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2481 Pharmacology

A female patient with a mechanical heart valve who is taking warfarin informs you that she hopes to get pregnant in the near future. What advice do you give her regarding her antithrombotic medication during the anticipated pregnancy?

AContinue with warfarin until the third trimester.
BShe should replace warfarin with aspirin at analgesic doses.
CDiscontinue all medications that affect the blood.
DReplace warfarin with heparin. (Correct Answer)