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Coronavirus staff guidance University Hospitals Birmingham NHS Foundation Trust

Discharging patients on long-term anticoagulants

Last updated: 24 January 2025 at 14:50

Patients already on enoxaparin during their admission and able to self-inject are to be discharged on current enoxaparin dose; consider a six week supply if patient is on long term anticoagulation.

Patients with target INR of 2.0-3.0 and no metallic valve, no recent history of bleeding, no history of LV thrombus and no diagnosis of antiphospholipid syndrome to be swapped over to a direct anticoagulant, complex cases to be discussed directly with thrombosis consultant.

Patients initiated on direct anticoagulantsĀ - kindly provide a six weeks supply.

Warfarin initiation should only occur if advised by anticoagulant service consultant.

Please be aware that the anticoagulation service may be overwhelmed with enquires at the moment so this may not be possible immediately.

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