Coumadin

[Guest guest]

In a message dated 6/24/2004 10:30:18 AM Eastern Daylight Time, drearead@... writes:

I have been advised by my surgeon that it is common practice now to take the drug coumadin before and after surgery. As i have a compromised liver i am concerned about the effect of this drug for a prolonged period of time. does anyone have any feedback on this.....thanks, drea

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Before Surgery??? That will make you blled more during the operation - thye have me going off asprin so I bleed less

[Guest guest]

Tomorrow is four weeks post op (tkrs) for me. I'm a little bit

nervous because my doc didn't put me on coumadin therapy post op. He

has me on 650 mg of aspirin a day. Also, I had something called " toe

caps " on my feet for a few days after surgery. They kind of pumped

and squeezed my toes. I spoke to my p.t. about the aspirin and she

said I should be ok because I'm pretty active, but I'm still

concerned.

Marley

[Guest guest]

My doc told me to stop taking asperine, Advil, and Bextra two weeks

before surgery because they were blood thinners. I was only allowed

to take Tylenol during those two weeks. Sheesh, they were the most

painful weeks that I can remember.

Marley

[Guest guest]

My surgery was on a Monday at 2pm and I was instructed to take my coumadin on Sunday at 4pm so because it takes time to kick in. (I was wondering about that too so I asked.) After I escaped the hospital I was instructed to take only aspirin. So far no problems, 30 days post-op.

Take Care,

ChrisHRBARTUS@... wrote:

In a message dated 6/24/2004 10:30:18 AM Eastern Daylight Time, drearead@... writes:

I have been advised by my surgeon that it is common practice now to take the drug coumadin before and after surgery. As i have a compromised liver i am concerned about the effect of this drug for a prolonged period of time. does anyone have any feedback on this.....thanks, drea

__________________________________________________

Before Surgery??? That will make you blled more during the operation - thye have me going off asprin so I bleed less

[Guest guest]

I had knee cartilage repair 2 years ago and got DVT from it. I asked my hip surgeon's nurse and she didn't tell me to take coumadin before surgery. She said they'll just probably give me extra coumadin after surgery. My surgeon doesn't even believe in those leg massage boots that they're using now. He believes in getting the patient up to move around is the best preventive. I hope he's right!

I can't take anything two weeks before surgery either. It's going to hurt. I have to wash from the neck down twice a day with betadine two weeks before also.marley <marley333@...> wrote:

Tomorrow is four weeks post op (tkrs) for me. I'm a little bit nervous because my doc didn't put me on coumadin therapy post op. He has me on 650 mg of aspirin a day. Also, I had something called "toe caps" on my feet for a few days after surgery. They kind of pumped and squeezed my toes. I spoke to my p.t. about the aspirin and she said I should be ok because I'm pretty active, but I'm still concerned.Marley

[Guest guest]

> I have been advised by my surgeon that it is common practice now to

take the drug coumadin before and after surgery. As i have a

compromised liver i am concerned about the effect of this drug for a

prolonged period of time. does anyone have any feedback on

this.....thanks, drea

>

> __________________________________________________

>

[Guest guest]

I had both my hips replaced in 2 separate surgeries 6 months apart. I was on coumadin for 10 days after each one. No problems whatsoever.

[Guest guest]

Hi Ellen, I am age 72 and I had Coumadin all three surgeries. As long as she is on it, a nurse will come to the house and keep tabs on her blood. I took whatever they gave me at the hospital to bring home with me. I did not like it because while on Coumadin, I could not take my Bextra, which let my whole body ache like a toothache. It seems to me it was something like 14 days they wanted me on it.

Marge

Hello all,

My mother is due to have THR on December 8. I have been reading your messages and forwarding her the relevant ones and we are both so very grateful for this group. She was able to put together a great list of questions for the surgeon's physician's assistant at her appointment the other day. Thank you all so much.

My mom (age 72) was told she will be on Coumadin (blood thinner) after the surgery to prevent clots. Were any of you on Coumadin? How long were you on it? Did you have any trouble with it? She is kind of concerned about it.

Thanks so much.

Ellen

[Guest guest]

Hi Ellen,

I'm 52 and have been on Coumadin since surgery, October 28. I had blood draws twice a week and was told I could discontinue use after November 24. I didn't experience any problems.

Carolmathack@... wrote:

Hello all,

My mother is due to have THR on December 8. I have been reading your messages and forwarding her the relevant ones and we are both so very grateful for this group. She was able to put together a great list of questions for the surgeon's physician's assistant at her appointment the other day. Thank you all so much.

