Article
Investigating unexpected INRs: in search of the culprit--adherence, interactions, genetics, and superwarfarin.
The Netherlands journal of medicine - 1 Feb 2009
Schmeits P C J, Péquériaux N C V, van Geest-Daalderop J H H, Ouwehand M E, Coremans A M J, Hermans M H A, Conemans J M H
Abstract excerpt
Treatment with coumarin derivatives is highly individualised due to high intra- and inter-individual variation in dose response and risks of severe bleeding or thromboembolic complications. Treatment focuses on reaching and maintaining a stable target international normalised ratio (INR). However, unexpected INRs that are not explained by noncompliance or vitamin K intake may occur. Here we describe seven cases...
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