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Todd

Starting warfarin

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I have read that a protein s deficient patient should not be started on warfarin without heparin. Well, I was just put on 10mg warfarin a week ago for a DVT and was not given any heparin. If this results in the formation of clots, how soon would I know it and wouldn't the warfarin keep anything newly formed from growing in size and/or moving?

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To clarify further, warfarin actually lowers protein S levels, which can lead to further clotting if warfarin is administered without heparin for the first 4 days that it takes for the warfarin to bring the INR up to the desired level.

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