After eight years of silence from medics post stroke, and MRI for an apparent lupus attack showed extent of my stroke and number of TIAs was urgently placed on a lifetime of warfarin with a heparin bridge while my INR was increased, last November. At the start of January I had my long awaited first appointment at St Ts for my lupus. Dr said warfarin is no longer the recommended treatment for APS? He didn't tell me what is now recommended for patients like me, but didn't explain what is. Any thoughts? I'm wondering if he's thinking plaquinel to treat both conditions as my APS is secondary to SLE? When thrombotologist put me on warfarin it was explained to me that due to extent of damage and history of migraine and miscarriage there wasn't any choice?