Warfarin

Dosing

  1. Day 1: 5 to 7.5 mg po at night (to ensure absorption on an empty stomach),
  2. Day 2, 3, 4...: 2.5 to 7.5 mg po qhs (most often 5 mg)
  • An increase in INR of >0.3-0.4 units per day necessitates dose reduction
  • CHF, liver disease, Vitamin K def, drugs may influence warfarin response

Range (INR)

2.5 to 3.5: mechanical prosthetic valves or recurrent thromboembolism

2.0-3.0: all other indications

Reversal

Warfarin (Coumadin) Reversal

Source

1/26/06 DONALDSON (addapted from Lampe), EMP 1/11