Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C19H15O4.K |
| Molecular Weight | 346.4183 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
[K+].CC(=O)CC(C1=CC=CC=C1)C2=C([O-])C3=C(OC2=O)C=CC=C3
InChI
InChIKey=WSHYKIAQCMIPTB-UHFFFAOYSA-M
InChI=1S/C19H16O4.K/c1-12(20)11-15(13-7-3-2-4-8-13)17-18(21)14-9-5-6-10-16(14)23-19(17)22;/h2-10,15,21H,11H2,1H3;/q;+1/p-1
| Molecular Formula | K |
| Molecular Weight | 39.0983 |
| Charge | 1 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C19H15O4 |
| Molecular Weight | 307.32 |
| Charge | -1 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Warfarin is marketed under the brand name Coumadin among others. Coumadin (crystalline warfarin sodium) is an anticoagulant which acts by inhibiting vitamin
K-dependent coagulation factors. Chemically, it is 3-(α-acetonylbenzyl)-4-hydroxycoumarin and is a racemic mixture of the R- and S-enantiomers. Coumadin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, and pulmonary embolism. It is also indicated for the prophylaxis and/or treatment of the thromboembolic
complications associated with atrial fibrillation and/or cardiac valve replacement. Warfarin is thought to interfere with clotting factor synthesis by inhibition of the C1 subunit of the vitamin K epoxide reductase (VKORC1) enzyme complex, thereby reducing the regeneration of vitamin K1 epoxide. The degree of depression is dependent upon the dosage
administered and, in part, by the patient’s VKORC1 genotype. Therapeutic doses of warfarin decrease the total amount of the active form of each vitamin K dependent clotting factor made by the liver by approximately 30% to 50%.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
| 24.7 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | COUMADIN Approved UseWarfarin sodium tablets are indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, and pulmonary embolism. Warfarin sodium tablets are indicated for the prophylaxis and/or treatment of the thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement. Warfarin sodium tablets are indicated to reduce the risk of death, recurrent myocardial infarction, and thromboembolic events such as stroke or systemic embolization after myocardial infarction. Launch Date1954 |
|||
| Preventing | COUMADIN Approved UseWarfarin sodium tablets are indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, and pulmonary embolism. Warfarin sodium tablets are indicated for the prophylaxis and/or treatment of the thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement. Warfarin sodium tablets are indicated to reduce the risk of death, recurrent myocardial infarction, and thromboembolic events such as stroke or systemic embolization after myocardial infarction. Launch Date1954 |
|||
| Preventing | COUMADIN Approved UseWarfarin sodium tablets are indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, and pulmonary embolism. Warfarin sodium tablets are indicated for the prophylaxis and/or treatment of the thromboembolic complications associated with atrial fibrillation and/or cardiac valve replacement. Warfarin sodium tablets are indicated to reduce the risk of death, recurrent myocardial infarction, and thromboembolic events such as stroke or systemic embolization after myocardial infarction. Launch Date1954 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2186 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19552747 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
WARFARIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
52278 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19552747 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
WARFARIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7 day |
single, oral |
WARFARIN plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
32.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19552747 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
WARFARIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
single, oral |
WARFARIN plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
125 mg single, oral Overdose |
unhealthy, 43 |
Disc. AE: Vomiting, Loss of consciousness... AEs leading to discontinuation/dose reduction: Vomiting Sources: Loss of consciousness |
150 mg single, oral Overdose |
unhealthy, 44 |
Disc. AE: Drowsiness... AEs leading to discontinuation/dose reduction: Drowsiness Sources: |
540 mg single, oral Overdose |
healthy, 59 |
|
5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64 |
Disc. AE: Hemoptysis, Hematuria... AEs leading to discontinuation/dose reduction: Hemoptysis Sources: Hematuria Dyspnea Cough |
10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (grade 5) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Loss of consciousness | Disc. AE | 125 mg single, oral Overdose |
