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Coumadin Update
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Hey all. Just wanted to give you the update on the coumadin vs. warfarin post I wrote a few weeks ago. I have now been on coumadin (brand name of drug) for a couple of months, after switching from warfarin (generic name of drug). Since switching to coumadin, my INR has been EXACTLY the same (2.15) every week. When I was on warfarin for the first 3.5 months, my INR varied every week. My diet has been very consistent every day, so there is DEFINITELY a difference between the two. If any of you are having problems getting your INR to stabilize, I HIGHLY suggest switching from warfarin to coumadin. This may help to shorten your treatment time, esp. if you are able to spend less time trying to get your INR stable from week to week. If you switch over from warfarin to coumadin, at first, your INR my go up until the docs adjust your coumadin dose (probably to a lower dose), but then your INR should stabilize and stay VERY STABLE after that. My INR went from varying in the 1.8-4.0 range on warfarin. When I first switched to coumadin, it went way up to 6.0, so they adjusted my dose to a lower dose and now it is consistently 2.15 exactly. It is worth switching, to save you some frustration, if nothing else.
Posted on 02/28/08, 09:02 am |
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Very interesting...is it costing more?? 
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I have very good insurance, and it didn't cost a whole lot, although I believe it does actually cost a bit more than warfarin.
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amelhu: About Coumadin costing more than Warfarin - if you ask your doctor to put ont he bottom of the prescription "Medically Necessary" it will not cost anymore that the Warfarin. They will charge you the same as your normal refill. At least, that is how it has always worked with me and my insurance. Good luck with that!!!! Xela
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Tishpoo,
I've had the same problems on generic warfarin as you did. Since being on coumadin (now since 2000) my INR stays pretty consistent and I know what will raise and lower my INR and adjust accordingly. The funny part is, generic warfarin is not suppose to be any less effective then coumadin. According to the medical community, there shouldn't be any difference, however, we as patients do see a difference. My body just could't stay stable on generic warfarin. On the other hand I know several patients who report the opposite.
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