Therapeutic Index · Pharmacology

Warfarin requires regular INR monitoring primarily because it:

  1. Has high oral bioavailability
  2. Has a narrow therapeutic index
  3. Is highly lipid soluble
  4. Undergoes first-pass metabolism
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Correct answer: Has a narrow therapeutic index

Warfarin has a narrow therapeutic index, meaning that small variations in dose can lead to bleeding or thrombosis. INR monitoring ensures that the drug concentration remains within the therapeutic window. This reduces the risk of adverse outcomes.

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