Adherence to warfarin in cardiac surgery patients in the Russian Federation is low, primarily due to fear of bleeding and reluctance to control the INR. Some patients prefer to take oral anticoagulants, others do not take anticoagulant therapy at all, which often leads to complications. Educational work with patients, as well as the development of new convenient devices for monitoring INR at home, can help solve this problem.

Hello Siddiha Shahul Hameed

I share the concerns of Dr Vladislav Krylov that compliance with any medication is low. I have written about this topic myself previously (in a slightly different context).

Article The elephant in the room of hypertension treatment

It might be just slightly better because it is a once-daily medication usually. It is also less favoured because of the side-effects and the perception.

Warfarin is drug of choice after valve replacement as suggested by many cardiac societies but warfarin patient adherence, it's interaction with other drugs and response of patients to warfarin is major problem with use of this drug. So alternative drugs are being used for Atrial fibrillation like LMWH Or DOAC