Anticoagulation Management Q & A

What is anticoagulation management?

Anticoagulation management is an essential service for people taking medications to stop existing blood clots from getting larger and prevent future blood clots and strokes. These medications, called anticoagulants or blood thinners, include:

  • Warfarin (Coumadin® and Jantoven®)
  • Dabigatran (Pradaxa®)
  • Rivaroxaban (Xarelto®)
  • Apixaban (Eliquis®)
  • Edoxaban (Savaysa®)
  • Betrixaban (Bevyxxa®)

Anticoagulants only work properly when your blood levels of the medication stay within a specific range. Having too little can result in a blood clot, while too much can lead to bleeding.

Anticoagulant management protects your health by closely monitoring your blood levels and adjusting your dose as needed.

What conditions need anticoagulants?

Advanced Heart Care Associates may prescribe anticoagulants for conditions such as:

  • Deep vein thrombosis
  • Venous thromboembolism
  • Pulmonary embolism
  • Atrial fibrillation
  • Valvular disease
  • Congestive heart failure
  • Previous heart attack
  • Coronary artery disease (CAD)
  • Peripheral artery disease (PAD)
  • Blood clotting disorders (thrombophilia or hypercoagulable state)

You also need to take anticoagulants to prevent blood clots after surgery and if you're immobile due to hospitalization or an illness.

What happens during anticoagulant management?

Some anticoagulants, such as warfarin, require regular tests to closely monitor your blood levels. If you need blood tests, the anticoagulant management specialists take care of them during your appointments.

During your anticoagulant management appointment, your provider may:

  • Perform a finger stick blood test
  • Draw blood when needed
  • Review blood test results
  • Adjust your dose if needed
  • Approve prescription refills
  • Evaluate potential side effects
  • Assess drug interactions
  • Manage your anticoagulant medication before and after surgery
  • Assess your diet and activities
  • Provide medication education
  • Facilitate communication with your primary care or another physician

Your provider also talks with you about watching for specific signs of bleeding and clotting and how to know when you need immediate medical attention.

Why does anticoagulation management involve diet and medications?

Your medications and diet are a concern when you take warfarin. Certain medications can affect warfarin's effectiveness. For this reason, your provider monitors any other medications you take and notes any changes that may interact with warfarin.

If you take warfarin, you also need to be aware of the amount of vitamin K you consume. Vitamin K promotes blood clotting while warfarin makes blood clot more slowly. 

Your provider determines the dietary vitamin K you normally consume and uses it to determine your warfarin dose. Making a change in your diet means you need a different dose. 

If you need anticoagulation management, call Advanced Heart Care Associates or book an appointment online today.