My mom (age 72) was told she will be on Coumadin (blood thinner) after the surgery to prevent clots. Were any of you on Coumadin? How long were you on it? Did you have any trouble with it? She is kind of concerned about it.

Thanks so much.

Ellen

[Guest guest]

Hi Pimente, Well you must have had a good dr but what is coumadin? Well you take care and have a nice day.

SusiePimentel7@... wrote:

I had both my hips replaced in 2 separate surgeries 6 months apart. I was on coumadin for 10 days after each one. No problems whatsoever.

[Guest guest]

Sometimes the different names of drugs can cause problems. I tend to

call this drug warfarin.

For further information you could go to

http://www.bms.com/cgi-bin/anybin.pl?sql=select%20PPI%0A%09%09%09%09%20%20%20fro\

m%20TB_PRODUCT_PPI%20%0A%09%09%09%09%20%20%20where%20PPI_SEQ%20=%2091 & key=PPI

Margaret from Australia

> I had both my hips replaced in 2 separate surgeries 6 months apart.

I was on coumadin for 10 days after each one. No problems whatsoever.

>

>

[Guest guest]

Hi ,

I stopped taking my medicine 5 days before my operation and no smoking I remember taking the blood thinner pills after my operation and I got blood thinner shots also those hurt my dr made them stop the shots he never told them to give me shots .Well tell your Mom I wish her the best of luck and a speedy recovery for her operation. I had a Hip replacement 4 years ago and a knee replacement 3 years ago .

Well you have a nice day .

Susiemathack@... wrote:

Hello all,

My mother is due to have THR on December 8. I have been reading your messages and forwarding her the relevant ones and we are both so very grateful for this group. She was able to put together a great list of questions for the surgeon's physician's assistant at her appointment the other day. Thank you all so much.

My mom (age 72) was told she will be on Coumadin (blood thinner) after the surgery to prevent clots. Were any of you on Coumadin? How long were you on it? Did you have any trouble with it? She is kind of concerned about it.

Thanks so much.

Ellen

[Guest guest]

-

HI I think its pretty normal for joint replacements to be on

coumadin, my firt TKR I took the blood thinner shots in the stomach

for 10days. My Second TKR he had me takeing the pills for 10days and

had my blood tested twice a week. They worry about blood clots. Iam

not sure what to look for in a blood clot, but I developed a horrible

cramping pain in my calf that they had me go for sonagram to see if

there was a blood clot but I was Ok.

-- In Joint Replacement , " marge "

<palybami@b...> wrote:

> Hi Ellen, I am age 72 and I had Coumadin all three

surgeries. As long as she is on it, a nurse will come to the house

and keep tabs on her blood. I took whatever they gave me at the

hospital to bring home with me. I did not like it because while on

Coumadin, I could not take my Bextra, which let my whole body ache

like a toothache. It seems to me it was something like 14 days they

wanted me on it.

> Marge

>

>

> Hello all,

>

> My mother is due to have THR on December 8. I have been reading

your messages and forwarding her the relevant ones and we are both so

very grateful for this group. She was able to put together a great

list of questions for the surgeon's physician's assistant at her

appointment the other day. Thank you all so much.

>

> My mom (age 72) was told she will be on Coumadin (blood thinner)

after the surgery to prevent clots. Were any of you on Coumadin? How

long were you on it? Did you have any trouble with it? She is kind of

concerned about it.

>

> Thanks so much.

> Ellen

[Guest guest]

Hi Marge,

Was there a reason your doctor wouldn't let you take both Bextra and Coumadin? I've been taking both since surgery and feel fine.

Carol

in due time <justaladyintx@...> wrote:

-HI I think its pretty normal for joint replacements to be on coumadin, my firt TKR I took the blood thinner shots in the stomach for 10days. My Second TKR he had me takeing the pills for 10days and had my blood tested twice a week. They worry about blood clots. Iam not sure what to look for in a blood clot, but I developed a horrible cramping pain in my calf that they had me go for sonagram to see if there was a blood clot but I was Ok.-- In Joint Replacement , "marge" <palybami@b...> wrote:> Hi Ellen, I am age 72 and I had Coumadin all three surgeries. As long as she is on it, a nurse will come to the house and keep tabs on her blood. I took whatever they gave me at the hospital to bring home with me. I did not like it because while on Coumadin, I

could not take my Bextra, which let my whole body ache like a toothache. It seems to me it was something like 14 days they wanted me on it. > Marge> > > Hello all,> > My mother is due to have THR on December 8. I have been reading your messages and forwarding her the relevant ones and we are both so very grateful for this group. She was able to put together a great list of questions for the surgeon's physician's assistant at her appointment the other day. Thank you all so much.> > My mom (age 72) was told she will be on Coumadin (blood thinner) after the surgery to prevent clots. Were any of you on Coumadin? How long were you on it? Did you have any trouble with it? She is kind of concerned about it.> > Thanks so much.> Ellen

