eprintid: 9452 rev_number: 8 eprint_status: archive userid: 2098 dir: disk0/00/00/94/52 datestamp: 2024-09-26 03:16:00 lastmod: 2024-09-26 03:16:00 status_changed: 2024-09-26 03:16:00 type: article metadata_visibility: show contact_email: repository@staff.ukdw.ac.id creators_name: , Rizaldy Taslim Pinzon creators_id: 0517057601 title: SEVERE SUBCONJUNCTIVAL BLEEDING IN A PATIENT WITH CONCOMITANT USE OF WARFARIN AND VALPROIC ACID ispublished: pub subjects: R1 subjects: RS divisions: fak_kedokteran full_text_status: public keywords: warfarin, divalproex acid, subconjunctival bleeding, stroke abstract: Drug interactions with vitamin K antagonist may involve antiepileptic drug. Numerous antiepileptic drugs are strong inducers or inhibitors of liver enzymes and affect warfarin metabolism, including valproic acid, which is capable of displacing warfarin from the protein binding site. Although this type of drug interaction is less widely recognized, it is a phenomenon that causes significant changes in the INR. We report a case of severe subconjunctival bleeding in patient with concomitant use of warfarin and valproic acid. The management include cessation of the drug, conservative eye treatment, and vitamin K. The case was fully resolved. date: 2024-06-28 publication: Acta Medica Bulgarica Journal volume: 51 number: S1 publisher: Walter de Gruyter GmbH pagerange: 5-7 id_number: doi:10.2478/AMB-2024-0024 refereed: TRUE issn: 0324-1750 official_url: https://doi.org/10.2478/AMB-2024-0024 funders: drpinzon17@gmail.com citation: Rizaldy Taslim Pinzon (2024) SEVERE SUBCONJUNCTIVAL BLEEDING IN A PATIENT WITH CONCOMITANT USE OF WARFARIN AND VALPROIC ACID. Acta Medica Bulgarica Journal, 51 (S1). pp. 5-7. ISSN 0324-1750 document_url: https://katalog.ukdw.ac.id/9452/1/SEVERE%20SUBCONJUNCTIVAL%20BLEEDING%20IN%20A%20PATIENT%20WITH....pdf