Decreased hypoprothrombinemic effect of warfarin associated with furosemide.

Abstract:

:The authors describe a case of furosemide possibly inhibiting the hypoprothrombinemic effect of warfarin. The initiation of furosemide dosing in a patient receiving a stable dose of warfarin was associated with an 28% decrease in the international normalized ration (INR). Using normal volunteers, two previous controlled studies of an interaction between warfarin and chlorthalidone, and between warfarin and spironolactone, assert that volume depletion produced by forced diuresis results in the inhibition of warfarin's hypoprothrombinemia. Consistent with this hypothesis, the authors found that their patient's hematocrit (believed to reflect hydration status) correlated with the INR: r2 = 0.78, p < 0.05. This case provides further evidence suggesting that acute diuresis can decrease the hypoprothrombinemic effect of warfarin.

journal_name

Ther Drug Monit

authors

Laizure SC,Madlock L,Cyr M,Self T

doi

10.1097/00007691-199706000-00019

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

361-3

issue

3

eissn

0163-4356

issn

1536-3694

journal_volume

19

pub_type

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