Clots

July 2010

FocusClots

Clot prevention

Common questions about medications

Volume 39, No.7, July 2010 Pages 480-483

Rami Tadros

Sepehr Shakib

Background

Warfarin is commonly used in a number of clinical settings. Given the difficulties in managing patients taking warfarin, several questions are usually raised by clinicians in relation to its use.

Objective/s

This article addresses some of the clinical questions related to warfarin use.

Discussion

Routine genetic testing before warfarin initiation is not currently recommended. None of the new oral anticoagulants is marketed in Australia for long term therapy as warfarin substitutes. Strategies to prevent thrombosis associated with air travel are discussed and measures to minimise the risk of bleeding are highlighted.

Clot prevention is a common clinical dilemma – what to do when, and how to balance risks and benefits.

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Correspondence afp@racgp.org.au

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