A subtherapeutic international normalized ratio despite increasing doses of warfarin: could this be malabsorption?

Title

A subtherapeutic international normalized ratio despite increasing doses of warfarin: could this be malabsorption?

Creator

Lara L F; Delgado L L; Frazee L A; Haupt K M; Rutecki G W

Publisher

The American journal of the medical sciences

Date

2000
2000-09

Description

OBJECTIVE: To describe a case of warfarin resistance apparently caused by malabsorption and to review the literature regarding warfarin resistance. CASE SUMMARY: A 28-year-old renal transplant patient with systemic lupus erythematosus was admitted for upper extremity thrombophlebitis. Resistance to oral warfarin was demonstrated. Potential causes were investigated. The trapezoidal rule was used to compare the area under the curve for intravenous versus oral dosing of warfarin. The usual bioavailability of warfarin should be 100%. In this patient, warfarin bioavailability after oral dosing was 1.5%. Three potential causes, malabsorption (FF), enzymatic degradation (FG), and first-pass extraction in the portal circulation (FH), are discussed. CONCLUSION: This case demonstrates resistance to warfarin presumably caused by malabsorption.

Subject

*Drug Resistance; Administration; Adult; Anticoagulants/administration & dosage/metabolism/pharmacokinetics/therapeutic use; Area Under Curve; Biological Availability; Dose-Response Relationship; Drug; Female; Humans; Injections; Intestinal Absorption/*physiology; Intravenous; Kidney Transplantation; Oral; Warfarin/*administration & dosage/*metabolism/pharmacokinetics/therapeutic use

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

214–218

Issue

3

Volume

320

Citation

Lara L F; Delgado L L; Frazee L A; Haupt K M; Rutecki G W, “A subtherapeutic international normalized ratio despite increasing doses of warfarin: could this be malabsorption?,” NEOMED Bibliography Database, accessed May 18, 2021, https://neomed.omeka.net/items/show/3828.

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