warfarin

E241385

Warfarin is a long-established oral anticoagulant used to prevent and treat blood clots, requiring regular blood monitoring and dose adjustments due to its narrow therapeutic range and numerous drug and food interactions.

All labels observed (1)

Label Occurrences
warfarin canonical 4

How this entity was disambiguated

Statements (63)

Predicate Object
instanceOf anticoagulant drug
coumarin derivative
small molecule
vitamin K antagonist
affects coagulation cascade
antidote fresh frozen plasma
prothrombin complex concentrate
vitamin K (phytonadione)
approvedForMedicalUse 1950s
belongsToClass vitamin K antagonists (VKAs)
comparedWith direct oral anticoagulants (DOACs)
contraindicatedIn pregnancy
decreasesSynthesisOf coagulation factor II (prothrombin)
coagulation factor IX
coagulation factor VII
coagulation factor X
protein C
protein S
discoveredIn 1940s
eliminationRoute hepatic metabolism
hasAdverseEffect gastrointestinal bleeding
intracranial hemorrhage
teratogenicity
warfarin-induced skin necrosis
hasBlackBoxWarning risk of major or fatal bleeding
hasChemicalFormula C19H16O4
hasEnantiomer R-warfarin
S-warfarin
hasGenericName warfarin
hasHalfLife approximately 20–60 hours
hasHigherINRTargetRange 2.5–3.5 for some mechanical valves
hasIUPACName 4-hydroxy-3-(3-oxo-1-phenylbutyl)-2H-chromen-2-one
hasMajorAdverseEffect bleeding
hasMechanismOfAction inhibits vitamin K epoxide reductase complex 1 (VKORC1)
reduces synthesis of vitamin K–dependent clotting factors
hasNarrowTherapeuticIndex true
hasPharmacogenomicAssociation CYP2C9 polymorphisms
VKORC1 polymorphisms
hasRouteOfAdministration intravenous
oral
hasTypicalINRTargetRange 2.0–3.0
interactsWith foods rich in vitamin K
herbal supplements
many over-the-counter drugs
many prescription drugs
listedOn World Health Organization Model List of Essential Medicines
metabolizedBy CYP1A2
CYP2C9
CYP3A4
originalUse rodenticide
proteinBinding high
requiresMonitoringOf international normalized ratio (INR)
prothrombin time (PT)
requiresRegularDoseAdjustment true
S-warfarinMorePotentThanR-warfarin true
targets VKORC1
usedFor prevention of stroke in atrial fibrillation
prevention of systemic embolism
prevention of thromboembolism in mechanical heart valves
prevention of venous thromboembolism
treatment of deep vein thrombosis
treatment of pulmonary embolism
treatment of venous thromboembolism

How these facts were elicited

Referenced by (4)

Full triples — surface form annotated when it differs from this entity's canonical label.

Xarelto isComparedWith warfarin
Xeloda interactsWith warfarin
dabigatran isComparedWith warfarin
Daypro mayInteractWith warfarin