Anticoagulation Clinic

Tully Health Center 
32 Strawberry Hill Court
Stamford, CT 06902
1st Floor, Room #3
Monday, Wednesday and Friday, appointments available.
Phone: 203-276-4347
Fax: 203-276-6141

The Anticoagulation Clinic is a "referral-only" service established to monitor and manage warfarin (Coumadin®) therapy. The clinical pharmacists will check your PT/INR and adjust your dose of warfarin (Coumadin®) as necessary, to achieve the INR goal established by your physician.

Anticoagulation with warfarin (Coumadin®) is often difficult to manage due to the drug's complex dose-response relationship.  Multiple drug and food interactions, poor patient compliance, and genetic predisposition often result in sub therapeutic or supra therapeutic INR values, which put patients at risk for bleeding or thrombotic complications.

The Anticoagulation Clinic is run by clinical pharmacists under the supervision of the clinical director, Raymond Baer, MD, FCAP, who is also our Director of Clinical Pathology and Transfusion Services.

Getting Enrolled

Your doctor must refer you to the Anticoagulation Clinic.

Testing Procedure

After your physician refers you, the pharmacist will contact you to arrange your first appointment. At your first visit, you will receive a comprehensive education regarding warfarin therapy. At your appointments, the pharmacist will check your INR using a fingersick blood test and the result will be available immediately. After reviewing your medications, diet and health, the pharmacist will determine if your warfarin dose is optimal and make any adjustment in dose if needed.

In some cases, when your INR value is high, we may need to send you to the Laboratory Draw Station to repeat your INR by venipuncture.

Genetic Testing

We offer a genetic test to evaluate your ability to respond to warfarin (by testing for CYP2C9 and VKORC1 genotypes).  This breakthrough in molecular testing allows physicians to properly dose warfarin on initiation, and adjust maintenance therapy.