Product image of Marevan (Warfarin Sodium) supplied by GNH India

Marevan

Active Ingredient:
Warfarin Sodium
Origin:
EU

Marevan (Warfarin Sodium)

Warfarin Sodium, the active ingredient in Marevan, is an anticoagulant presented as a oral tablet for oral use. It treats and prevents blood clots in conditions such as venous thromboembolism, atrial fibrillation, and prosthetic heart valve patients.

GNH India supplies Marevan as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Orion Corporation

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Indications & Clinical Uses

Marevan (warfarin sodium) is used in the management of thromboembolic disorders by inhibiting clot formation.

  • Venous thromboembolism: prevents recurrence and treats existing clots.
  • Atrial fibrillation: reduces risk of stroke and systemic embolism.
  • Prosthetic heart valves: lowers incidence of valve‑related thromboembolic complications.

How It Works

  • Warfarin sodium inhibits the enzyme vitamin K epoxide reductase, which is required to regenerate reduced vitamin K. This blockade reduces the gamma‑carboxylation of vitamin K‑dependent clotting factors II, VII, IX and X, thereby decreasing their functional activity and prolonging blood coagulation time.

Side Effects

Warfarin sodium may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Minor bleeding: gums, nosebleeds, easy bruising.
  • Gastrointestinal upset: nausea, abdominal discomfort.
  • Skin rash: mild erythema or itching.
  • Hair loss: temporary thinning.

Serious or Rare Side Effects

  • Major hemorrhage: internal bleeding, intracranial hemorrhage.
  • Skin necrosis: painful skin lesions, especially early in therapy.
  • Allergic reactions: anaphylaxis, angioedema.

Precautions & Warnings

Marevan requires careful monitoring and patient education to minimize bleeding risk.

  • INR monitoring: adjust dose based on regular International Normalized Ratio testing.
  • Dietary vitamin K: maintain consistent intake of vitamin K‑rich foods.
  • Drug interactions: review concomitant medications that affect coagulation.
  • Pregnancy: avoid use unless benefits outweigh risks; consult specialist.
  • Surgery or invasive procedures: discontinue before major surgery to reduce bleeding risk.
  • Store at ambient temperature: keep below 25°C in original container, protect from moisture and light.

Avoid Interactions

Warfarin interacts with many medicines; some combinations must be avoided while others need close observation.

Major Interactions (Avoid)

  • Amiodarone: markedly increases warfarin effect, risk of severe bleeding.
  • Rifampicin: reduces anticoagulant effect, may lead to clotting.
  • NSAIDs (e.g., ibuprofen): additive bleeding risk, avoid concurrent use.

Moderate Interactions (Monitor Closely)

  • Antiplatelet agents (e.g., clopidogrel): increase bleeding tendency, monitor INR.
  • Certain antibiotics (e.g., trimethoprim‑sulfamethoxazole): may enhance anticoagulation, check labs.
  • Herbal supplements (e.g., ginkgo, garlic): can affect warfarin metabolism, advise caution.

Frequently Asked Questions

Marevan contains warfarin sodium, an oral anticoagulant used to prevent and treat blood clots. It is indicated for venous thromboembolism, stroke prevention in atrial fibrillation, and to reduce thromboembolic complications in patients with prosthetic heart valves.

Warfarin sodium blocks vitamin K epoxide reductase, an enzyme needed to recycle vitamin K. Without active vitamin K, the liver cannot produce functional clotting factors II, VII, IX and X, leading to reduced blood clot formation and prolonged clotting time.

The dose of Marevan is individualized by the prescribing clinician. Dosage is adjusted based on regular monitoring of the International Normalized Ratio (INR) to keep anticoagulation within a therapeutic range specific to the patient’s condition.

Warfarin’s pregnancy category is unknown, and it is generally avoided during pregnancy because of potential fetal harm. Use while breastfeeding is also not recommended unless the benefits clearly outweigh the risks, and should be discussed with a healthcare professional.

To order Marevan, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Marevan (warfarin) is a vitamin K antagonist that requires INR monitoring and has many drug and food interactions. Direct oral anticoagulants such as apixaban or rivaroxaban have more predictable pharmacokinetics, fewer dietary restrictions, and do not require routine lab monitoring, but may be more costly and have different renal considerations.

Marevan tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children.

Marevan is taken orally as a tablet, usually once daily. It can be swallowed with or without food, but patients should follow the prescribing clinician’s instructions regarding timing and any dietary considerations.

The most serious risks associated with Marevan include major bleeding events such as gastrointestinal hemorrhage or intracranial bleed, skin necrosis that can appear early in therapy, and rare allergic reactions like anaphylaxis. Prompt medical attention is required if any of these occur.

Marevan is contraindicated in patients with active major bleeding, recent intracranial hemorrhage, severe uncontrolled hypertension, known hypersensitivity to warfarin, or those who are pregnant unless the benefits outweigh the risks. Clinicians should also assess liver disease, renal impairment and other comorbidities before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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