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A case that changed my practice - a near miss with warfarin


As a GP with previous responsability for the anti-coagulation clinic, prescribing warfarin had become a daily occurence. For a while I also thought that the inability to stop a bleed with an antidote, when using one of the novel anticoagulants, was a big issue. How long do you think does warfarin continue to work, when the patient is given vit K? and how long do you think Dabigatran does last in the patient's system ? response: about the same time: 12 hours ! And if you choose to prescribe a once daily tablet, slightly more. In any case remember you are still prescribing a powerful anticoagulant, with all its risks. If compliance is a potential problem, then use a once daily drug, rivaroxaban.

Posted date

05 Apr 2013

Posted time