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Doctor insights on: Why Should I Start With Lovenox Instead Of Coumadin Therapy

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Wife having total knee replacement done in a month and will be on ASA versus something like Coumadin, she is an RN and is aware of the risks of Coumadin therapy, but she is unsure if aspirin will reduce the risk of clots as efficiently? Thanks!

Wife having total knee replacement done in a month and will be on ASA versus something like Coumadin, she is an RN and is aware of the risks of Coumadin therapy, but she is unsure if aspirin will reduce the risk of clots as efficiently?  Thanks!

Anticoagulation: People at low risk for blood clots usually receive anticoagulation therapy post surgery for 1-2 days. The choice of anticoagulation therapy is usually the ortho surgeon's choice. Individuals are not discharged on anticoagulation medications, so that is probably why aspirin was the chosen protective medication. However, confer with the surgeon to be sure. ...Read more

Dr. Samuel Goldhaber
358 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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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?

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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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

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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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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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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