[Guest guest]

I looked up the drug-drug interaction at the website of the mail-

order pharmacy used by my insurance provider and it reports this

about the Bextra-Coumadin combination:

" WARFARIN SODIUM (in Coumadin) may interact with VALDECOXIB (in

Bextra)

Although the cause of this potential interaction is not clearly

understood, valdecoxib may increase the anticoagulant effect of

warfarin. Warfarin is generally used to prevent your blood

from " coagulating " or forming blood clots. When valdecoxib and

warfarin are used at the same time, your blood may be much less

likely to clot and this may increase the risk of excessive bleeding.

If these drugs are taken together, your doctor may want to monitor

you closely when therapy with valdecoxib is started or stopped, or

when the dose of valdecoxib is changed. Blood tests can be used to

make sure that you are getting the right amount of warfarin. If you

are experiencing problems, it may be necessary to adjust the dose of

warfarin. Discuss this potential interaction with your healthcare

provider at your next appointment, or sooner if you think you are

having problems.

This interaction is poorly documented and is considered moderate in

severity. "

> Hi Marge,

>

> Was there a reason your doctor wouldn't let you take both Bextra

and Coumadin? I've been taking both since surgery and feel fine.

>

> Carol

>

>

>

[Guest guest]

Hi,

Thanks for the information. I've had regular blood draws, so that may explain why I could take both together. After each draw, the dosage was adjusted based on test results.

Take care,

Caroltreprice2000 <treprice2000@...> wrote:

I looked up the drug-drug interaction at the website of the mail-order pharmacy used by my insurance provider and it reports this about the Bextra-Coumadin combination:"WARFARIN SODIUM (in Coumadin) may interact with VALDECOXIB (in Bextra)Although the cause of this potential interaction is not clearly understood, valdecoxib may increase the anticoagulant effect of warfarin. Warfarin is generally used to prevent your blood from "coagulating" or forming blood clots. When valdecoxib and warfarin are used at the same time, your blood may be much less likely to clot and this may increase the risk of excessive bleeding. If these drugs are taken together, your doctor may want to monitor you closely when therapy with valdecoxib is started or stopped, or when the dose of valdecoxib is changed. Blood tests can be used to

make sure that you are getting the right amount of warfarin. If you are experiencing problems, it may be necessary to adjust the dose of warfarin. Discuss this potential interaction with your healthcare provider at your next appointment, or sooner if you think you are having problems.This interaction is poorly documented and is considered moderate in severity."> Hi Marge,> > Was there a reason your doctor wouldn't let you take both Bextra and Coumadin? I've been taking both since surgery and feel fine.> > Carol> > >

[Guest guest]

HI CAROL, If there was a reason, no one told me. I am one of those folks who assume a person who is the one to give instructions naturally knows what she is talking about and does not need me to argue with her.

Marge

HE LIVES!

Hi Marge,

Was there a reason your doctor wouldn't let you take both Bextra and Coumadin? I've been taking both since surgery and feel fine.

Carol

in due time <justaladyintx@...> wrote:

-HI I think its pretty normal for joint replacements to be on coumadin, my firt TKR I took the blood thinner shots in the stomach for 10days. My Second TKR he had me takeing the pills for 10days and had my blood tested twice a week. They worry about blood clots. Iam not sure what to look for in a blood clot, but I developed a horrible cramping pain in my calf that they had me go for sonagram to see if there was a blood clot but I was Ok.-- In Joint Replacement , "marge" <palybami@b...> wrote:> Hi Ellen, I am age 72 and I had Coumadin all three surgeries. As long as she is on it, a nurse will come to the house and keep tabs on her blood. I took whatever they gave me at the hospital to bring home with me. I did not like it because while on Coumadin, I could not take my Bextra, which let my whole body ache like a toothache. It seems to me it was something like 14 days they wanted me on it. > Marge> > > Hello all,> > My mother is due to have THR on December 8. I have been reading your messages and forwarding her the relevant ones and we are both so very grateful for this group. She was able to put together a great list of questions for the surgeon's physician's assistant at her appointment the other day. Thank you all so much.> > My mom (age 72) was told she will be on Coumadin (blood thinner) after the surgery to prevent clots. Were any of you on Coumadin? How long were you on it? Did you have any trouble with it? She is kind of concerned about it.> > Thanks so much.> Ellen

