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Warfarin (Warfarin Sodium) - Summary

 


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WARFARIN SUMMARY

WARFARIN SODIUM TABLETS, USP

Warfarin sodium is an anticoagulant which acts by inhibiting vitamin K-dependent coagulation factors.

Warfarin sodium tablets are indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, and pulmonary embolism.

Warfarin sodium tablets are indicated for the prophylaxis and/or treatment of the thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement.

Warfarin sodium tablets are indicated to reduce the risk of death, recurrent myocardial infarction, and thromboembolic events such as stroke or systemic embolization after myocardial infarction.


See all Warfarin indications & dosage >>

WARFARIN NEWS HIGHLIGHTS

Media Articles Related to Warfarin

AHA: Home INR Monitoring for Warfarin Found Safe as Clinic Testing
Source: MedPage Today Neurology [2008.11.13]

Warfarin Underused in Atrial Fibrillation Patients
Source: MedicineNet Atrial Fibrillation Specialty [2008.10.15]

Warfarin Safer Than Heparin for Some Strokes
Source: MedicineNet enoxaparin Specialty [2008.07.15]

Joint Aspiration Safety With Coumadin (warfarin)
Source: MedicineNet Joint Aspiration Specialty [2003.01.20]

Aspirin as effective as warfarin and safer in stroke prevention
Source: The Doctors Lounge - Neurology

more >>

Published Studies Related to Warfarin

Pharmacodynamic interaction of warfarin with cranberry but not with garlic in healthy subjects. [2008.08]

Aspirin, clopidogrel, and warfarin: is the combination appropriate and effective or inappropriate and too dangerous? [2008.06]

The role of cytochrome P2C19 in R-warfarin pharmacokinetics and its interaction with omeprazole. [2008.06]

Effect of ximelagatran and warfarin on stroke subtypes in atrial fibrillation. [2008.05]

CYP2C9 genotype-guided warfarin prescribing enhances the efficacy and safety of anticoagulation: a prospective randomized controlled study. [2008.03]

more >>

Clinical Trials Related to Warfarin

Duloxetine - Warfarin Pharmacodynamic Study [Completed]

Access II - Trial of Warfarin to Prevent Malfunction of Haemodialysis Catheters [Completed]

A Study Testing the Effect and Safety of Casopitant (GW679769) While Taking Warfarin in Healthy Human Volunteers [Completed]

Warfarin After Anterior ST-Elevation Myocardial Infarction [Completed]

Oral Vitamin K for Warfarin Associated Coagulopathy [Active, not recruiting]

more >>

WARFARIN PATIENT REVIEWS / RATINGS / COMMENTS

Based on a total of 1 ratings/reviews, Warfarin has an overall score of 6. The effectiveness score is 8 and the side effect score is 6. The scores are on ten point scale: 10 - best, 1 - worst.
 

Warfarin review by 44 year old female patient

  Rating
Overall rating:  
Effectiveness:   Considerably Effective
Side effects:   Moderate Side Effects
  
Treatment Info
Condition / reason:   heart condition
Dosage & duration:   3 mg. warfarin taken 1 time daily for the period of 3 years
Other conditions:   none
Other drugs taken:   none
  
Reported Results
Benefits:   Taking 3 mg of warfarin sufficiently thinned my blood so that I did not find it difficult to do everyday tasks. I immediately felt better after I started the regimen in the spring of 2003. My cough went away and I had a lot more energy. I took this regimen for about 3 years, everyday. I also found it easier to concentrate and think (what was I doing before it???) It was as if my brain cleared up or something. I breathed easier and I was more willing to tackle regular household chores. I worked over 50 hours/week before and during this treatment.
Side effects:   The side effects of warfarin on me did not become apparent until a couple of years later. I started feeling weak and I bruised easily. I acquired more broken blood vessels/capillaries veins in my feet and calves. I was tired and started feeling cranky. I stopped taking warfarin for 6 months but then went back to it after I had the old feeling of "thick" blood. During the 6 months that I wasn't taking warfarin, I felt better, had more energy. But then the downside: my blood was getting too thick and I was starting to get headaches. So I went back on it. This time my doctor said I might have to increase dosage to 4 mg. since I hadn't been taking the warfarin. However, when I had my thrombin checked, I was okay at 3 mg.; I took this for another 3 months and then started feeling the old way and quit again. The same scenario was repeated (started feeling like I had "thick" blood and now I had increasingly bad headaches). I went back on 3 mg. of warfarin in August of this year but only took them for 3 months. Then I started a vitamin/mineral/COQ10 regimen and stuck with it and am still doing that. I credit most of the perfect blood feeling (for lack of a better term) to Vitamin E and the fact that I also changed my diet. I try to eat a lot of veggies and fruits, and I have been a vegetarian for almost two years (not super strict - but I feel disgusted about eating meat and therefore never eat it unless it is buried in some food. I do eat salmon and tuna. The final straw for me with warfarin was that I started feeling really mad about things. The littlest things would make me angry, anger that was way out of proportion to the incident. When my teenaged daughter started crying after I ripped into her for staying longer at a social visit, and I heard my words echoing in my house, I knew that was it. I quit warfarin and started taking 81 mg. of aspirin daily (I had a headache every morning after I went off warfarin). I started the vit./min. regimen in November, gradually adding supplements as I learned about their benefits, but it wasn't until 3-4 weeks ago that I realized I wasn't having any headaches and I was able to stop taking 81 mg. of aspirin. Also, since starting the stricter diet and the vit./min. supplements (also some herbs), I have not had an anger "fit" (of course, I am also more prone to control my anger because I really didn't like how I had been), I do not feel depressed. I have told everyone in my family about this because it seems so remarkable. Why didn't the doctors tell me?
Comments:   Treatment consisted of simply taking 3 mg. of warfarin daily and getting my blood thrombin checked every two months. I was not a very good patient about getting my blood thr. checked so I'm sure when I was feeling weak and bruised/bled so easily, my blood was getting too thin. And then when I would quit the warfarin for several weeks, sometimes months at a time, my blood would get too thick. I really like my doctor though, because he tells me to do what makes me feel best, and I think that's smart advice. I must say add that I always loved the feeling of donating blood before I took warfarin because it gave me the same feeling as I initially had with warfarin (at the very beginning of my treatment). I would like to donate blood now but they don't let me because I don't weigh enough (which makes no sense at all). Couldn't they take less blood? Who determined how much blood you can give anyway?

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Page last updated: 2008-11-13

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