Warfarin

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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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 »


Dr. Chirag Solanki

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 »

What do positive lupus anticoagulants indicate in the first test of antiphospholipid syndrome?

Query: Hi doctor,I have recently been told my first test of antiphospholipid syndrome shows positive lupus anticoagulants. What does that mean for someone with no symptoms? I took Articaine and Phenphedrine the day before the test. Can an overdose cause the test to be faulty? I had four miscarriages so far...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You have a history of four recurrent miscarriage and cause for that seems to be an antiphospholipid syndrome. Because of thrombosis secondary to antiphospholipid syndrome, miscarriage occurred. If you are on anticoagulant medication, then it could be a false result. But ...  Read Full »

Which blood thinner is safe to be used in pulmonary embolism?

Query: Hello doctor, My father has been diagnosed with pulmonary embolism. What is the safest blood thinner he can use?  Read Full »


Dr. Rohit Jain

Answer: Hi, Welcome to icliniq.com. Pulmonary embolism is a serious condition. We need to deal with it on an urgent basis with higher levels of blood thinners. The safest one is, of course, the mild ones such as Ecosprin (Aspirin), but that is not the drug of choice in pulmonary embolism in acute stages....  Read Full »

How long to continue taking anticoagulant after open heart surgery?

Query: Hi doctor, If I have had an open heart surgery, how long should I take Warfarin for?  Read Full »


Dr. Sukhvinder Singh

Answer: Hi, Welcome to icliniq.com. It depends upon the cause for which the surgery is being done, and what open heart surgery is being done. And if you have any indication for long-term anticoagulation like atrial fibrillation (abnormal heartbeat). I can provide you more insights only after knowing the...  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 »


Dr. Hitesh Kumar

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, throbbi...  Read Full »

Can a patient on Warfarin drug take the COVID vaccine safely?

Query: Hello doctor, My dad has atrial fibrillation and takes Eliquis and Coumadin. Is it safe for him to get the COVID vaccine?  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. A vaccine can be given even if you are taking Warfarin (Coumadin derivative) provided INR is lower than the upper limit of the therapeutic range, i.e., less than three in case of atrial fibrillation. A fine needle (23 or 25 gauge) should be used for the vaccinatio...  Read Full »

Can GI bleeding be cured with medicines?

Query: Hello doctor, My mother has been diagnosed with probability of lower GI bleed in proximal jejunal small bowel loops through nuclear scan. She is a heart patient and had been operated in the past and got her two valves replaced. She has to take blood thinning medications like Warfarin. My mother had ...  Read Full »


Dr. Happykumar Kagathara

Answer: Hi, Welcome to icliniq.com. The RBC scan detects only the site of bleeding and presence or absence of active bleeding. There is no work up done to reach reason for this bleeding. At present, it is assumed that this bleeding episode might be due to drug Warfarin, which had caused bleeding from some s...  Read Full »

How is DVT treated?

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 »


Dr. Prakash H. Muddegowda

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 no ot...  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, major gas...  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 »


Dr. Prakash H. Muddegowda

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 »

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