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Probably due to economic reasons, as Warfarin dominates the market... My clever book here also says that Coumadin starts to have effect after 36-48 hr, while Marcoumar after 48-72 hr. (compare Bernardo / Halhuber: Gerinnungs-Selbstkontrolle leicht gemacht. Stuttgart, 1999). So Warfarin...

Looking around here on the forum, Phenprocoumon (brand names: Liquamar, Marcoumar etc) seems to be widely unknown in North America. And instead doctors prescribe Warfarin. How comes? Here in Germany 99% of the affected patients get Marcoumar and there is even the widely used term...

Situation in Germany and I think it is the best solution: The device itself, lancets and test stripes can be purchased by anyone in certified drug stores. (Here a drug store is a shop maintained by a person who studied medicine at university and not some sort of a supermarket as in the US)...

I can remember the AvoSure device from my anticoagulation training at Munich university hospital back in 2001! We were taught on the CoaguChek S and the AvoSure-device, which was very new on German market and just had passed certification… I can remember that most of the participants preferred...