from magnetic closure on jewelry ...Read more
Is aspirin&plavix enough blood thinners to prevent stroke if Chad score (2) ,if no then what is the safest NOAC to avoid S/E for paroxysmal Afib
Anticoagulation : Anticoagulation is recommended for patients with atrial fibrillation and CHADS2 score of 2 or higher for stroke prevention. Aspirin and Plavix (clopidogrel) do not offer the same protection. NOACs have not been compared head to head to determine which one is the safest. Any one of them would be a good choice. ...Read more
Is it safe to use Coumadin (warfarin) and propranolol at the same time? I use Coumadin (warfarin) because of an old dvt. No clotting disorders.
Yes: Different actions and indications.Get a more detailed answer ›
If on life long Coumadin (warfarin) with stable and under control pt/ INR planning a 11 hour air travel would you suggest increasing the Coumadin (warfarin) dosage ?
See below: Neither aspirin nor heparin is a treatment for hypertension. While aspirin is generally safe, heparin should only be use used under the supervision of a doctor. It is important to treat hypertension to prevent heart disease. It would be prudent to consult a doctor for proper evaluation and treatment. ...Read more
Probably not safe: Nattokinase has fibrinolytic activity which is a different mechanism than warfarin which is a vitamin k antagonist interfering with synthesis of prothombin and factor vii. The combination is likely synergistic. The product label clearly states they should not be used together and i don't doubt that the combination would increase the risk of pathological bleeding including intracranial hemorrhage. ...Read more
It depends: Both Plavix and Coumadin (warfarin) "thin" the blood but do so via different mechanisms and degrees. The choice of one medication over another depends on your underlying condition and specific risk profile. In other words, you would have to discuss with a doctor the specifics of your case. ...Read moreSee 1 more doctor answer
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