Years ago, Warfarin (Coumadin), was the only blood thinner available. Now there are other medications your doctor can prescribe for you including:

Apixaban (Eliquis)

Dabigatran (Pradaxa)

Edoxaban (Savaysa)

Rivaroxaban (Xarelto)


Studies have shown that these medications work as well as warfarin. Much more research is needed that compares all of these medications.

It doesn’t matter what blood thinner you take, there is a risk of bleeding. Blood thinners work by making it hard for clots to form. This is good if you are trying to prevent a stroke, but not great if it makes it hard to stop a cut from healing. There is less of a risk with the new medications. Bleeding problems may not be as serious since they wear off waster than Coumadin.

With Coumadin, you need more blood tests and with the new medications, you don’t need as many blood tests. Having to get your blood work is a burden, very time-consuming and needle sticks hurt.

Another issue with Coumadin is that you need to keep an eye on how much Vitamin K is in your diet. It’s the nutrient in leafy green vegetables, and it affects how well the medication works. You need to be consistent in how much you eat. If you vary your diet, it will affect your dose. This is not an issue with the new drugs since, Vitamin K doesn’t interfere with how they work.

You need to stay on Coumadin if you have kidney failure or mechanical heart valves. The new meds may not be safe.

Talk to your doctor about what medication is best for you!


Patients on blood thinners love dermaka cream since, it is very effective on bruising. Dermaka cream also improves the quality of your skin.


By Peggy Bush, APRN