Warin 5 mg (Tablet)
Medicine Details
Category | Details |
---|---|
Generic | Warfarin sodium |
Company | Incepta 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 such as stroke or systemic embolization after myocardial infarction
- Prophylaxis and treatment of venous thrombosis and pulmonary embolism
- Transient ischaemic attacks
Description
Anticoagulant that inhibits the synthesis of vitamin K dependent clotting factors (II, VII, IX, X)
Pharmacology
Acts by inhibiting the production of vitamin K by vitamin K epoxide reductase, leading to interruption of the coagulation cascade
Dosage & Administration
- Usual adult induction dose of 10 mg daily for 2 days
- Subsequent maintenance dose of 3 to 9 mg daily
- Initial pediatric dose usually 0.1 mg.kg-1.d-1
Interaction
Has a greater potential for clinically significant drug interactions
Contraindications
- Actual or potential hemorrhagic conditions
- Severe hepatic or renal disease
- Pregnancy
- Known hypersensitivity to warfarin
- Bacterial endocarditis
- Use within 24 hours following surgery or labor
Side Effects
- Hemorrhage
- Nausea
- Vomiting
- Diarrhea
- Hypersensitivity
- Rash
- Alopecia
- Unexplained drop in haematocrit
- Purple toes
- Skin necrosis
- Jaundice
- Hepatic dysfunction
Pregnancy & Lactation
Contraindicated in the first trimester due to risk of teratogenicity and fatal hemorrhage to the fetus
Precautions & Warnings
Periodic determination of prothrombin time (PT)/international normalized ratio (INR) essential, monitor patients' response with additional PT/INR determination
Overdose Effects
Excessive depression of coagulation activity can be corrected by temporary withdrawal and supplementation with vitamin K or co-factor concentrates
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