How to manage warfarin therapy

Philip A. Tideman, Rosy Tirimacco, Andrew St. John, Gregory W. Roberts

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

Abstract

Long-term treatment with warfarin is recommended for patients with atrial fibrillation at risk of stroke and those with recurrent venous thrombosis or prosthetic heart valves. Patient education before commencing warfarin - regarding signs and symptoms of bleeding, the impact of diet, potential drug interactions and the actions to take if a dose is missed - is pivotal to successful use. Scoring systems such as the CHADS2 score are used to determine if patients with atrial fibrillation are suitable for warfarin treatment. To rapidly achieve stable anticoagulation, use an age-adjusted protocol for starting warfarin. Regular monitoring of the anticoagulant effect is required. Evidence suggests that patients who self-monitor using point-of-care testing have better outcomes than other patients.

Original languageEnglish
Pages (from-to)44-48
Number of pages5
JournalAustralian Prescriber
Volume38
Issue number2
DOIs
Publication statusPublished - 1 Apr 2015
Externally publishedYes

Bibliographical note

Except where otherwise noted, all articles published in Australian Prescriber can be used under the CC BY-NC-ND licence.

Keywords

  • Anticoagulants
  • INR
  • Point-of-care services
  • Warfarin

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