Coumadin

I’ve been prescribing and managing anticoagulation therapy for nearly two decades. Let me tell you straight up: Coumadin (warfarin) is the old guard, the grizzled veteran that refuses to retire despite all the shiny new NOACs on the block. And honestly? For a specific subset of patients, it’s still the right tool. But you need to respect it. It’s not a supplement you pop casually; it’s a potent medication with a narrow therapeutic index that demands constant vigilance.