Tired of Warfarin side effects and food no goes!

[ozimoron]

3 hours ago, NewGuy said:

I’ve just ordered two boxes of Rivalox (Rivaroxaban) 20 mg, Indian generic, at 1,890 baht each. If I tolerate them well I’ll buy lots more.

 

What is the procedure for stopping Warfarin and starting Rivaroxaban? Start the day after my last Warfarin dose or wait one or two days?

 

Thanks all.

 

I had to wait 3 or 4 days between stopping warfarin and starting Eliquis (apixaban), I can't recall, because the warfarin had to be fully metabolised to preclude the possibility of a bleeding event. You should have the advice of a haematologist before doing this. And, you should wait for @Sheryl to weigh in. 

[Sheryl]

3 hours ago, NewGuy said:

I’ve just ordered two boxes of Rivalox (Rivaroxaban) 20 mg, Indian generic, at 1,890 baht each. If I tolerate them well I’ll buy lots more.

 

What is the procedure for stopping Warfarin and starting Rivaroxaban? Start the day after my last Warfarin dose or wait one or two days?

 

Thanks all.

You have to base this on your INR.

 

If/when it is <3.0 you can immediately start rivaroxaban and take no more warfarin. (Note that the INR cut off is different for different meds)

 

https://www.acc.org/latest-in-cardiology/articles/2014/05/22/14/39/accel-2-1

[monty1412]

On 1/29/2024 at 4:52 PM, NewGuy said:

I’ve been taking Warfarin since I was diagnosed with AFIB in 2008. It deals with the possibility of stroke by reducing blood coagulation though one must be careful to maintain INR readings in the 2.0-3.0 range. My right arm, wrist to elbow, is blotchy from poor recovery from knocks to the forearm. Doctors look at my arm and ask ‘Warfarin?’. 
 

My Thai heart doctor says that stopping Warfarin and replacing it with RIVANOXABAM 20 mg taken daily would be suitable. I wouldn’t have to get INR tests and forbidden/cautioned foods such as leafy green vegetables, cranberries and lots more could be eaten. Future arm knocks wouldn’t be a lasting problem. The new drug is expensive though.

 

Pattaya Tai Fascino quoted me 2,430 baht for a month’s supply (I didn’t note the brand); there would be a reduction when paying as I’m a card carrying customer.

 

My Bangkok druggist said that the price for Xarelto 20 mg price is 3,600 baht. I don’t know if Xarelto is a Thai generic or original. She also found a made-in-India generic for 1,890 baht.

 

I gather, perhaps mistakenly, that generics from Thailand or India are fine.

 

What do you think? What suggestions do you have for me?

 

Thanks.

 

OK similar circumstances .... fact that you are on  Warfarin indicates its not a heart  valve problem causing the AFIB.. perhaps consider ablation... worked for me ... I was on Xarelto as well ( never Warfarin) and now graduated to 80mg Aspirin per day . generics are fine ....Xarelto bought here in TH is fine , its made under license from Bayer AG. Xarelto from India I dont know about . Xarelto really  really works.. had a small shaving cut  when I was on it and blood spurted  about 1 foot to the mirror and took hours to stop bleeding .....From what you have stated re Warfarin I would seriously talk to Dr about ablation to quell the electrical activity  ( no side effects for me) or just get on the Xarelto.... one word of warning however my heart specialist was horrified I was motorbike riding while on Xarelto. said one minor arterial wound and you would bleed out so if you part time passion is  juggling chain saws you might want to consider that