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Anticoagulation

Anticoagulation Clinic Eugene OR | Springfield OR

Oregon Medical Group is proud to announce our first special management clinic, the Anticoagulation Clinic (ACC). The anticoagulation clinic is for patients who are taking Coumadin (warfarin), a medication that slows blood clotting.

Patients with diagnoses such as atrial fibrillation, artificial heart valves, a history of stroke or heart attack, etc. may be treated with Coumadin (warfarin) in order to decrease their risk of complications. Our goal is to closely monitor and adjust Coumadin (warfarin) dosing by testing protime and INR levels using a fingerstick blood test. This testing is required to decrease the risk of adverse events associated with taking Coumadin (warfarin) such as bleeding. In addition, we will provide education to assist you in understanding the reasons for Coumadin therapy and ways in which you can help reduce the risks to yourself while taking this medication. By working in conjunction with a specially trained RN and your primary care physician, we hope to achieve a safe and desirable lifestyle for you.

Clinic Locations

The ACC has the following locations available to serve you:

Maps & Directions

Garden Way Medical Clinic 330 South Garden Way North Building - Suite 350 Eugene, Oregon 97401
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West Eugene Medical Clinic 4135 Quest Drive Eugene, Oregon 97402
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Patient Education

Preparation for Procedures & Exams - Anticoagulation

Anytime you are told to stop Coumadin (warfarin) for a procedure, surgery, or dental work, you must notify your Anticoagulation Clinic nurse. Once notified, the nurse will communicate with your primary care physician to determine if it is safe for you to be off of your Coumadin (warfarin).

Depending on your risk level, your doctor may approve being off Coumadin (warfarin) and your ACC nurse will give you special dosing instructions to follow before and after the procedure. She will also arrange appropriate follow up appointments for you to have your protime and INR levels tested.

Some patients, who are at higher risk of experiencing a blood clot or other complication while off of Coumadin (warfarin), may need to "bridge." Bridging is another form of anticoagulation given in an injection form. Your doctor will decide if your condition requires this therapy.

Communicating with your ACC nurse is very important to maintaining the safest level of therapy possible. Please notify your nurse as soon as surgery is scheduled or you are notified that you will need to be off Coumadin (warfarin) for any reason.

FAQ about Warfarin (Coumadin®)

What is the best time to take warfarin (Coumadin®)?
Always try to take it at about the same time each day. Ideally you should take it in the evening, but choose a time of day that you will remember to take it. On the days you are getting your INR level checked, do not take the warfarin before the blood test in case a change in your dosage needs to be made.
Should I take warfarin (Coumadin®) with food or on an empty stomach?
Warfarin (Coumadin®) can be taken with or without food.
How long will I need to be on warfarin (Coumadin®)?
It is up to your healthcare provider to determine how long you will need to be on warfarin. Warfarin is used to treat many different conditions. For some, you will only need to be on it temporarily, for others you may need to be on it for life.
What do I do if I travel?
If necessary, we can make arrangements for you to have your INR level monitored while you are away. Please notify us as soon as possible when you know you will be out of town so we can prepare the lab slips you will need to take with you. Remember to try to keep your diet consistent and to avoid excessive alcohol intake while you are away.
What if I miss a dose?
If you miss a dose of warfarin and you remember within 12 hours, go ahead and take your dose. You should still take your next dose at the regular time. If you forget your dose for 24 hours or more, call your ACC nurse as soon as possible for special dosing instructions. Missing just one dose of warfarin can lower your INR by a full point, putting you at risk of having a blood clot.
What happens if I need surgery, dental work, or some type of invasive procedure.
Any time you are to have any type of procedure done, notify your ACC nurse. Depending on the procedure, the warfarin may need to be temporarily stopped, or you may need an alternative method of anticoagulation (bridging). Always check with your ACC nurse or primary care provider BEFORE stopping it for any reason. Stopping your warfarin (Coumadin®) may increase your risk of a blood clot.
How much warfarin (Coumadin®) is too much?
There is no limit on the dosage of warfarin. You will need to take whatever dose keeps your INR level in the therapeutic range. For some people, it may be a very small dose, for others, it may be a large dose. If you hear from your friends or neighbors that they are taking a lower dose than you, don’t let it upset you. Warfarin dosage is individualized to each particular patient.

Anticoagulation Clinic Patient Education Packet