Warfarin dosage protocol
Common Questions and Answers about Warfarin dosage protocol
jantoven
I test my own blood and adjust my dosage of warfarin. Usually I'm right in range 2.5 to 3.5 (2 art heart valves). About 6 to 8 weeks ago, I took augmentin for 10 days, 2 weeks ago, I took another antibiotic for 5 days. Since then, my PT/INR has been too low, 2.0. My diet and meds have stayed the same. I've been increasing my dose, yet it's still too low. Is it normal for this change? Please see my profile! Can it indicate my lupus activity?
I take Warfarin as follows: 3mg 2xda for 2 da and 4mg 2xda rest of week. Can't seem to get my levels even. Is the dosage too little or not enough?
The protocol guidelines are aspirin and plavix for year or a little longer if the implant was DES. Drug enduced stents have propensity to form a clot when compared to bare metal stents.
After a year the consensus is to continue aspirin (81mg is OK), and unless there is a special need for an additional anti-platelet medication the plavix should be discontinued based on the risk of uncontrolled bleeding, etc. is greater than any benefit.
As far as I'm aware, Coumadin is just one of the brand names of warfarin. It's like if I want some Clopidogrel (another form of anti platelet med) I could ask for either Clopidogrel or Plavix, Plavix is the brand name the drug company trades the medication under.
Hi, I was diagnosed with Pulmonary Embolism 3 years ago with hypercoagulability (genetic) and have been on 2.5mg of Warfarin per day for the past 3 years. I have just had an abdominal scan, and was told that I have a dense, fatty liver. I have tried to eat as healthy as possible, but had to cut a lot of greens out of my diet, as it affected my INR and would have lead to me having to increase my Warfarin dosage. Now I am not sure if this lead to the 'fatty liver'problem.
A drastic change in diet can alter INR also, but in my own personal experience, it has usually been other meds that caused me to need to change my warfarin dosage and not my diet. An INR that is consistently out of range is dangerous. Don't worry about maintaining the same dose of warfarin. Worry about maintaining an INR that is consistently within range. Whatever dose of warfarin you have to take to stay in range is okay.
ve tried to read as much as I can about warfarin along the way. I even went to a day-long CEU workshop for medical professionals on warfarin management and got the certificate. But I'm still not an expert. To my way of thinking, the experts are the hematologists, pharmacists, and other health professionals who manage large numbers of people's warfarin on a daily basis.
I COPIED THIS FROM THE WALGREENS DRUG INTERACTION OPTION ON THEIR WEBSITE... I JUST PICKED A COUMADIN DOSAGE.... I thought I should post it since it says a moderate interaction is possible. Again...this is copied from walgreens site.
My name is Joyce and I am 70 years old, I've been on Coumadin for over a year and my doctor has changed my dosage so many times, if your INR is too high do you take some vil."K",and what happens if it too low. my other problem is that my legs or rather the feet feel like lead, walking any distance is out of the question but my legs never felt like this, feels like my energy level is from 0-100, I feel like 15%. what can I DO !!!!!!!!!!!!!!!!!!!!!
The newest anticoagulants are relatively hassle free unlike warfarin. As for the aspirin, that is a good idea until you get on an anticoagulant. All you need is 80 mg per day, anything over that doesn't help more and bleeding risk is increased with high dosage.
Once you get your EP consultation, then he can work with your cardiologist to maintain medications.
A person on warfarin with an inr of 1.2 is not at risk of bleeding out. They are at risk for a clot. People not on warfarin normal range of about 1 because they don't have a bleeding or clotting disorder, thus 1 is normal.
I take 10 MG a day everyday and my inr was 2.2 just today. It all depends o. The reason behind taking it.
As for pregnancy, mechanical valves do greatly raise the risk of fetal problems, such as still births. The culprit is believed to be the anti-coagulant (warfarin) which crosses the placenta barrier. Trials are trying to establish if dosage could be the answer. Heparin was tried instead of warfarin but this caused the valves to have problems and valve replacement was necessary in many cases, some even fatal.
My meds were changed from Metoprolol to Diltiazem 360 mg per day and Fleconade 50 mg 2x per day plus Warfarin. The Metoprolol 25mcg 1 x daily has been making me wheeze for the past four years, but no one ever thought to change the meds. I have been on this new med protocol for 1.5 weeks. I just started the Fleconide and Warfarin three days ago.
My question is I need to loose 45 pounds asap.
just purchased a book titled "What Your Doctor May Not Tell You About Fibromyalgia Fatigue", and in it the author (Dr. R. Paul St. Amand, M.D.) mentions a protocol that he himself uses, and that he also tells all of his fibro patients to try. It requires you to take upto, but not limited to 2400mg of guaifenesin (Mucinex) daily. He says that with this protocol, you will notice that your symptoms will at first become worse, but will gradually disappear.
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