Re: Alternative to Coumadin--- Pradaxa
I've been on Warfarin for decades, and will stay on it. I've had Heart Failure and A-Fib for about 25 years. I have absolutely no problems, any more, with Warfarin. I go in once a month for my INR. I was offered my own blood testing device and I turned it down. I'd rather just go in and have them take care of it.
Pradaxa (dabigatran) seems to be somewhat more effective against blood clots and strokes, than Warfarin, so that is in Pradaxa's win column. Pradaxa also doesn't require testing of INR, which is nice.
On the negative side, Pradaxa has a short shelf life of 30 days once the bottle has been opened, so it loses it's effectiveness rather fast. You also have to take it twice a day. It also comes with possible adverse effects including excessive bleeding, gastrointestinal symptoms and stomach upset, stomach pain, nausea, heartburn, and bloating.
Pradaxa is also much more expensive than my old cheapo med, Warfarin.
Plus...... Pradaxa is a relatively newly approved medication. Before I would consider switching, I would want to see it used for several more years. In the meantime, I will try to limit my possibility of stroke by staying on Warfarin and staying on a low calorie, healthy diet.
This is only my opinion, and those who prefer Pradaxa could be totally 100% correct, and I could be totally wrong with my choice.
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