Does ramadan fasting affect the therapeutic and clinical outcomes of warfarin? a systematic review and meta-analysis.
Eslam Mohammed RabeaKirellos Said AbbasDina M AwadNancy H ElgoweiniAmro Ahmed El-SakkaNada H MahmoudBasel AbdelazeemPublished in: European journal of clinical pharmacology (2022)
Ramadan fasting did not affect INR level, TTR, or the number of patients within the therapeutic range before, during, and after Ramadan. However, there was a possibility of achieving a supratherapeutic INR post-Ramadan compared to pre-Ramadan. Therefore, INR monitoring and warfarin dose adjustments accordingly are recommended after Ramadan.