[emmakirst]

Our ortho doc use either the warfarin protocol or fragmin. They never use lovenox or heparin

[P_RN]

What I noticed is that Lovenox cost would cause some to discontinue early. Warfarin would run about $1 a day I believe. Lovenox about 10. This would be if there is no drug coverage such as insurance and Medicare-D.

[zuzi]

Lovenox is much safe! Coumadin need a good dosage and a PT/INR ratio done well.
Lovenox is expensive, Coumadin cheap
My opinion... advocate of patient nurse, looooool, patients need to know both of options and to choose by them self.
My experience more than 7 years in ortho..... lovenox ever... good dosage from begining, work well.

Less option coumadin on this type of surgeries.... but who I am.... I am just a nurse, loooooool!

[cast-it]

When i first started a few years ago my surgeon used lovenox for his knees for 14 days post-op and we used coumadin for his hip patients for 6 weeks post-op. We treat a big portion of medicare and DSHS pt's and we found compliance with lovenox for the knee pt had been poor do to the cost of the medication. Fortunately for us we have an anti-coag clinic in our building so we have gone to treating everyone across the board with coumadin. However the other surgeon is our practice still uses lovenox for the TKA's, and seems to do well with it.