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Anticoagulation Clinic

The anticoagulant service provides all aspects of care for patients receiving anticoagulation on the Island.

Appointments are by referral only from your Doctor.

Venue Opening times
Nobles Hospital
Day Assessment and Treatment Unit
Tuesday 9am to 12pm
Tuesday 1.30am to 3.30pm
Wednesday 9am to 12pm
Friday 9am to 12pm
Ramsey and District Cottage Hospital Tuesday 9am to 12pm
Thursday 9am to 12pm
Peel Surgery, Albany Road Wednesday 1.30pm to 4pm
Southern Group Practice, Port Erin Thursday 9am to 11.45am
Clinics are not open on Bank Holidays

For advice or to alter your appointment please telephone +44 1624 650643.

This will connect you to a message service. When you leave your message please make sure you include:

  • Your full name
  • Your date of birth
  • Your hospital number
  • Your telephone number

Blood-thinning drugs (anticoagulants)

They decrease the clotting ability of the blood and prevent clots from forming in the blood vessels. They will not dissolve clots that have already formed but help stop clots becoming larger and reduce the risk of further clots.

Reducing the blood’s ability to clot is important in preventing conditions such as strokes and heart attacks. Anticoagulants are given to people who have a history of these conditions or who are at risk of developing them. Other high risk groups include people who have: Deep Vein Thrombosis, pulmonary embolism, angina, atrial fibrillation (AF), cancer and artificial heart valve replacement.

Starting warfarin as an outpatient

If you are referred as a new outpatient to start warfarin you should expect to receive an outpatient appointment date within 1 or 2 weeks. At your appointment, which should take around 30 minutes, we will give you information about warfarin and explain in detail what warfarin therapy entails. You will need a finger prick blood test (INR) and the results of this test discussed at your consultation. People taking anticoagulants need to have regular blood tests to see how well the drug is working. We will check how long it takes for your blood to clot by using a measurement called an INR (International Normalised Ratio). There is no standard dose of warfarin and everybody needs their own specific, personal dose.

Your dose of warfarin will then be decided and your next appointment arranged.

Starting warfarin as an inpatient

If your warfarin has been started as an inpatient we will see you before you go home to give you all the information about warfarin and make arrangements for your blood tests to be done after you go home.

New Oral Anticoagulants

Sometimes warfarin is not suitable so you may be prescribed an alternative such as Dabigatran, Rivaroxaban or Apixaban. These drugs are still anticoagulants but have a fixed dose so do not require INR monitoring. These drugs have been tested in trials successfully but we do not have any long term experience using them in a wider population. Surveillance clinics have been established to help support patients taking these drugs.

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