3 doctors weighed in:

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

3 doctors weighed in
Dr. Robert Lowe
Pediatric Rheumatology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Robert Lowe
Dr. Robert Lowe
Thank
Dr. Maziar Rezvani
Internal Medicine - Allergy & Immunology

In brief: Benefit>risk

The benefits of taking warfarin outweigh the risks if you have lupus and your body produces the lupus anticoagulant.
Warfarin is generally well-tolerated as long as you maintain your inr within specified margins.

In brief: Benefit>risk

The benefits of taking warfarin outweigh the risks if you have lupus and your body produces the lupus anticoagulant.
Warfarin is generally well-tolerated as long as you maintain your inr within specified margins.
Dr. Maziar Rezvani
Dr. Maziar Rezvani
Thank
1 comment
Dr. Robert Lowe
If patients haven't had a clot, then Warfarin is generally not warranted unless it is needed for other conditions. Warfarin can be dangerous and the risks versus benefits need to be weighed. This is true for almost any medicine, though.
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