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warfarin (coumadin) management guidelines

Managing a patient on warfarin (coumadin) can be very tricky, as warfarin metabolism is very complex and affected by many factors including genetics, food, medical problems and current medications.  Moreover, the therapeutic window is often relatively narrow–usually in the range of INR = 2.0 to 3.5. 

If you are managing a patient starting or on warfarin, here are some resources:

1) warfarin management guidelines

2) Consensus recommendations (2008) on provision of optimized anticoagulation therapy

3) Evidence-based clinical practice guidelines (2008) for antithrombotic therapy for venous thromboembolic disease by the American College of Chest Physicians.

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