Dicoumarol

From WikiMD's Wellness Encyclopedia

Dicoumarol is a naturally occurring anticoagulant that functions as a functional vitamin K antagonist (similar to warfarin). It is derived from the sweet clover plant, which can produce dicoumarol when it undergoes fermentation. Dicoumarol was discovered in the 1940s when it was linked to a bleeding disease in cattle that had consumed spoiled sweet clover.

History[edit | edit source]

Dicoumarol was discovered in the 1940s when it was linked to a bleeding disease in cattle that had consumed spoiled sweet clover. The disease, known as "sweet clover disease", was characterized by a prolonged prothrombin time, which is a measure of the blood's ability to clot. The disease was traced back to a compound in the spoiled sweet clover, which was identified as dicoumarol.

Mechanism of Action[edit | edit source]

Dicoumarol works by inhibiting the enzyme vitamin K epoxide reductase, which is involved in the recycling of vitamin K. This prevents the synthesis of vitamin K-dependent clotting factors in the liver, including Factors II, VII, IX, and X, as well as the anticoagulant proteins C and S. This results in a decrease in the blood's ability to clot.

Uses[edit | edit source]

Dicoumarol was used as a pharmaceutical anticoagulant until the 1950s, when it was replaced by warfarin. Today, it is primarily used in biochemical research.

Side Effects[edit | edit source]

The main side effect of dicoumarol is bleeding, which can be severe. Other side effects can include skin necrosis and purple toe syndrome.

See Also[edit | edit source]

Dicoumarol Resources
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Contributors: Prab R. Tumpati, MD