NSAIDS WITH WARFARIN

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Mon, 04/24/2017 - 09:11
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CHARLIE VRETIS
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Joined: 08/07/2015 - 18:44
NSAIDS WITH WARFARIN

We have had many patients who are on warfarin being prescribed Toradol 1X for pain and also routine NSAID dosing. Providers state this should be our policy on this situation:

"if the patient is in therapeutic range and appropriate steps are taken to decrease risk of systemic or local bleeds, the provider has the autonomy to prescribe SHORT courses of NSAID treatment i.e no more than 5 to 7 days with appropriate minimization of dosing and intense counseling. We definitely do not want patients to have bleeding episodes but we also do not want to contribute to the opiod crisis or exceed APAP limitations. An in depth perusal of the PMH, Subjective, and Objective data should be accomplished before combining these 2 classes."

Your comments please.

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