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Anticoagulation Services

Our group of physicians, pharmacists and support staff provides excellent care to patients by managing and monitoring the medication warfarin (Coumadin®), as well as other anticoagulants. Our nationally recognized service also provides anticoagulation education to patients and health care professionals.

New Patients

Patients should allow extra time on their first visit for a short informational session before the initial appointment with the provider. Please note that referrals to our clinic are accepted only from UC San Diego Health physicians.

Information for Patients on Anticoagulants

The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. Readers should consult with their healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan.

Frequently Asked Questions (FAQs) About Warfarin and Other Anticoagulants

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Missed warfarin doses: “What do I do if I miss a dose of warfarin?”

Pain relievers (NSAIDs, APAP): “What over the counter (OTC) medicines can I take for headache or mild pain?”

Common drug interactions: “I have started a new medicine, what should I do?”

Supplement interactions: “I’d like to take an herbal supplement. Will this be a problem with warfarin?”

Vitamin K: “What is vitamin K and do I need to change what I eat now that I’m taking warfarin?”

Travel: “I have a trip planned. Do I need to do anything differently?”

Bleeding: “Is there anything I can do to quickly stop minor nose bleeds and bleeding from cuts and scrapes?”

Aspirin and Surgery: “Do I need to stop my aspirin before surgery?”

Appointments & Referrals

  • Phone: 858-657-7020
  • Pharmacy Refill Fax: 619-543-2390


La Jolla



Megan Lang, PharmD, BCACP
Clinical Pharmacist

Natalie Halanski, PharmD, BCACP
Clinical Pharmacist

Armelia Sani, MD
Medical Director

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