unhealthy, 43 |
| Vomiting | Disc. AE | 125 mg single, oral Overdose |
unhealthy, 43 |
| Drowsiness | Disc. AE | 150 mg single, oral Overdose |
unhealthy, 44 |
| Cough | Disc. AE | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64 |
| Dyspnea | Disc. AE | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64 |
| Hematuria | Disc. AE | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64 |
| Hemoptysis | Disc. AE | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64 |
| Bleeding | grade 5 Disc. AE |
10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| yes [Ki 8 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 14.0 |
yes | |||
Page: 14.0 |
yes | |||
Page: 14.0 |
yes | |||
Page: 14.0 |
yes | likely (co-administration study) Comment: Inhibitors of CYP2C9, 1A2, and/or 3A4 have the potential to increase the effect (increase INR) of warfarin by increasing the exposure of warfarin; Inducers of CYP2C9, 1A2, and/or 3A4 have the potential to decrease the effect (decrease INR) of warfarin by decreasing the exposure of warfarin Page: 14.0 |
||
Page: 14.0 |
yes | likely (co-administration study) Comment: Inhibitors of CYP2C9, 1A2, and/or 3A4 have the potential to increase the effect (increase INR) of warfarin by increasing the exposure of warfarin; Inducers of CYP2C9, 1A2, and/or 3A4 have the potential to decrease the effect (decrease INR) of warfarin by decreasing the exposure of warfarin Page: 14.0 |
||
Page: 14.0 |
yes | yes (pharmacogenomic study) Comment: If the patient’s CYP2C9 and/or VKORC1 genotype are known, consider these ranges in choosing the initial dose. Patients with CYP2C9 *1/*3, *2/*2, *2/*3, and *3/*3 may require more prolonged time (>2 to 4 weeks) to achieve maximum INR effect for a given dosage regimen than patients without these CYP variants; Inhibitors of CYP2C9, 1A2, and/or 3A4 have the potential to increase the effect (increase INR) of warfarin by increasing the exposure of warfarin; Inducers of CYP2C9, 1A2, and/or 3A4 have the potential to decrease the effect (decrease INR) of warfarin by decreasing the exposure of warfarin Page: 14.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Abdominal wall hematoma as a complication of warfarinization. | 2001-04 |
|
| Spontaneous subcapsular renal hematoma secondary to anticoagulant therapy. | 2001-04 |
|
| Behçet's disease with a large intracardiac thrombus: a case report. | 2001-04 |
|
| Warfarin therapy for an octogenarian who has atrial fibrillation. | 2001-03-20 |
|
| Subarachnoid haemorrhage. | 2001-03-17 |
|
| What is the optimal medical management of ischemic heart failure? | 2001-03-17 |
|
| Profile of moxifloxacin drug interactions. | 2001-03-15 |
|
| Dalteparin vs warfarin in hip arthroplasty patients. | 2001-03-12 |
|
| Mild head injury, anticoagulants, and risk of intracranial injury. | 2001-03-10 |
|
| Clinical trials that have influenced the treatment of venous thromboembolism: a historical perspective. | 2001-03-06 |
|
| Vitamin K for warfarin-associated coagulopathy. | 2001-03-03 |
|
| Sneddon's syndrome: a case report. | 2001-03 |
|
| Perception of teratogenic risk of common medicines. | 2001-03 |
|
| Long-term results of venous revascularization for Paget-Schroetter syndrome in athletes. | 2001-03 |
|
| Prevention, diagnosis, and treatment of venous thromboembolic complications of gynecologic surgery. | 2001-03 |
|
| Increase in international normalized ratio associated with smoking cessation. | 2001-03 |
|
| The association of vitamin K status with warfarin sensitivity at the onset of treatment. | 2001-03 |
|
| A case report of warfarin resistance due to azathioprine and review of the literature. | 2001-03 |
|
| Evaluation of very low-dose subcutaneous vitamin K during postoperative warfarin therapy. | 2001-03 |
|
| Palliative care for the elderly. | 2001-03 |
|
| Treatment of the patient with deep vein thrombosis. | 2001-03 |
|
| Aspirin does not influence the effect of angiotensin-converting enzyme inhibition on left ventricular ejection fraction 3 months after acute myocardial infarction. | 2001-03 |
|
| Hemoptysis in patients with renal insufficiency : the role of flexible bronchoscopy. | 2001-03 |
|
| Efficacy and safety of intravenous phytonadione (vitamin K1) in patients on long-term oral anticoagulant therapy. | 2001-03 |
|
| Improving medication safety across a multihospital system. | 2001-03 |
|
| Potential clinical efficacy and cost benefit of a transesophageal echocardiography-guided low-molecular-weight heparin (enoxaparin) approach to antithrombotic therapy in patients undergoing immediate cardioversion from atrial fibrillation. | 2001-03 |
|
