Document Detail


Interaction between hormone replacement therapy preparations and oral anticoagulant therapy.
MedLine Citation:
PMID:  12892692     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is limited information regarding the interaction of hormone replacement therapy (HRT) and oral anticoagulants. Following the acute over-anticoagulation of two women shortly after the initiation of tibolone, we have undertaken a retrospective review of anticoagulated women to determine if the dose of oral anticoagulants and quality of anticoagulant control are affected by the introduction of HRT. We demonstrate that acute over-anticoagulation consistently occurs following the commencement of tibolone and requires anticoagulant dose modification to re-establish target international normalised ratio (INR). In contrast, non-tibolone HRT preparations do not consistently alter anticoagulant control or dose requirements.
Authors:
L A McLintock; A Dykes; R C Tait; I D Walker
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  110     ISSN:  1470-0328     ISO Abbreviation:  BJOG     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-01     Completed Date:  2003-09-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  777-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Haematology, Glasgow Royal Infirmary, Macewen Building, Castle Street, Glasgow G4 0SF, Scotland, UK.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Anticoagulants / administration & dosage,  contraindications*
Dose-Response Relationship, Drug
Drug Interactions
Estrogen Receptor Modulators / administration & dosage,  contraindications*
Female
Hormone Replacement Therapy / contraindications*
Humans
International Normalized Ratio
Norpregnenes / administration & dosage,  contraindications*
Phenindione / administration & dosage,  contraindications
Warfarin / administration & dosage,  contraindications
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Estrogen Receptor Modulators; 0/Norpregnenes; 5630-53-5/tibolone; 81-81-2/Warfarin; 83-12-5/Phenindione

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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