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Doctor insights on: Coumadin Lovenox Bridge

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Does flax seed oil interfere with lovenox or coumadin (warfarin)?

Does flax seed oil interfere with lovenox or coumadin (warfarin)?

Can be a factor: Flax seed oil makes platelets more slippery and therefore reduce clotting. When combined with Coumadin (warfarin) this can be a factor for increasing bleeding and potentially dangerous. Close followup with your physician to monitor your protimes will help to reduce this risk and allow you to enjoy the benefits of the flax seed oil. ...Read more

Dr. Samuel Goldhaber
364 Doctors shared insights

Enoxaparin (Definition)

Enoxaparin is a blood thinner that is injected twice a day and has an excellent safety profile. It should be discontinued 24 hours prior to delivery if possible to decrease bleeding. Epidural anesthesia may not be able to be given to women on blood ...Read more


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Does lovenox and Coumadin (warfarin) dissolve clots?

No: Lovenox and Coumadin (warfarin) stabilize clots your body dissolves them. ...Read more

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I'm on lovenox inj 2x a day and Coumadin (warfarin) for two tiny pe's. Can I develop another pe while on them. I had no symptoms of my first ones. I'm scared.

I'm on lovenox inj 2x a day and Coumadin (warfarin) for two tiny pe's. Can I develop another pe while on them. I had no symptoms of my first ones. I'm scared.

Pulmonary embolism: Can be fatal if they are big enough. When your doctor investigated its source, he probably could not find it, if he did not recommend any other treatment. You should be on anticoagulants to minimize recurrence. And you should stop taking any meds that might predispose you, such as birth control pills, and stop smoking if you do smoke. Talk to your doctor on how to minimize your future risk. ...Read more

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Can you tell me if lovenox is used in house for treatment purposes, is there any reason not to go ahead and start Coumadin (warfarin) on day 1?

Can you tell me if lovenox is used in house for treatment purposes, is there any reason not to go ahead and start Coumadin (warfarin) on day 1?

You can: It will take about 5 days for Coumadin (warfarin) to become therapeutic. It makes sense to start on day one. (i do). ...Read more

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29 f just diagnosis with 2 tiny pe. On two injections of lovenox, and coumadin (warfarin). Saw I'm at risk of during within 30 days of diagnosis. Is this true?

29 f just diagnosis with 2 tiny pe. On two injections of lovenox, and coumadin (warfarin). Saw I'm at risk of during within 30 days of diagnosis. Is this true?

We're all at risk: We're all at risk - at least you're on the the correct treatment to prevent complications. Stay calm and carry on! On your regimen, your risk is very low. ...Read more

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Can longterm use of Coumadin (warfarin) cause problems with fertility I've been on it 4yrs had miscarriage last yr should I do lovenox injections instead?

Concerns: Coumadin (warfarin) for proper reasons is a good tried medication.
Coumadin (warfarin) and pregnancy presents some challenges.
Early consultation and planning with your OB gyn is indicated to traverse that path. ...Read more

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When does swelling from DVT go away? I'm on Coumadin (warfarin) and lovenox.

Dvt: Will solidify and become chronic in about 4-6 weeks. Will usually go away 4-6 months. But can have chronic vein scarring it valve dysfunction after. ...Read more

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My mom is on coumadin (warfarin) and lovenox but her INR is only 1.3. She recently had a stroke nd dvt. Isn't she at risk of another stroke with low INR?

My mom is on coumadin (warfarin) and lovenox but her INR is only 1.3. She recently had a stroke nd dvt. Isn't she at risk of another stroke with low INR?

No: Lovenox provides anti coagulation while Coumadin (warfarin), (warfarin) which takes a long time to have a complete effect, as measured by INR, starts to work. She's not at increased risk. Make sure to look at the dietary restrictions and drug interactions with Coumadin (warfarin) which might be the reason the INR is still low. ...Read more

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TTC while overweight (5'9 and size 14) and have blood clotting disorders- on Coumadin (warfarin) - will switch to lovenox once pregnant - should I worry?

TTC while overweight (5'9 and size 14) and have blood clotting disorders- on Coumadin (warfarin) - will switch to lovenox once pregnant - should I worry?

Yes: obesity and blood clotting disorders affect pregnancy adversely. You need to see a maternal fetal medicine specialist to provide the proper guidance for follow up, medication and proper tests along pregnancy. Once this guideliness are issued your OB/GYN will follow them ...Read more

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How common is osteoporosis with long term use of lovenox. I have recurred twice (pe, leg thrombosis) on Coumadin (warfarin) and my doctor has me on lovenox?

How common is osteoporosis with long term use of lovenox. I have recurred twice (pe, leg thrombosis) on Coumadin (warfarin) and my doctor has me on lovenox?

Not common: I have not heard of osteoporosis as a complication from lovenox (enoxaparin). In terms of your blood clots, has your doctor done a work up for a hypercoaguable state? Did he discuss alternative oral anticoagulation with xarelto? ...Read more

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DVT in left calf diagnosed a week ago. On Lovenox (2x day) and 5mg Coumadin (warfarin). Experiencing left sided tingling in leg, arm and head (slight headache too). Is this a side affect from meds?

DVT in left calf diagnosed a week ago. On Lovenox (2x day) and 5mg Coumadin (warfarin). Experiencing left sided tingling in leg, arm and head (slight headache too). Is this a side affect from meds?

Blood thinners: Headaches are not a usual side effect of Coumadin (warfarin). If this is a new headache or a variation of the usual headaches then seek medical attention to make sure there is no bleeding in the brain. The risk of bleeding is low (1.5%) but headaches are a concern that needs medical attention. ...Read more

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What is the difference between Coumadin (warfarin) and levinox?

