Does fasting during Ramadan influence the therapeutic effect of warfarin?
Kannan SridharanRashed Al BannaAli Mohamed QaderAysha HusainPublished in: Journal of clinical pharmacy and therapeutics (2020)
Ramadan fasting influences the therapeutic effect of warfarin in terms of lowered TTR (%), reduced proportion of patients achieving therapeutic PT-INR and increased risk of poor anticoagulation control. Greater caution is required during the post-Ramadan period, particularly in the elderly category as they are more prone for over-anticoagulation and consequently the risk of bleeding.
Keyphrases
- atrial fibrillation
- venous thromboembolism
- end stage renal disease
- direct oral anticoagulants
- newly diagnosed
- blood glucose
- insulin resistance
- oral anticoagulants
- chronic kidney disease
- peritoneal dialysis
- type diabetes
- blood pressure
- middle aged
- skeletal muscle
- metabolic syndrome
- community dwelling
- patient reported
- glycemic control