Coumadin Clinic

Our goal is to optimize the safety and efficacy of anticoagulation therapy in patients taking Coumadin® (also known as Jantoven® or warfarin) through education and monitoring.

picture1Staffed by highly trained clinical pharmacists and LPNs, the Coumadin Clinic has more than 18,000 patient visits annually. Offering 3 convenient locations and readily accessible clinical staff, the Coumadin Clinic of IRMC is the preferred warfarin management service for many patients and their physicians in the area. The clinic has been recognized as an Anticoagulation Center of Excellence (2015-2017) by The Anticoagulation Forum, a multidisciplinary non-profit organization that works to improve the quality of care for patients taking antithrombotic medications.  Our clinical pharmacists all have advanced training or certifications in the areas of anticoagulation and ambulatory care pharmacy. IRMC is also affiliated with several pharmacy schools, including the University of Florida and Ohio Northern University, and our pharmacists provide training and guidance to 4th year pharmacy students completing internships.

For more information and appointments, call (772) 563-4611.

  • What is Coumadin®?

    Coumadin®, or the generic called warfarin or Jantoven®, is a drug used to prevent blood clots from forming within the body. These clots may lead to stroke, pulmonary emboli, or deep vein thrombosis. This medication is an excellent drug for the prevention of clots; however, numerous drug-to-drug interactions, as well as drug-to-food interactions may intensify or nullify the effectiveness of warfarin. The administration of the drug must be monitored and managed for each patient in order to prevent complications, such as bleeding. Warfarin is often used for conditions such as atrial fibrillation, DVT (deep vein thrombosis), PE (pulmonary embolism) and for people with mechanical heart valves. Although several drugs are now available for some of these conditions, warfarin still remains the preferred agent in many patients.  

  • Services

    The process to begin care at the Coumadin Clinic starts with a referral by your physician that includes goals and the reason for the treatment. A copy of our referral form can be found here. Once we receive the referral from your doctor the Coumadin Clinic will contact you to schedule your initial appointment.

    During your visit, your past medical history and diet will be reviewed. The pharmacist will also assess your medications, both prescription and over-the-counter, vitamins, herbals, and any other holistic products you use.

    2Once your history is reviewed, a drop of your blood from a finger stick is tested using a point-of-care device called CoaguChek® XS Plus. This device measures the time needed for the blood to clot, also known as the International Normalized Ration (INR). Using this result and other patient-specific information, the clinic can make appropriate decisions regarding the management of your Coumadin®.

    The pharmacist may adjust your dose of Coumadin® and review your therapy. A formal progress note is then developed and a copy of the visit is sent to your referring physician.

  • Location & Directions

    The Coumadin Clinic has two convenient locations in Vero Beach and one in Sebastian:

  • Contact Information

    Please note that visits are by appointment only.

    IRMC Main Campus:

    3650 10th Court
    Vero Beach, FL 32960
    phone: (772) 563-4611
    fax: (772) 794-1487

    Mon – Fri: 8am – 4pm
    Closed from 12pm – 1pm

    Pointe West:

    1960 Pointe West Drive, Suite 102
    Vero Beach, FL 32966
    phone: (772) 226-4260
    fax: (772) 564-6787

    Mon – Fri: 8am – 4pm
    Closed from 12pm – 1pm


    801 Wellness Way, Suite 109
    Sebastian, FL 32958
    phone: (772) 226-3773
    fax: (772) 794-1487

    Mon, Wed, Fri: 8am – 4pm
    Closed from 12pm – 1pm
    Closed Tues and Thurs

  • Clinic Documents

News [View All News]


IRMC Named 2017 Healthcare’s Most Wired; Medical Center Uses Technology to Partner with Patients

Vero Beach, FLA (July 10, 2017) — Indian River Medical...

Indian River Medical Center Named Best Places to Work Indian River County

Vero Beach, FLA (July 17, 2017) — Indian River Medical...

IRMC Board Approves Resolution to Explore Potential Partnership

Vero Beach, FLA (July 14, 2017) — The Indian River Medical...

Events [View All Events]


Monthly Prayer Service

Brief interfaith prayer service conducted monthly by...

Cancer Support Group

Cancer Support Group Guest speaker followed by breakout...

General Bereavement Group for Those Under Age 60


Developmental milestones record - 3 years

This article describes the skills and growth markers that are relevant to 3-year-olds.

Mitral valve surgery - open

Mitral valve surgery is used to repair or replace the mitral valve in your heart. Blood flows

Caplan syndrome

Caplan syndrome is swelling (inflammation) and scarring of the lungs in people with rheumatoid
Join Our Mailing List!


Sign up to get important updates and the latest health information from IRMC.
  • This field is for validation purposes and should be left unchanged.

I want to receive newsletters by mail.