18 doctors weighed in:

What is bridge therapy as it relates to warfrin and dental procedures and what is helpern or hepburn?

18 doctors weighed in
Dr. Matt Malkin
Anesthesiology
7 doctors agree

In brief: Waiting for warfarin

Warfarin is the most-available long-term pill used for anticoagulation.
Until you become "therapeutic, " the warfarin actually makes you more likely to form clots. Heparin will generally be given as IV drip until warfarin kicks in after a few days. Now, single-dose injectables like Lovenox (enoxaparin) are used. Patients can administer the shots themselves at home instead of remaining in the hospital.

In brief: Waiting for warfarin

Warfarin is the most-available long-term pill used for anticoagulation.
Until you become "therapeutic, " the warfarin actually makes you more likely to form clots. Heparin will generally be given as IV drip until warfarin kicks in after a few days. Now, single-dose injectables like Lovenox (enoxaparin) are used. Patients can administer the shots themselves at home instead of remaining in the hospital.
Dr. Matt Malkin
Dr. Matt Malkin
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1 comment
Dr. Stevan Cordas
Heparin is a natural blood thinner that cannot be taken as a pill. Since it works quickly to act as a bridge until Coumadin takes over in a couple of days, heparin or newer analogues are given at first.
Dr. Shabbir Hossain
Internal Medicine
5 doctors agree

In brief: Blood thinners

Heparin is a fast acting blood thinner given by IV (there is an injection version too).
Warfarin is a pill version of blood thiner that doesn't work instantly and has to build up in your blood. If you need to be on a blood thinner without any lapse, then while the warfarin builds up in your system, we might recommend Heparin of a similar faster acting alternative.

In brief: Blood thinners

Heparin is a fast acting blood thinner given by IV (there is an injection version too).
Warfarin is a pill version of blood thiner that doesn't work instantly and has to build up in your blood. If you need to be on a blood thinner without any lapse, then while the warfarin builds up in your system, we might recommend Heparin of a similar faster acting alternative.
Dr. Shabbir Hossain
Dr. Shabbir Hossain
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Dr. Jon Krook
Surgery
4 doctors agree

In brief: Bridging

Commonly patients on Coumadin (warfarin) will be taken off of it before an invasive procedure.
Depending on the reason you are anticoagulated you may be "bridged, " meaning kept on a different anticoagulant that wears off quicker than coumadin. Usually that is Lovenox (enoxaparin), which is similar to Heparin and is a shot a day. It gives more consistent dosing than unfractionated heparin.

In brief: Bridging

Commonly patients on Coumadin (warfarin) will be taken off of it before an invasive procedure.
Depending on the reason you are anticoagulated you may be "bridged, " meaning kept on a different anticoagulant that wears off quicker than coumadin. Usually that is Lovenox (enoxaparin), which is similar to Heparin and is a shot a day. It gives more consistent dosing than unfractionated heparin.
Dr. Jon Krook
Dr. Jon Krook
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1 doctor agrees

In brief: Bridge therapy

This refers to switching from one blood thinner to another here is a link that discusses it http://pfrc.
Med.Nyu.Edu/handouts/pdf/all/pfrc10-000013.Pdf.

In brief: Bridge therapy

This refers to switching from one blood thinner to another here is a link that discusses it http://pfrc.
Med.Nyu.Edu/handouts/pdf/all/pfrc10-000013.Pdf.
Dr. Gregori Kurtzman
Dr. Gregori Kurtzman
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