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Wheeless' Textbook of Orthopaedics

Warfarin Interactions and Resistance


- Contraindications same as Heparin: - ASA (Bleeding) - w/ hemorrhagic tendencies - pregnancy - severe hepatic or renal disease - severe hypertension - blood dyscrasis - Agents which Increase Prothrombin Time: - Acetaminophren; - Allopurinol - ASA - Steroids - Cimetidine - Indomethacin - Flaggyl - Hypoglycemics - Phenothiazines - Phenylbutazone - Propylthiouracil - Quinidine - Salicylates - Tricyclics - Septra; - Agents which Decrease Prothrombin Time: - Barbituates - Oral contra-ceptives - Rifampin - Hypothroid patients may be Resistant to Coumarin; - High levels of Ascorbic acid will interfere with effects;



Original Text by Clifford R. Wheeless, III, MD.