| Atrial fibrillation and stroke : concepts and controversies. | 2001-03 |
|
| Low-dose warfarin fails to prolong survival of dual lumen venous dialysis catheters. | 2001-03 |
|
| Mutations of the CYP2C9 gene and the response to warfarin. | 2001-03 |
|
| Antiphospholipid antibody syndrome and renal disease. | 2001-03 |
|
| When should an effective treatment be used? Derivation of the threshold number needed to treat and the minimum event rate for treatment. | 2001-03 |
|
| Management of thrombosis in women with antiphospholipid syndrome. | 2001-03 |
|
| Acute spontaneous haematoma of the rectum. | 2001-02-24 |
|
| Anticoagulant pharmacodynamics of tinzaparin following 175 iu/kg subcutaneous administration to healthy volunteers. | 2001-02-15 |
|
| Central venous device-related infection and thrombosis in patients treated with moderate dose continuous-infusion interleukin-2. | 2001-02-15 |
|
| What is the best emergency treatment for children who ingest warfarin rodenticide? | 2001-02-05 |
|
| Perioperative management and reversal of antithrombotic therapy. | 2001-02 |
|
| Thrombolysis and antithrombotic therapy for coronary artery disease. | 2001-02 |
|
| Antithrombotic therapy in valvular heart disease. | 2001-02 |
|
| Oral anticoagulants. Pharmacologic issues for use in the elderly. | 2001-02 |
|
| Anticoagulation and cataract surgery: a review of the current literature. | 2001-02 |
|
| [Incidence of tumors after treatment with oral anticoagulants]. | 2001-02 |
|
| Risks and benefits of adding anti-platelet therapy to warfarin among patients with prosthetic heart valves: a meta-analysis. | 2001-02 |
|
| Need for increased dose of warfarin in HIV patients taking nevirapine. | 2001-01-26 |
|
| [Old adrenal hematoma: a case report]. | 2001-01 |
|
| Regarding postoperative stroke after warfarin for cutaneous surgery. | 2001-01 |
|
| Catastrophic antiphospholipid antibody syndrome. | 2001-01 |
|
| Inhibition of human cytochrome P450 isoforms by nonnucleoside reverse transcriptase inhibitors. | 2001-01 |
|
| Central retinal vein occlusion associated with primary pulmonary hypertension. | 2001 |
|
| Chondrodysplasia punctata and maternal warfarin use during pregnancy. | 1975-03 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/warfarin.html
Usual Adult Dose for Prevention of Thromboembolism in Atrial Fibrillation Initial dose: 2 to 5 mg orally once a day
Maintenance dose: 2 to 10 mg orally once a day
Usual Adult Dose for Myocardial Infarction
Initial dose: 2 to 5 mg orally once a day
Maintenance dose: 2 to 10 mg orally once a day
Usual Adult Dose for Deep Vein Thrombosis - Prophylaxis
Initial dose: 2 to 5 mg orally once a day
Maintenance dose: 2 to 10 mg orally once a day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/6712738
Curator's Comment: One strain (TAS) is susceptible and two strains (HW and HS) resistant to the anticoagulant and lethal effects of warfarin.
Vitamin K-reductase activity was inhibited by approximately 13 and 8% respectively when microsomal preparations from TAS and HW animals were incubated with 50 uM vitamin K1 and 10 uM warfarin.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:31:06 GMT 2025
by
admin
on
Mon Mar 31 18:31:06 GMT 2025
|
| Record UNII |
I47IU4FOCO
|
| Record Status |
Validated (UNII)
|
| Record Version |
|
-
Download
| Name | Type | Language | ||
|---|---|---|---|---|
|
Preferred Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Brand Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English |
| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
|
EPA PESTICIDE CODE |
86005
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
||
|
NCI_THESAURUS |
C45597
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
|
2610-86-8
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
100000076722
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
warfarin-potassium
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
C66658
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
DTXSID5042324
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
32301
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
I47IU4FOCO
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
SUB15716MIG
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
23706212
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
82118
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | RxNorm | ||
|
DBSALT001410
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY | |||
|
CHEMBL1464
Created by
admin on Mon Mar 31 18:31:06 GMT 2025 , Edited by admin on Mon Mar 31 18:31:06 GMT 2025
|
PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
PARENT -> SALT/SOLVATE |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
ACTIVE MOIETY |