If you are living with blood clots or are at risk of developing blood clots, your provider may prescribe an anticoagulant to treat your condition.
You may also be referred to the EvergreenHealth Pharmacist Provider Services for management of your medication in order to prevent bleeding or clotting complications.
Common reasons you may take an anticoagulant include:
Common anticoagulant medications include:
Regardless of the reason for taking an anticoagulant, close monitoring is necessary to prevent complications.
EvergreenHealth Pharmacist Provider Services is staffed by clinical pharmacists who are anticoagulation experts.
The pharmacist may work with you and your physician to select the best anticoagulant for your health conditions.
If you are treated with warfarin, the pharmacist will work with you to closely monitor this therapy, perform the necessary laboratory testing, adjust the warfarin dose, and safely manage potentially dangerous drug interactions.
At each clinic visit, the pharmacist will:
Screen for drug interactions. There are numerous medications, dietary supplements, vitamins and herbal products that can affect the way anticoagulants work in your body, so it is very important that we maintain a complete list of all prescription, over-the-counter (OTC) medications, vitamins, dietary supplements and herbal products.
Assess lifestyle changes. Changes in diet, activity and consumption of alcohol can impact the warfarin dose requirement. Recent illness, antibiotics, and stress can potentially change the way an anticoagulant will work in your body.
Perform necessary laboratory tests. For warfarin management, a finger stick test is performed at your clinic visit to measure the INR (international normalized ratio), and provides a measure of blood clotting. For management of other anticoagulants, the pharmacist may order lab tests (such as a kidney function test) when needed.
Adjust the anticoagulant dose if needed. For warfarin management, based on the INR and an assessment of any medication, lifestyle, or clinical changes, the pharmacist may need to adjust the warfarin dose. The pharmacist will give you a printed medication plan. INR results and any dosage adjustments are forwarded to your physician to keep them fully informed.
Return visits with the pharmacist will be scheduled as needed based on your clinical condition and the anticoagulant that you are being treated with.
We welcome patients at any stage of anticoagulation therapy; you will need a physician referral to become a patient at EvergreenHealth Pharmacist Provider Services.