Complimentary and alternative medicine use among patients starting warfarin

Ramsay, Nadine A., Kenny, Martin W., Davies, Graham and Patel, Jignesh P. (2005) Complimentary and alternative medicine use among patients starting warfarin British jJournal of Haematology, 130 (5). pp. 777-780. ISSN 1365-2141

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Abstract

The use of complimentary and alternative medicines (CAM) among the UK population is on the increase. For patients requiring warfarin therapy, it is important to maintain an adequate and safe level of anticoagulation. As some forms of CAM can interact with warfarin, it is imperative that any patient considered for warfarin, is asked about their use of CAM. Our report describes the incidence and type of CAM usage among patients about to start or recently commenced on warfarin therapy attending our outpatient anticoagulant clinic. All patients attending clinic for the first time were seen by a pharmacist. A retrospective analysis of the pharmaceutical care plans for all patients seen during 2003 were analysed regarding the degree of CAM usage. Of 631 care plans reviewed, 170 (26·9%) patients were taking some form of CAM. Ninety-nine (58% of all CAM users) were taking a CAM that could interact with warfarin; the commonest forms were cod-liver oil capsules and garlic capsules. We conclude that many patients new to warfarin therapy were significant users of CAM, many of which had the potential to interact with warfarin. By taking a full drug history, potential CAM/warfarin interactions could be avoided.

Item Type: Journal article
Subjects: B000 Health Professions > B300 Complementary Medicine
B000 Health Professions > B300 Complementary Medicine > B340 Alternative Medicine
A000 Medicine > A300 Clinical Medicine
DOI (a stable link to the resource): 10.1111/j.1365-2141.2005.05689.x
Faculties: Faculty of Science and Engineering > School of Pharmacy and Biomolecular Sciences
Depositing User: editor spbs
Date Deposited: 29 Nov 2006
Last Modified: 05 Feb 2014 16:30
URI: http://eprints.brighton.ac.uk/id/eprint/527

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