Warfarin Price in Bangladesh

Warfarin is the oldest tablet blood thinner still in wide use. It slows the liver’s use of vitamin K to make clotting proteins, and it remains the standard choice for people with a mechanical heart valve and for many with rheumatic valve disease, which is common in Bangladesh. Its effect varies from person to person and from week to week, so warfarin always comes paired with a blood test called the INR.

This warfarin shelf sits under Anti-Coagulants.

Usual INR Target Ranges

Reason for warfarin	Typical INR target	How often tested once stable
Atrial fibrillation	Between 2 and 3	Every few weeks
Clot in a leg vein or the lungs	Between 2 and 3	Every few weeks
Mechanical mitral valve	Often between 2.5 and 3.5	Every few weeks, set by the cardiologist
Rheumatic valve disease with an enlarged atrium	Set by the cardiologist	As the clinic advises

What the INR Number Tells You

The INR compares how long your blood takes to clot with the time taken by untreated blood, which scores about one. A higher number means thinner blood. Each condition has its own target band; above it, bleeding becomes more likely, and below it, a clot can form. Tests come every few days at the start, then stretch to every few weeks once results settle. Any new medicine, illness or diet change calls for an extra test.

Keeping Vitamin K Steady, Not Avoiding It

Leafy greens such as spinach, lal shak, cabbage and broccoli are rich in vitamin K, which works against warfarin. The aim is consistency rather than avoidance: eating similar amounts each week lets the dose settle around your normal diet. A sudden switch to large salads, or stopping greens altogether, can push the INR out of range. Vitamin supplements and nutrition drinks can contain vitamin K too, so mention them at the clinic.

Medicines and Remedies That Shift the INR

• Antibiotics such as ciprofloxacin, metronidazole and co-trimoxazole often raise it; ask for an INR check during a course.
• Painkillers like ibuprofen and diclofenac add bleeding risk; even regular paracetamol can nudge the INR up.
• Herbal and traditional remedies, including ginger, garlic and ginkgo tablets, change its effect unpredictably.
• Heart and epilepsy medicines such as amiodarone and carbamazepine need dose adjustments when started or stopped.

Alcohol, Fever and Diarrhoea

An occasional small drink rarely upsets warfarin, but heavy drinking or binge sessions can send the INR swinging and also raise the risk of falls and stomach bleeding. Illness has a similar effect. A fever, several days of poor appetite or a bout of diarrhoea changes how warfarin is handled and how much vitamin K is absorbed. During any illness lasting more than a couple of days, arrange an INR test rather than waiting.

Bleeding Signs to Report Early

• Gums that bleed at every brushing, or cuts that keep oozing.
• Urine turning pink or brown, or black, tarry stools.
• Bruises spreading without any knock, or unusually heavy periods.
• A severe headache, vomiting or confusion, especially after a fall, which needs emergency care.

Pregnancy and Planning a Family

Warfarin crosses the placenta and can harm a baby’s bones and brain, especially during the early weeks of pregnancy. Women who could become pregnant need reliable contraception and a plan agreed with the cardiologist before trying to conceive. Usually the switch is to heparin injections once pregnancy is confirmed, though women with mechanical valves need specialist care to balance the risks. Breastfeeding while on warfarin is generally considered acceptable.

Tablet Strengths and Their Colours

Warfarin comes in several small strengths so a dose can be built from whole tablets, and many makers colour-code each strength. Those colours are not the same across brands or countries, so the pink tablet from one maker may not match another’s. Learn the colour and the number printed on your own brand, keep strengths in separate labelled containers, and check again whenever a pharmacy hands over a different-looking box.

Surgery and Bridging Injections

Warfarin takes several days to wear off, so it is usually stopped about five days before major surgery, and an INR check confirms the blood has returned to normal. People at high clot risk, such as those with mechanical valves, may cover the gap with heparin or enoxaparin from Parenteral Anti-Coagulants. This bridging plan is always doctor-led. Minor dental work can often continue without stopping, after an INR check.

Warfarin Price in Bangladesh

Warfarin is an inexpensive tablet from local makers, so the price changes little between brands; the higher strengths cost a little more per tablet than the lower ones.

Changing from one warfarin brand to another can shift the INR slightly, so an extra blood test in the weeks after a brand change is a sensible precaution. Rivaroxaban and other tablets that need no INR testing sit on Oral Anti-Coagulants, though they are not suitable for mechanical valves.

Before You Order

• Keep an INR record book and bring it to every visit.
• Eat similar amounts of leafy greens each week.
• Ask for an INR check when starting any antibiotic.
• Learn the colour and number of your own brand.
• Use reliable contraception if pregnancy is possible.

Manufacturers Stocked Here

Makers of warfarin tablets listed on Arogga:

• Unimed Unihealth Pharmaceuticals Ltd. — Unifarin
• Incepta Pharmaceuticals Ltd. — Warin
• Gaco Pharmaceuticals(G.A Company Ltd) — Farevan
• Concord Pharmaceuticals Ltd. — Farin

Popular Product Examples

Warfarin tablets across several strengths:

• Unifarin 1 Tablet
• Warin 2 Tablet
• Farin 5mg Tablet
• Farevan 5mg Tablet

Frequently Asked Questions

What INR should I aim for on warfarin?

Usually between two and three; some valves need higher.

Do I have to stop eating spinach on warfarin?

No. Keep the amount steady from week to week.

Why did my INR jump after an antibiotic?

Many antibiotics boost warfarin’s effect; ask for a check.

Can I switch warfarin brands?

Yes, with an extra INR test afterwards.

What if I am planning a pregnancy?

Talk to the cardiologist first; warfarin is usually replaced.

Why are the tablets different colours?

Each strength has its own colour, which varies by maker.