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Warfarin substitute

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ferret
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jgriff
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Post by jgriff Thu Mar 11, 2021 10:49 am

Hola

Does anyone here use warfarin or equivalent ? I have been told that warfarin is not available in Mexico and wondered what people use instead. A coumadin. I don't want Eliquis or Xaralto as they are expensive. I am hoping there is something a little less money.

Also please no comments like "cost shouldn't matter " Thanks

TIA
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Post by CHILLIN Thu Mar 11, 2021 11:18 am

Wife has rare blood disorder, requires blood thinners her whole life. She has been working with the blood specialist at Quality
Care to get her dosages right, INR tests, etc. She too was shocked when warfarin was cancelled. She now uses Fitromtec (Acenocumerol) 110 pesos, Maskaras Pharmacy 376 765 5827. Excellent pharmacy, and they deliver.
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Post by ferret Thu Mar 11, 2021 1:25 pm

Yes, it is an excellent Farmacia.
My hubby used Sintrom for years after both of his femoral arteries were bypassed. His INR was always right where it was supposed to be. Later, some Doctor wanted him to switch to Plavix. He took one look at the price and kept right on with the Sintrom.
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Post by conejorapido Thu Mar 11, 2021 1:30 pm

The generic for Plavix is Clopidogrel and it is very, very cheap. I discovered it after my first purchase of Plavix which is ridiculously expensive. My cardiologist tells me there is no difference in efficacy.

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Post by jgriff Thu Mar 11, 2021 2:23 pm

conejorapido wrote:The generic for Plavix is Clopidogrel and it is very, very cheap. I discovered it after my first purchase of Plavix which is ridiculously expensive. My cardiologist tells me there is no difference in efficacy.

Thanks. I see it only comes in 75mg and I will see my doctor about it to see what the equivalent to 4.5 mg of warfarin.
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Post by zenwoodle Thu Mar 25, 2021 12:31 pm

When I lived in Ajijic I switched from Warfarin to Sintrom with no problem other than setting the right dosage. 4.5 mg of Warfaring should be about 2 mg of Sintrom, but get frequent INR tests to make sure. Sintrom was readily available.
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Post by Jreboll Thu Mar 25, 2021 2:44 pm

When was it discontinued? I’ve bought it before to use as a rat poison.

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Post by jgriff Thu Mar 25, 2021 3:12 pm

Jreboll wrote:When was it discontinued? I’ve bought it before to use as a rat poison.

Lol lol lol. I hope you're joking. This warfarin is pill 💊 form
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Post by Jreboll Thu Mar 25, 2021 4:00 pm

No joke. Crush it and mix with peanut butter.
There was a similar product on the market many years ago.

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Post by Wide Sky Thu Mar 25, 2021 8:09 pm

You can still buy coumadin here. There were production problems about 4 yrs ago. Acenocoumarol is readily available in 4mg doses. Zenwoodle is right, acenocoumarol is cheaper and you don't need as much to maintain proper INR levels. Docs here look at the INR levels AND your bleeding times. As you are using less it goes much further. Runs about $400 pesos for 30 pills.
Still have to watch interactions with other meds and it's not as sensitive to what you eat. Alcohol makes it work TOOOOOOO well. Bruising doesn't seem to be as bad with acenocoumarol.

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Post by CHILLIN Fri Mar 26, 2021 3:28 pm

Many doctors, such as Dr Hector Briseno, insist that their patients go on Eliquis before any surgery. Then there is no need to watch INR levels, no need to worry whether the patient is taking a fake drug, and less worry the patient is forgetting doses, etc. After surgery, you can switch back, but you need three days of stomach injections to do that.
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Post by Wide Sky Mon Mar 29, 2021 3:55 pm

CHILLIN wrote:Many doctors, such as Dr Hector Briseno, insist that their patients go on Eliquis before any surgery. Then there is no need to watch INR levels, no need to worry whether the patient is taking a fake drug, and less worry the patient is forgetting doses, etc. After surgery, you can switch back, but you need three days of stomach injections to do that.
That may be true however eliquis does not work for all heart problems. Dr. H Briseno is also our cardiologist and has prescribed heparin for pre & post surgery - yep stomach injections.

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