00, this means the blood is pretty thick and likely to cause clot formation. For patients who have an increased risk of clot formation the INR needs to be higher - about 2.5 to 3.5. So, yes, if you needed to be kept at an INR of 3.6 then you either need a dose adjustment or a change in medication. However, all blood thinners are liable to cause internal bleeding into the organs, hence please do not start any medication on your own. Please consult your treating doctor. Take care!
I had later found out that her doctors had told her it was OK to take extra strengh Tylenol in addition to taking Coumadin and Plavix. Is this OK? In addition, what is the purpose of taking both Coumadin and Plavix? I understand they work by completely different mechanisms, but is taking both necessary? I am concerned she is not getting the correct information from her doctors. Also, I did my dissertation research in coagulation, so I can understand very technical answers.
Thank you, Dr.
I am on Coumadin therapy for a mechanical mitral valve and chronic atrial fibrillation. My INR is unstable and hard to keep in the target range of 3.0 to 3.5. I have read of using a constant daily low dosage (100mcg) of vitamin K to resolve INR instability the theory being that the instability may be due to a vitamin K deficiency and the constant dosage gives a bias level for the coumadin to work against. Does anyone have any experience or thoughts on this?
I think an INR of 1.0 is normal, so I'd say 0.9 is close enough to normal to say if the normal procedure for ablation is for the patient to have a lowered coagulation, then you need it.
All of us on coumadin (warfarin) have to have regular blood tests (one of the disadvantages) - for me once a month works. I need to take for AFib, my use has nothing to do with the ablation, I share just as an example.
You state you had "free bleeding"..
I just got lab results back for prothrombin time and INR and do have some concerns. My prothrombin time reading is 15.3 (normal 11.1-14.5) and INR is 1.3 (normal 0.8-1.1). This is the third time I have had this test done and it comes out similar each time except with my very first reading my prothrombin was high and INR was low. What does a reading of high in both prothrombin time and INR indicate?
I would not be comfortable with having a mechanical mitral valve and an INR of 1, because an INR of 1 is the same as not being anticoagulated at all. Which brings up the question, was the result even correct? If you have been in range for a long time on a stable dose of coumadin, then what the heck happened to drop you down to the same INR as someone who is not even on coumadin at all? I would want to know either how my INR got so low, or if there is no known reason, was it a false result?
In general do not take any medication, including "cold medicine" that contains aspirin, may do. This is the case for aspirin in any form, when on an anticoagulant.
There are many cold/allergy medicines that are aspirin-free.
Only the result of your INR test can tell you whether the dose is too high or not high enough. INR is more stable for some individuals than it is for others. I hope you are spacing your two low-dosage days at the beginning and middle of the week and that you are not taking a low dose two days in a row and then the higher dose five days in a row. I would question why anyone would need to take warfarin more than once a day.
Personally, I have not had any limitations or restrictions placed on me at all. Like Delta said, you have to stay within your INR range, mine is 2-3 and for myself it is quite easy to stay within that parameter. I have to tell you, as a side note, I was one of those a-fibbers who went kicking and screaming into the realm of coumadin (warfarin) but I had experienced a 4 day episode of a-fib.
My son has been on warfarin since he was 7 weeks old due to having a mechanical Mitral valve replacement. His INR today is 4.8. The highest it's ever been.He is six months now and just starting solids which may be why the INR has been all over the place. I have been instructed to withhold his dose tonight and I'll test him again tomorrow. I've been doing some reading that INR of 4.8 is undesirable but not overly dangerous. Is that the case for babies as well?
4, of which in 11 the INR increased and in 24 the INR decreased (mean change in INR 0.313; 95% CI -0.139 to 0.765). The average INR of those 37 encounters was 2.83 (95% CI 2.497 - 3.171). There was no significant difference in albumin in encounters when the INR increased vs. decreased in response to vitamin K. There was a trend towards higher total bilirubin (TBILI) when the INR did not decrease in response to vitamin K. Mean TBILI was 5.9 in INR responders (95% CI 5.011 - 6.789) and was 6.
An individual whose blood clots normally and who is not on anticoagulation should have an INR of approximately 1. The higher your INR is, the longer it takes your blood to clot.
As the INR increases above a given level, the risk of bleeding and bleeding-related events increases. On the other hand, as the INR decreases below a given level, the risk of clotting events increases.
the higher the number the thinner the blood is and the lesser the chance of cloting...most heart patients should have an INR of 2-3 I think with 2.5 being ideal.. however some patients need to be thinned to 3or so.. i think they usually have artifical heart valves..Did they tell your father that the food he eats effects the blood and the test results.. the more dark green vegetables he eats.. the lower his number will go ..
2 is if some other unfortunate event were to happen at the same time, like if you were to fall and hit your head, and you started bleeding inside your skull, then the INR of 4.2 could be a problem. Except for some kind of unlucky coincidence like that, an INR of 4.2 is no big deal. The nick that you got while shaving is just an annoyance and not an emergency. You're right, your INR should be down within 24 hours, just from holding one dose.
I have taken Cipro for Urniary Tract Infections on and off for about 7 years. Last year the frequency of infections was about every 2 months. This winter I have had less than a month between symptoms. My doctor gave me a prescription for Macrobid in case I need it. I have taken it for the first time the past three days and the infection is still quite apparent especially during the night when I can feel the internal discomfort.
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