What is the difference between Coumadin (warfarin) and levinox?

A shot and not: As dr. Milstone said, Coumadin (warfarin) in a pill and Lovenox is a shot. The amount of Coumadin (warfarin) you take has to be checked with blood tests on a regular basis. Lovenox does not but Lovenox can cause a very serious side effect involving your platelets that Coumadin (warfarin) doesn't. Lovenox is expenisve, Coumadin (warfarin) is much cheaper. Both can cause bleeding. If that happens, the effects of Lovenox reverse faster. ...Read more

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What is the difference between Coumadin (warfarin) and lovinox?

Semantics: All drugs have a generic name, which is assigned to the molecule that has the pharmacological effect in the body, and a brand name that is proprietary to a specific drug manufacturer. Warfarin is the generic name for the anti-coagulant that inhibits vitamin-k dependent clotting factors; "coumadin" is simply the brand name of the formulation made by a specific manufacturer. ...Read more

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What exactly is tp/inr? I have been on lovanox 60 mg and 20 mg coumadin (warfarin). And today it was 4, 6. Usually around 1.5 have pancreatitis and blood clots

What exactly is tp/inr? I have been on lovanox 60 mg and 20 mg coumadin (warfarin). And today it was 4, 6. Usually around 1.5 have pancreatitis and blood clots

Prothrombin time: Pt and inr international normalized ratio are the personal chemical measures of response to coumadin-warfarin as a measure of the anticoagulation effects
for example inr 2.5 - 3.5 is desired for a DVT or valve patient! ...Read more

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Is enoxaparin less dangerous than Coumadin (warfarin) in case of active gastric ulcer?

Is enoxaparin less dangerous than Coumadin (warfarin) in case of active gastric ulcer?

No: It is not less dangerous. Both are contraindicated if there is active bleeding. Both have the potential to cause life threatening bleeding in the presence of an active peptic ulcer. ...Read more

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Does warfarin cause harm in the first month? If I found out I was pregnant at 4 weeks and switched to lovenox (enoxaparin) asap would it still cause harm?

Yes it can: The risk of harm to the fetus is not insignificant from warfarin at any time during pregnancy. You should discuss this with your ob-gyn. In general, women of child-bearing age who require warfarin are strongly encouraged to use contraception to avoid pregnancy. If pregnany is desired, women are switched to Heparin or Lovenox (enoxaparin) before attempting to become pregnant. ...Read more

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Temp off Warfarin and on Lovenox (enoxaparin) injections twice a day. Drank on warfarin without issue, can I still have a few beers on the lovenox (enoxaparin)?

Temp off Warfarin and on Lovenox (enoxaparin) injections twice a day. Drank on warfarin without issue, can I still have a few beers on the lovenox (enoxaparin)?

No: And I would ask why you aren't directing this question at the prescribers? I am sure if you asked your doctor whether it's ok to drink on Warfarin, s/he would tell you NO in no uncertain terms. Even moderate drinking impairs the metabolism of warfarin, often making you require higher doses, which is if you then lower your drinking may cause a high INR and bleeding risk. It is DANGEROUS. Stop. ...Read more

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Can warfarin or lovenox (enoxaparin) make known anemia worse?

Can warfarin or lovenox (enoxaparin) make known anemia worse?

May be: Bleeding, including internal bleeding is a risk with both medications. Therefore both and make anemia worse if there is internal bleeding in the stomach/intestine. ...Read more

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My boyfriend has 2 clots in his lungs and is currently on warfarin/lovenox but INR is 1.4. What does this mean?

INR too low: Inr is a measure of relative blood "thinning", from warfarin. The Lovenox (enoxaparin) will keep his blood thin until the warfarin/inr level reaches a therapeutic levels between 2 and 3. Once the inr level is appropriate, the Lovenox (enoxaparin) can then be stopped. ...Read more

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Why does my doctor have me come off warfarin 5 days before a surgical procedure and take lovenox (enoxaparin) instead?

Because...: Your doctor does not want you to bleed during the surgery and in the same time your doctor does not want you to develop another kind of blood clots while you are not taking your warfarin. That is why your doctor wants you to stop the warfarin and bridged you on the Lovenox (enoxaparin) while you are off the warfarin. Please discuss with your doctor for other question. ...Read more

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Difference between warfarin and lovenox (enoxaparin)?

See below: Both are blood thinners that act on different parts of the coagulation (clotting) pathway in our system, warfarin is oral and needs regular blood test to check if it is in a good level, avoid eating vitamin k rich foods like dark greens while on this med. Lovenox (enoxaparin) is injectable, dosing computed thru weight. ...Read more

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

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

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

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What is the difference between warfarin and lovenox (enoxaparin)?

What is the difference between warfarin and lovenox (enoxaparin)?

Many: Warfarin is a vitamin k antagonist and is given in pill form and is much cheaper, requires constant checking levels in the blood (pt-inr). Lovenox (enoxaparin) is a low molecular sintetic heparin, injectable once or twice a day subcutaneously, much more expensive buy does not requiere to check the levels in the blood tests. Warfarin has to be stopped 3 to 5 days before surgery, Lovenox (enoxaparin) only 36 hrs. ...Read more

Warfarin (Definition)

Warfarin is a medication used to thin the blood and to prevent or treat people with blood clots. It requires frequent blood ...Read more


Dr. Ted King
699 Doctors shared insights

Coumadin (Definition)

Coumadin is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more