[Guest guest]

Yikes! I'll take double knee surgery, but don't ask me to inject myself. That's adding insult to injury, isn't it? :-) And you have no choice? Is it the insurance company or your doctor driving the decision? At least you will save the time and gas going to the lab every week. Ann <katlady@...> wrote: arthur, I'm being put on injectable coumadin, apparently you don't need weekly blood tests, but you have to inject yourself daily, not something I'm looking forward to, but as with

all things I'll get over it. They are NOT giving me an alternative on this one. ann Re: Re: Just joined The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests,

how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

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yes it terrifies me, but she (doc) was fairly insistent - its like a diabetic pen, not difficult, but I'm TERRIFIED of needles, oh whoopie, but they have found with the injectables they do not need to monitor and being that I live on a farm north 45 minutes from doctors its probably a good choice. She said I could do either but said the monitoring was tedious - so probably what's the difference in the end. And this morning I came down with a cold, sure hope they don't cancel the op

ann

Re: Re: Just joined

The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests , how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

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[Guest guest]

Ann: My doctor didn't give me an alternative, either. I've read, though, that low molecular weight Heparin is another choice, as is plain old aspirin. I'm guessing that my surgeon's had the best results with the Coumadin, among these choices and probably others I don't even know. --ArthurAnn <katlady@...> wrote: arthur, I'm being put on injectable coumadin, apparently you don't need weekly blood tests, but you have to inject yourself daily, not something I'm looking forward to, but as

with all things I'll get over it. They are NOT giving me an alternative on this one. ann Re: Re: Just joined The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood

tests, how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

Everyone is raving about the all-new beta.

[Guest guest]

arthur does that mean you gave yourself injections - I can't take aspirin so that's a no go with me - and if you did give yourself injections was it horrible, or as easy as they say???

a

Re: Re: Just joined

The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests, how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

Everyone is raving about the all-new beta.

[Guest guest]

Ann: No, no injections. I'm taking the Coumadin in pill form--5 mg. tablets. I have four tablets left! Then I get to gorge myself on broccoli and cabbage--and everything else I've missed but can't eat because of the large amounts of vitamin k in them! --ArthurAnn <katlady@...> wrote: arthur does that mean you gave yourself injections - I can't take aspirin so that's a no go with me - and if you did give yourself injections was it horrible, or as easy as they say??? a Re: Re: Just joined The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests, how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur Everyone is raving about the all-new beta.

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Answers.

[Guest guest]

Ann, I had to give myself shots after I came home from my first TKR. The shots are easy to do, give them in your bellyand it doesn't hurt. On the second knee all I had to take was aspirin.Shirley Re: [Total_Joint_ Replacement] Re: Just joined

The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests, how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

Everyone is raving about the all-new beta.

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[Guest guest]

I'll hold you to that shirley, never knew a needle that didn't hurt but I will let you know

ann

Re: [Total_Joint_ Replacement] Re: Just joined

The only thing I dislike about Coumadin is the required weekly blood tests. Make sure you know where you're going to get those blood tests, how often your doctor wants them, who's prescribing the blood drawing, and who's going to right the blood draw order and review your test results. I was a bit confused there with my primary care physician ordering and reading the blood tests when it my surgeon who prescribed the Coumadin. --Arthur

Everyone is raving about the all-new beta.

Want to start your own business? Learn how on Small Business.

[Guest guest]

i don't understand WHY the injectable coumidin would mean less blood tests. how does it differ from a pill, once it's in the body as far as tests go? did you doctor explain?

i live a good 60 minute drive from my doctor as well, so maybe my doctor will suggest this. i don't think i'd have a problem injecting myself. i've had so many needles in me in my lifetime, it's like it's almost the norm.

when i was 7 i had my appendix removed and because they came very close to bursting, i was in the hospital 2 weeks and had shots of penicillin every few hours around the clock. it got to where they'd come in to give me a shot and i wouldn't even flinch, and you know how children are with needles. ;-)

hugs,~ linDUHlou ~RTHR/1/22/2007

yes it terrifies me, but she (doc) was fairly insistent - its like a diabetic pen, not difficult, but I'm TERRIFIED of needles, oh whoopie, but they have found with the injectables they do not need to monitor and being that I live on a farm north 45 minutes from doctors its probably a good choice. She said I could do either but said the monitoring was tedious - so probably what's the difference in the end. And this morning I came down with a cold, sure hope they don't cancel the op

ann