Coumadin - Warfarin sodium

Recall of 1.5 million tablets of the popular blood thinner Coumadin (warfarin sodium 2-propanol solvate), due to concerns with variability in the 2-propanol levels, which in turn might affect the crystallinity of warfarin sodium. Complete loss of 2-propanol content would result in amorphous formation. 

The coumarin anticoagulants include dicumarol, warfarin sodium (coumadin sodium), warfarin potassium (Athrombin-K), acenocoumarol (Sintrom), and phenprocoumon (Liquamar). The inanedione derivatives are phenindione (Hedulin), diphenadione (Dipaxin), and anisindi-... 

Tablets (e.g., quinapril hydrochloride) Capsules (e.g., pancrease) Oral suspensions (e.g., cefuroxime axetil) Injectables (e.g., coumadin) Sterile powders (e.g., cefoxitin) Topicals (e.g., zinc oxide powder) Anti-infectives (e.g., erythromycin ethyl succinate) Anti-coagulants (e.g., warfarin sodium) Anti-asthmatics (e.g., montelukast sodium) Anti-psychotics and anxiolytics Hypnotics and anticonvulsants (e.g., barbiturates) Anti-hypertensives Anti-inflammatories (e.g., indomethacin) Analgesics (e.g., aspirin) Antacids (e.g., aluminum hydroxide) Diuretics Enzymes (e.g., pancreatin) Hormones...

Warfarin Sodium, USP. Warfarin sodium. 3-(o-aceto-nylbenzyl)-4-hydroxycoumarin sodium salt (Coumadin. PanwarOn). is a white, odorless, crystalline powder, with a slightly bitter taste it is slightly soluble in chloroform and soluble in alcohol or water. A 1% solution has a pH of 7.2 to 8.5. 

The most widely prescribed anticoagulant in North American is warfarin sodium (Coumadin). It was discovered serendipitously in the early 1940s at the University of Wisconsin after hemorrhagic deaths occurred in cattle eating spoiled sweet clover. Warfarin is approved by the FDA for the prevention and treatment of VTE as well as for the prevention of thromboembolic complications associated with atrial fibrillation, heart valve replacement, and myocardial infarction. Because of its narrow therapeutic index, predisposition to drug and food interactions, and propensity to cause hemorrhage, warfarin requires... 

The coumarin anticoagulants include dicumarol, warfarin sodium (coumadin sodium), warfarin potassium (Athrom-bin-K), acenocoumarol (Sintrom), and phenprocoumon (Liquamar). The inanedione derivatives are phenindione (Hedulin), diphenadione (Dipaxin), and anisindione (Miradon). The pharmacological properties of oral anticoagulants are identical qualitatively, but their pharmacokinetic parameters and their toxicities vary. Racemic warfarin sodium is the most widely used anticoagulant. Antithrombotic drugs are used clinically either to prevent the formation of blood clots within the circulation (anticoagulant) or to dissolve a clot that has already formed (thrombolytic). 

The coumarin anticoagulants include dicumarol, warfarin sodium (coumadin sodium), warfarin potassium (Athrombin-K), acenocoumarol, and phenprocouman. Phenprocouman, acenocoumarol, and ethyl biscoumacetate are not generally available in the United States but are prescribed in Europe and elsewhere. Phenprocouman (Marcumar) has a longer plasma half-life (5 days) than warfarin, as well as a somewhat slower onset of action and a longer duration of action (7 to 14 days). It is administered in daily maintenance doses of 0.75 to 6.0 mg. By contrast, acenocoumarol (Nicoumar-lone Sinthrome) has a shorter half-life (10 to 24 hours), a more rapid effect on the prothrombin time, and a shorter duration of action (2 days). The maintenance dose is 1 to 8 mg daily. Ethyl biscoumacetate (Tromexane) has a very short half-life of 2 to 3 hours and is seldom used. 

Ahmad S. Gemfibrozil interaction with warfarin sodium (Coumadin). Chest(l990 ) 98,1041-2. 

A structural application of 13C nmr, which shows its power in an area where H nmr is indecisive, is shown in Figure 9-48. Here, we see the high-field 13C resonances of a substance known variously as Coumadin, or the sodium salt of warfarin, 14, which is used widely as a blood anticoagulant in the treatment of diseases such as phlebitis. It also has substantial utility as a rat poison because of its anticoagulant action. 

PANWARFIN PROTHROMBIN RATSUL SOLUBLE SODILVM COUMADIN SODIUM WARFARIN TINTORANE VARFINE WARAN VCLURCOUMIN WARFILONE... 

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