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Doctor insights on: Got Positive Lupus Antibody Test Warfarin

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I have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back. My ANA is 6:40. I'm on plaquenil. Why are all my other antibodies neg for lupus?

I have  recurring flares of  rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back.  My ANA is 6:40.  I'm on plaquenil. Why are all my other antibodies neg for lupus?

Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis. ...Read more

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Antibody (Definition)

An antibody is a protein the body's immune system makes to identify potentially harmful substances in the body. Antibodies attach to the substance on a molecular level and mark it so the immune ...Read more


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I got a positive lupus antibody test in june and was told I would need lifelong warfarin. Is this accurate?

I got a positive lupus antibody test in june and was told I would need lifelong warfarin. Is this accurate?

Need more informatio: There are a lot more details that we need. Hey positive antinuclear body by itself does not require lifelong warfarin. I suspect this advice was given because of other findings. Your rheumatologist should be able to help clarify this advice. ...Read more

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

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

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. ...Read more

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How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?

How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?

Risks are low!: I do not see major risks in becoming pregnant, that is if you get pregnant. You will be switched to heparin, probably once daily lovenox (enoxaparin). But your lupus can be managed successfully during pregnancy, and the hughes syndrome should be a non-issue if on an anticoagulant. Hope you achieve your goal! ...Read more

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I am on warfarin due to aps or antiphospholipid antibody syndrome. My lupus caused aps. Can i take phentermine?

I am on warfarin due to aps or antiphospholipid antibody syndrome. My lupus caused aps. Can i take phentermine?

See a neurologist: I wish there was an easy yes/no answer to this. APS makes you prone to clots and catastrophic APS can cause multi-organ failure. Unfortunately phentermine is a stimulant that can cause blood vessel narrowing. I would make this decision in conjunction with an endocrinologist and neurologist. ...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
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Coumadin (Definition)

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