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The key principles employed by the service are individualized management, point-of-care INR monitoring, robust education and frequent evaluation. The Clinical Haematology department has established robust education processes and services to improve the quality of warfarin management for children. The RCH Clinical Haematology department is the largest provider of dedicated anticoagulant management to children in Australia and has demonstrated excellent outcomes with respect to keeping children taking warfarin safe and well. The majority of children require warfarin for primary thromboprophylaxis, usually in the setting of complex congenital heart disease, with most of these children likely to require lifelong anticoagulation. The Clinical Haematology department manages warfarin therapy for over 150 children around Victoria, Tasmania and some parts of New South Wales and South Australia. The following table describes the availability of tablet strengths and their corresponding colour. It is not advisable to use different brands interchangeably or use generic options.īoth brands of warfarin colour-code their tablets. There are 2 brands of warfarin commercially available.
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Anticoagulant therapy management by dedicated services is associated with improved clinical outcomes for patients. Infants and children respond to warfarin differently to adults and as a result, management by a dedicated paediatric anticoagulant service is recommended. Warfarin is a Vitamin K antagonist, making it sensitive to changes in diet, medications and level of wellbeing. Warfarin is the generic name for the most commonly used oral anticoagulant. Low Molecular Weight Heparin (LMWH) – Information for Clinicians.
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