7 doctors weighed in:

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

7 doctors weighed in
Dr. David Fertel
Surgery - Vascular
1 doctor agrees

In brief: No

Most people are put on some form of Heparin before coumadin (warfarin).

In brief: No

Most people are put on some form of Heparin before coumadin (warfarin).
Dr. David Fertel
Dr. David Fertel
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Dr. Donald Alves
Emergency Medicine
1 doctor agrees

In brief: Usually

Unless you were on Heparin or one of the other lmwh's (like arixtra), yes it is recommended to be anticoagulated when starting warfarin.
This is because there is a brief increase in coagulation tendencies by release of the vit-k dependent clotting factors w/start of warfarin. Once depleted (few days), the Lovenox (enoxaparin) can be stopped.

In brief: Usually

Unless you were on Heparin or one of the other lmwh's (like arixtra), yes it is recommended to be anticoagulated when starting warfarin.
This is because there is a brief increase in coagulation tendencies by release of the vit-k dependent clotting factors w/start of warfarin. Once depleted (few days), the Lovenox (enoxaparin) can be stopped.
Dr. Donald Alves
Dr. Donald Alves
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Dr. Robert Greer
Family Medicine

In brief: Often

Lovenox (enoxaparin) for right now blood thinning while we get the warfarin to a good level.
A clot maybe deadly.

In brief: Often

Lovenox (enoxaparin) for right now blood thinning while we get the warfarin to a good level.
A clot maybe deadly.
Dr. Robert Greer
Dr. Robert Greer
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Dr. Charles Greenberg
General Practice

In brief: Yes

It takes at least 5 days for warfarin to work.
Lovenox (enoxaparin) will worknimmediately.

In brief: Yes

It takes at least 5 days for warfarin to work.
Lovenox (enoxaparin) will worknimmediately.
Dr. Charles Greenberg
Dr. Charles Greenberg
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Dr. Myra Carreon
General Practice

In brief: Yes

Lovenox (enoxaparin) keeps you anticoagulated while waiting for your warfarin to reach a therapeutic level.
If you don't take this as a bridge, you may form a bigger clot.

In brief: Yes

Lovenox (enoxaparin) keeps you anticoagulated while waiting for your warfarin to reach a therapeutic level.
If you don't take this as a bridge, you may form a bigger clot.
Dr. Myra Carreon
Dr. Myra Carreon
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