unexpected new warning on my new warfarin supply

[pellicle]

weird IMO

but lurking around the corner

which is weird and potentially dangerous because for valvers (esp those on lower INR ratings) aspirin is actually usually guidance.

So if you get this then consult with your Cardio or Surgeon

Best Wishes

 

[3mm]

My recent refills here in the USA have that same warning, but in much smaller print.

 

[Superman]

Seems a standard warning. Most only take low dose aspirin with warfarin based on their cardiologists instructions anyway.

You don’t want to randomly take pain relief doses unless you have no other choice.

 

[Chuck C]

Just checked mine. It also has the warning but in very small print.

 

[pellicle]

Thanks guys, seems weird to me because almost every study into mech valve warfarin usage uses low dose aspirin with that. Further I would have thought that its only us valvers who are on warfarin nowdays.

Lastly the studies mentioned by this guy should dispel the idea that aspirin causes bleeds (when its usually a heliobacter infection)
https://www.valvereplacement.org/th...ysis-study-focus-on-bleeds-and-cancer.889418/

¯\_(ツ)_/¯

 

[carolinemc]

weird IMO

View attachment 890752


but lurking around the corner

View attachment 890755


which is weird and potentially dangerous because for valvers (esp those on lower INR ratings) aspirin is actually usually guidance.

So if you get this then consult with your Cardio or Surgeon

Best Wishes

This might a new thing there in Australia. Good to ask your Cardio or Surgeon.

 

[Lisa from LJ]

Between moving and changing jobs, I've had 7 Cardiologists since having my valve replaced in 1998. None have recommended aspirin, even a baby aspirin. I've only actually asked two of them and one said he didn't recommend it for me because I haven't had any emboli or CAD. The other said she didn't think it was necessary, but I could try if I wanted, but to make sure I watched for excessive bruising. Within 2 weeks, I had several bruises on my legs and stomach even though my INR was in range, so I stopped.

My bottle and the pages of information they give me have always said to avoid NSAIDs without consulting a physician.

 

[Protimenow]

this seems like CYA from the makers of Marevan/Warfarin. No, you shouldn't take high doses of aspirin or other NSAIDs when you take warfarin. Too much can cause gastric bleeds - which are even worse if you're on warfarin. Aspirin messes with platelets, so it takes longer for your blood to clot.

I've been taking 81 mg for years - I now take 162mg every other day - recent research indicates that low dose aspirin may help reduce cancer risk.

I haven't had a clotting issue with low dose aspirin, and I wouldn't be surprised if others similarly report that they haven't had any issues with aspirin and warfarin.

But, to cover MY butt, I am not suggesting that ANYONE should take an NSAID if they're taking warfarin.

 

[Windfinder]

Between moving and changing jobs, I've had 7 Cardiologists since having my valve replaced in 1998. None have recommended aspirin, even a baby aspirin. I've only actually asked two of them and one said he didn't recommend it for me because I haven't had any emboli or CAD. The other said she didn't think it was necessary, but I could try if I wanted, but to make sure I watched for excessive bruising. Within 2 weeks, I had several bruises on my legs and stomach even though my INR was in range, so I stopped.

My bottle and the pages of information they give me have always said to avoid NSAIDs without consulting a physician.

Unless you have an On-x in aortic position and are shooting for the low INR range of 1.5-2.0 aspiring is not part of a regular ACT protocol.

 

[3mm]

Unless you have an On-x in aortic position and are shooting for the low INR range of 1.5-2.0 aspiring is not part of a regular ACT protocol.

Some cardiologists think low dose aspirin is a good insurance policy.

I have an On-X aortic valve. I maintain my INR at 2.5 and I take 81 mg aspirin daily per my cardiologist. She said there are mixed study reports, but it seems to be a good insurance policy as long as I tolerate the aspirin well. If I start having problems, then we may stop the aspirin.

My cardiologist was visible hurt when she told me that a patient earlier that year had a stroke despite maintaining correct INR. She thinks aspirin may have helped that patient.

 

[Protimenow]

There is NO ADVANTAGE to following the ridiculous protocol that On-X recommends. Maintaining an INR above at least 2.0, and ideally around 2.5 will be more protection against strokes. As far as bleeding risks between 1.5 and 2.0 -- you won't see any. You'll live your life the same with 2.5 as you would at 1.5 - but you will be much less likely to have a stroke.
Aspirin (81 mg) shouldn't hurt you, but should also help slightly extend your clotting time.

Personally, if I had an On-X valve, I'd ignore the ridiculous dosing they suggest (it's all marketing BS) and shoot for a higher INR. I'd consider that my life depends on it.

 

[pellicle]

Good morning

I'm curious

My cardiologist was visible hurt when she told me that a patient earlier that year had a stroke despite maintaining correct INR. She thinks aspirin may have helped that patient.

what was the INR they were maintaining?

guidelines typically suggest a target of 2.5

11.2 Antithrombic Therapy

It only goes up from there if there is any other compounding risk factor (such as AFib ...).

Thanks

 

[3mm]

what was the INR they were maintaining?

I don't know that patient. Hence, I don't know their target, nor do I know how well they maintained their target.

This was an example of my cardiologist's deep concern for her patient's health and her knowledge of the medical issues.