Farin 1 mg (Tablet)
Unit Price: ৳ 1.00 (10 x 10: ৳ 100.00)
Strip Price: ৳ 10.00
Medicine Details
Category | Details |
---|---|
Generic | Warfarin sodium |
Company | Concord pharmaceuticals ltd |
Also available as |
Indications
- Prophylaxis and/or treatment of thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement
- Indicated to reduce the risk of death, recurrent myocardial infarction, and thromboembolic events
- Prophylaxis and treatment of venous thrombosis and pulmonary embolism
- Transient ischaemic attacks
Description
- Act as an anticoagulant
- Inhibits the synthesis of vitamin K dependent clotting factors
- Affects clotting factors II, VII, IX and X
Pharmacology
- Acts as a vitamin K antagonist
- Inhibits the production of vitamin K by vitamin K epoxide reductase
- Affects coagulation factors VII, IX, X, and thrombin
Dosage & Administration
- Usual adult induction dose of 10 mg daily for 2 days
- Subsequent maintenance dose depends on prothrombin time (INR)
- Adult maintenance dose usually between 3 to 9 mg taken daily
- Initial dose for children usually 0.1 mg.kg-1.d-1
Interaction
- Has a greater potential for clinically significant drug interactions
- Warn patients about potential hazards of drug interactions
Contraindications
- Cannot be administered in actual or potential hemorrhagic conditions
- Cannot be administered to patients with uncontrolled hypertension
- Cannot be administered in cases of severe hepatic or renal disease
- Cannot be administered during pregnancy
- Cannot be administered to patients with known hypersensitivity to warfarin
- Cannot be administered in cases of bacterial endocarditis
Side Effects
- Principal adverse effect is hemorrhage
- Other adverse reactions include nausea, vomiting, diarrhea, rash, and alopecia
Pregnancy & Lactation
- Contraindicated in the first trimester of pregnancy due to risk of teratogenicity
- Should not be used in women who are or may become pregnant
- Appears in the milk of nursing mothers in an inactive form
Precautions & Warnings
- Periodic determination of prothrombin time (PT)/international normalized ratio (INR) is essential
- Response to anticoagulants may be influenced by travel, changes in diet, and medication
- Monitor patient's response with additional PT/INR determination after discharge from the hospital
- Several factors may exaggerate the effects of warfarin and necessitate a reduction in dosage
- Factors may call for an increase in maintenance dosage including weight gain, diarrhea and vomiting
- Reversal of warfarin anticoagulation by vitamin K takes several days
Overdose Effects
- Excessive depression of coagulation activity can be corrected by temporary withdrawal of warfarin
Therapeutic Class
- Anti-coagulants
- Oral Anti-coagulants
Storage Conditions
- Do not store above 30°C
- Keep away from light and out of the reach of children