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Warfarin

My Mother takes Warfarin. If she is having a heart attack, is it safe to give her an aspirin while waiting for emergency. help?
Poster
  • Female | 81 years old
  • Medications: Warfarin 2mg and Lisinopril 5mgx1
  • Conditions: none
September 15, 04:19 PM

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Yes, while waiting for an emergency, it is.
Jasdeep Dalawari
Jasdeep Dalawari, MD
Cardiologist / Internal Medicine in Hopewell, VA
Level: Candidate (1)
September 27, 07:25 AM
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yes. if it truly is a heart attack, a single dose of Aspirin will not be harmful and may well help. I would recommend if you do give Aspirin in this situation make sure you have her chew it. Also, the dose of Aspirin during a heart attack should be 325 mg. Finally, if you think she is having a heart attack, call 911. Don't drive her to the emergency room yourself.
Vimal Nanavati
Vimal Nanavati, MD
Cardiovascular Disease in Bonita, CA
Level: Contributor (5)
Website: Heart Care 4 Life
September 25, 05:23 AM
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Absolutely yes

A single dose of aspirin will not cause harm and is beneficial if someone is having a heart attach
Louis Borgatta
Louis Borgatta, MD
Cardiologist in Wyomissing, PA
Level: Candidate (1)
Website: Berks Cardiologists
September 17, 10:49 AM
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Yes agree with all the other responses. In case of any suspicion of MI patient should be given aspirin preferrably 325 mg stat and 911 should be called immedidately to transfer her to the nearest hospital for further management
Debasish Roychoudhury
Debasish Roychoudhury, MD
Cardiovascular Disease in Elmhurst, NY
Level: Contributor (5)
September 16, 02:10 AM
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Yes in most cases it it , you may be adding time to prevent heart muscle from dying. Its better to crush it and take it with lots of water so you get it into the blood stream faster. You should also monitor blood tests while on Warfarin on a regular bases.
Sasson E. Moulavi
Sasson E. Moulavi, MD
Primary Care Physician in Boca Raton, FL
Level: Key Opinion Leader (104)
Website: Smart For Life
September 16, 12:29 AM
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Yes it is. As Dr. Saxena points out below they both work on different blood components. This is why it is safe to do. Of course 911 should be called immediatly and she should be hospitalized immediatly. She must be cared for by a physician ASAP.
Mark Reeves
Mark Reeves, MD
Primary Care Physician in El Paso, TX
Level: Candidate (4)
Website: http://medicaltourismtx.com/
September 15, 10:43 PM
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since aspirin works by a different mechanism than warfarin, they target different compounds. Yes it is important to give someone aspirin if they are having a heart attack, even if they are on warfarin. Long term use of both together should be carefully managed by a physician.
Sanjeev Saxena
Sanjeev Saxena, MD
Cardiologist in Fort Payne, AL
Level: Contributor (21)
Website: Appalachian Cardiovascular Associates
September 15, 10:20 PM
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The short answer is Yes. Aspirin is a strong anti-platelet medication which can prevent the early formation of a platelet rich clot during a heart attack. (Even on Coumadin ).

However taking both drugs increases the risk of bleeding so taking aspirin for longer periods of time should be discussed with her cardiologist!
Eric S. Tiblier
Eric S. Tiblier, MD
Vein Treatment Specialist in Austin, TX
Level: Candidate (1)
Website: Dr. Eric Tiblier, MD
September 15, 06:26 PM
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