New substitute for coumadin?

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Alcohol can act like blood thinner By Anthony J. Brown, MD
1 hour, 8 minutes ago



A few drinks of alcohol per week impairs the ability of platelets -- elements in the blood involved in clotting -- to turn on and clump together to form a clot, new research indicates. These findings support previous research and may be the reason why moderate alcohol use has been linked to a decreased risk of heart attack.

Previous reports have shown that alcohol use interferes with platelet clumping or "aggregation," lead author Dr. Kenneth J. Mukamal, from the Beth Israel Deaconess Medical Center in Boston, told Reuters Health. "Our findings add to this by showing that such consumption also negatively affects platelet activation," the turning on process.

The findings, which appear in the journal Alcoholism: Clinical & Experimental Research, are based on an analysis of data from more than 3000 subjects who participated in the Framingham Offspring Study.

The subjects were surveyed with a standardized questionnaire to assess alcohol use. Platelet activation and aggregation were assessed by measuring the response to various clot-inducing chemicals found in the body.

Moderate alcohol use, such as three to six drinks per week, was associated with decreased platelet activation in men. The lack of a significant association in women was probably due inadequate numbers of female moderate alcohol users, rather than a real difference between the sexes, Mukamal said.

In both genders, moderate alcohol use appeared to inhibit platelet aggregation, which is consistent with previous reports.

"The next step will be trying to correlate whether the (alcohol-induced) change in platelet function translates into a change in the risk" of heart attack, Mukamal said. "The Framingham study has already shown that moderate drinkers tended to have a lower risk of heart disease."

SOURCE: Alcoholism: Clinical & Experimental Research, October 2005.
 
Moderate alcohol use is the key here.
About a month after surgery, I asked if having a second beer would or should affect my coumadin dosage. I received the answer that one drink is roughly equivalent to 1/4 mg of coumadin, that is, no change in coumadin dosage. I doubt that alcohol and coumadin work in exactly the same way anyway. Since I'm now taking about 6 mg coumadin a day ... that's way too much in Michigan. Maybe things were different in Las Vegas..
 
Bet that Alcoholics Anonymous and the American Cancer Society would oppose replacing warfarin as an anti-coagulant. (Research links alcohol use to a variety of cancers.) :eek:

3 to 6 drinks per week? Hmmmmm. Let me see how much of a workout I'd need to melt away the calories in those drinks. I'd rather deal with my "rat poison" -- it has 0 calories. ;)
 
People with congestive heart failure can develop ascites which can impair the liver. Coumadin is metabolized in the liver. Drinking alcohol beyond modest levels impairs your liver.

As you age with your heart problems, you are going to need every piece of your liver that you can possibly conserve.

There may even be drugs that you need desparately as you go along that are also metabolized in your liver.

Be the best you can to yourself. It may be loads of fun now to party hardy, but in the future, you may have regrets.
 
With a mechanical valve you don't need your platelets deactivated, you need you prothrombin deactivated. To do this you need warfarin.

There is another drug on the far out horizon that you will be reading about as a replacement for warfarin. It is called dabigatran. It will not be out until about 2010 and so far has only been tested as a clot preventer in orthopedic surgery. Nothing before 2010 probably to replace warfarin for valvers.

www.warfarinfo.com/dabigatran.htm
 
Not to mention the increased risk of death due to impared judgement. I'd take the coumadin.



Nancy said:
People with congestive heart failure can develop ascites which can impair the liver. Coumadin is metabolized in the liver. Drinking alcohol beyond modest levels impairs your liver.

As you age with your heart problems, you are going to need every piece of your liver that you can possibly conserve.

There may even be drugs that you need desparately as you go along that are also metabolized in your liver.

Be the best you can to yourself. It may be loads of fun now to party hardy, but in the future, you may have regrets.
 
the coumadin replacement...

the coumadin replacement...

It is what I do wish for every day, that there will be a 'new and improved' coumadin, something more similar to ASA....but I wonder about the long term potential for side effects, such as cancer with these new meds. I have not read up on too many really bad things as far as cancer (if I missed something, don't tell me!) ....at least not in the 30 years it has been in use.
 
There seems to be a little less cancer in people who take warfarin. It is not enough to say that warfarin prevents cancer, but at least in 50 years of use it has not been associated with a higher risk.
 
Besides the dabigatran that I posted about the other day, there is another drug being tested to replace warfarin. Look at www.warfarinfo.com/bay597939.htm
So far it does not even have a generic name jet alone a brand name. It does not seem to be undergoing tests in valvers either. There does not appear to be anything that will replace warfarin for valvers until well after 2010.
 
Even thow the warfarin sounds ssscary, i would rather my son be taking that, than a new drug on the market. Especially after listening to all your success storys.
 
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