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Posts Tagged ‘Warfarin’

Minor Cuts and Nosebleeds on Anticoagulants

| Bleeding, Uncategorized | Comments Off on Minor Cuts and Nosebleeds on Anticoagulants

When a patient on warfarin bleeds more than usual it is, of course, important to make sure that the INR is not supra-therapeutic.  And, if the INR is too high, warfarin therapy needs to be adjusted and other treatment (vitamin K, etc) may have to be employed depending on the degree of INR elevation and bleeding.  However, in case of minor bleeds on anticoagulants, such as skin cuts or nosebleeds, several over-the-counter products are available and  may be helpful for the patient. Read the rest of this entry »

Anticoagulation Clinics – Finding One for Your Patient

| Therapy, Uncategorized, Warfarin (Coumadin) | Comments Off on Anticoagulation Clinics – Finding One for Your Patient

Patients on warfarin need to be followed in a systematic way to optimize safety and efficacy of therapy [ref 1]. While smaller-volume physician practices may well have appropriate criteria in place, structured anticoagulation clinics often have the expertise and resources for optimal anticoagulation management. The location of a number of anticoagulation clinics in the U.S. can be found on the website of the non-profit organization Anticoagulation Forum (www.acforum.org) – to link to the map of the U.S. showing these clinics click here. Read the rest of this entry »

Purple Toe Syndrome

| Anticoagulants, Heparin, Uncategorized, Warfarin (Coumadin) | Comments Off on Purple Toe Syndrome

Warfarin can, in rare instances, cause violaceous painful discoloration of the toes and the sides of the feet, referred to as the “purple toe syndrome” 1 – see photograph below. Occasionally, the hands can also be involved and a net-like skin rash on abdomen and legs (= livedo reticularis) can occur. This typically happens within the first few weeks of starting warfarin. It rarely occurs later – one case publication reported occurrence after 1 year on warfarin 2.

Purple toe syndrome in a patient 5 weeks after having started warfarin

 

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