Warfarin is an anticoagulant drug that is used in the prevention and treatment of blood clot formation. It is taken orally and is a prescription drug. Warfarin is employed to decrease the chances of heart attack or stroke, which may result in death. In addition, it is also used in atrial fibrillation, heart valve replacement, pulmonary embolism, or deep vein thrombosis to prevent and treat blood clots. Abnormal or excessive bleeding is the most common adverse effect of taking Warfarin.
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Which anticoagulant is best to prevent stroke- Apixaban or Dabigatran?
Query: Hello doctor,My mom has had an ischemic stroke. She is currently taking Warfarin, Bisoprolol, Ramipril, and Furosemide. Despite the Warfarin at 5 mg, her INR is 1.7 (which is outside the therapeutic range). She is 90 lbs and age is 76. She is being encouraged by her doctor to change the anticoagulan... Read Full »
Answer: Hello,Welcome to icliniq.com.As per the history, it looks like it is getting difficult to manage with Warfarin. Warfarin is notorious in terms of interacting with many other drugs and thereby it is difficult to achieve the target therapeutic level. So, now newer oral anticoagulants are used with no ... Read Full »
Query: Hi doctor, I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Protein C deficiency (blood coagulation factor XIV) can be congenital or acquired. Being on Warfarin therapy can show protein C deficiency. However, it should get corrected after two weeks and it has not so if there are n... Read Full »
If I have my first sexual intercourse while on warfarin, could it be dangerous and cause hemorrhage?
Query: Hello doctor,I am taking warfarin, and my INR is 2.8. I am a woman, and I am a virgin, I never had complete sexual intercourse involving penetration. My question is if I have my first complete sexual intercourse and lose my virginity while on warfarin, could it be dangerous and cause a hemorrhage? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. Usually for thrombotic events, warfarin like anticoagulant drug prescribed with INR monitoring. Duration of therapy can be up to six months (only it is a risk if thrombosis high then life long anticoagulant is given). So for this six month while on warfarin you c... Read Full »
What causes blood under the leg and ankle skin?
Query: Hi doctor, My father-in-law has blood under the skin on his leg and ankle. He has had a stroke in the past and is on blood thinners. He said it is not painful and he cannot recall any hit. There is some swelling in some black and blue. He is on cholesterol medicines too. Please help. Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi, Welcome to icliniq.com. I need to know what blood thinners are being used. Warfarin and other blood thinners like Aspirin, Clopidogrel act by inhibiting normal coagulation cascade in one way or the other, the effect of which is increased risk of bleeding. Minor nose bleed and bruising... Read Full »
Is it necessary to take Warfarin based on my blood report?
Query: Hello doctor, I have attached my blood report, my doctor suggested me Warfarin sodium daily and a skin-tight sock and he said that may be I have to take it for a lifetime. What would you suggest? Please reply as soon as possible. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: 1. It appears you have suffered from deep vein thrombosis. Due to this, your protein C and S values are low. 2. Once thrombosis has been seen, future risk of thrombus formation is present. 3. Yes, you will need to take W... Read Full »
I am a stage 4 CKD patient.. Can I use Eprex in combination with Warfarin?
Query: Hi doctor, I am a CKD patient in stage 4 with a creatinine level of 6 mg/dl and a urea level of 109 mg/dl. My hemoglobin level is 10 gm/dl. I know I am not indicated to use Eprex (Epoetin alfa). Still, I am responsible for using it to enhance the quality of life, to prevent stroke and other coagulan... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query. Based on your investigations and history, you have CKD (chronic kidney disease) stage 5. Since your hemoglobin is 10 gm/dl, you do not need Eprex, but you will need that soon. So keep monitoring your hemoglobin. Regarding the use of Warfarin, I woul... Read Full »
My doctor has advised me to continue taking 15 mg of Warfarin even though my INR is below 2. What is your opinion on this?
Query: Hello doctor, I take the tablet Warfarin 15 mg daily, but my INR is still below 2. And my doctor advises me to stay on 15 mg of tablet Warfarin for three more months. What is your opinion on this? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your symptoms are most likely due to Warfarin resistance which causes low INR (international normalized ratio), although the dose of Warfarin is high. The possible causes are hereditary or acquired by eating food r... Read Full »
Can there be any adverse side effects if minute amount of KZ lotion is ingested?
Query: Hello doctor, Recently, I applied KZ Lotion on my scalp. After washing my hands with soap, I ate food as I was hungry. I did not notice any lotion present on my hand but I suspect I had not washed my hands properly. I am currently on Warfarin. Could that minute amount of KZ lotion have adverse effec... Read Full »
Answer: Hello, Welcome to icliniq.com. This shampoo has antifungal agents. They are as such, not harmful if taken in very small amounts. Now, if by mistake you have consumed a small amount of it, I do not find any reason to worry, as slight systemic absorption of any lotion or cream applied occurs nor... Read Full »
Even after taking treatment for cerebral venous thrombosis, I still have headaches. Why?
Query: Hello doctor, I was diagnosed with cerebral venous sinus thrombosis, eight months back, after suffering severe headaches. I have never had headaches in my life, except very occasional tensions headaches. I have been taking Warfarin ever since, and I had a follow-up MRI, four months back. The radiolo... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some more details about your problem. Since when you started to have headaches? Which part of the head do you have these headaches? Is it same headaches as you had before, or are they different? What kind of headaches are these, heaviness,... Read Full »
I am on Warfarin. Can a sudden blow result in a stroke?
Query: Hello doctor, I am on warfarin for life. Yesterday, while I was working in my house, I knocked the upper back part of my head on the marble roof of the window pane. It was neither a hard blow nor a soft one. It was medium. I did not feel any pain. I did not have any blackout but was stunned for two... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, I would like to know the indication for which you were prescribed Warfarin. Secondly, 3.73 is a higher INR (international normalized ratio) than normally desired which usually is between 2 to 2.5 or 2.5 to 3 according to indications, in most of the cases. Now,... Read Full »