Top
10
Doctor insights on: What Is The Most Promising Replacement For Warfarin For Dvt

Share
1

1
What is the most promising replacement for warfarin for dvt?

What is the most promising replacement for warfarin for dvt?

New and Improved?: There are two newer oral agents, xarelto(rivaroxaban) and pradaxa(dabigatran) that may eventually replace warfarin use for most purposes. Currently Pradaxa is only approved for prevention of stroke in afib patients, though i believe they are working on a DVT indication. Xarelto is currently indicated for afib as well as DVT prophylaxis. Neither require monitoring like warfarin. ...Read more

See 2 more doctor answers
Dr. Ted King
806 doctors shared insights

Deep Venous Thrombosis (Definition)

Deep venous thrombosis is a clot within the deep veins of the leg. The blood clot causes pain and swelling of the calf. This is a concerning condition, because if the clot breaks loose, it can travel to the lung and become lodged there, blocking blood ...Read more


2

2
I got DVT in the bend of knee.What sports i could do and not do after be healed?Is operation suitable to myage24?What meds can replace warfarin

I got DVT in the bend of knee.What sports i could  do and not do after be healed?Is operation suitable to myage24?What meds can replace warfarin

Ok to do sports: Why did you get the dvt: recent surgery, dehydration, inactivity, travel? If you have a family history of clots, get tested for hypercoagulable state. It's ok to do most sports, but avoid high impact contact sports while on a blood thinner. We do do operations (thrombolysis) for dvt, but only if it is in the bigger veins in the thigh or above. Xarelto and Pradaxa are other oral anticoagulants. ...Read more

See 1 more doctor answer
3

3
After a DVT what are your INR levels suppose to be at in order to be able to come off the warfarin?

After a DVT what are your INR levels suppose to be at in order to be able to come off the warfarin?

Not related: The inr is not used to come off the warfarin. Inr is a measure of the blood clotting ability and is used to monitor the effect of the warfarin. The goal is between 2 and 3. If less than 2, the warfarin effect is not enough to protect one and > 3 it causes excess bleeding risk. The duration of therapy depends on circumstances surrounding the DVT and can range from 3 months to lifetime treatment. ...Read more

See 2 more doctor answers
Dr. Alvin Lin Dr. Lin
1 doctor agreed:
5

5
I have to use warfarin, becausr I have DVT for three times.Doctors said that I should use this tablets forever. Is there any procedure for my problem?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
I have to use warfarin, becausr I have DVT for three times.Doctors said that I should use this tablets forever. Is there any procedure for my problem?

Hypercoagulable: Wow, you're pretty young to have had 3 dvts already. Make sure you get tested for any specific hypercoagulable state. Check out http://clevelandcliniclabs.Com/portals/66/pdf/techbriefs/tb_hypercoagulabilitythrombophilia.Pdf for list of some tests. Ask about using novel/new oral anticoagulants like direct thrombin or factor xa inhibitors that won't require testing or special diet. More expensive. ...Read more

See 1 more doctor answer
6

6
Could i stop warfarin for 2 weeks each cycle when ttc and start lmwh if i get pregnant? Surely a DVT couldn't form again in such a short time?

Could i stop warfarin for 2 weeks each cycle when ttc and start lmwh if i get pregnant? Surely a DVT couldn't form again in such a short time?

NO!: You are playing with danger by changing your Coumadin (warfarin) and yes DVT can form in a short time. Each day airline passengers flying from the us to europe exit the air craft with DVT formed during flight. Some require hospitalization. Coumadin (warfarin) requires certain range levels to be effective; some patients require days of therapy to attain therapeutic levels. Discuss with your physician before changes. ...Read more

See 1 more doctor answer
7

7
Is it imparitive to test my INR when taking Coumadin (warfarin) with history dvt/pe?

Yes....: The only way to determine whether your dose of Coumadin (warfarin) is therapeutic is to check your pt/inr regularly. You need to be on therapeutic Coumadin (warfarin) to prevent recurrence of dvt/pe. ...Read more

See 2 more doctor answers
8

8
How long should I take Coumadin (warfarin) for a DVT of unknown origin? Never had one in the past. Current INR is 2.3. Been taking it for 60 days.

How long should I take Coumadin (warfarin) for a DVT of unknown origin? Never had one in the past. Current INR is 2.3. Been taking it for 60 days.

At least 6 months: According the american college of chest physicians an unprovoked [ no clear precipitating event ] should be treated for 6 months.[ or 180 days]. Further work up may uncover reasons to treat longer. Please understand that too short of treatment increases the risks for additional blood clots. ...Read more

See 1 more doctor answer
9

9
Had a DVT within the last 4 months, finished my 3 mth course of warfarin on the 8th december . Am having an arthroscopy this week, are there risks?

Had a DVT within the last 4 months, finished my 3 mth course of warfarin on the 8th december . Am having an arthroscopy this week, are there risks?

Of course: Your orthopedist needs to be aware. If purely elective one may suggest waiting about 6 months and rechecking ultrasound. If it must move along, prophylactic heparin/ or Lovenox (enoxaparin) /or Aspirin and athrombic pumps and early mobilization may be used to reduce. Your pcp may have done a coagulopathies review as well and should share with orthopedist. ...Read more

See 2 more doctor answers

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
678 doctors shared insights

Coumadin (Definition)

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