Patient survey New patient education video Facebook Twitter www.onxlti.com
Results 1 to 20 of 20

Thread: Took two doses today of Coumadin!

  1. #1
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default Took two doses today of Coumadin!

    Okay everybody. I just realized as I went to take my evening meds, that I accidentally took a second dose of my 5:30pm meds of my Coumadin! I had a very trying day, as I was on jury duty. Instead of reaching for my evening meds pill box, I took my 5:30pm meds (which was my Coumadin). So what should I do tomorrow? Skip the does of Coumadin, take half the dose? As soon as I popped the pills in my mouth and swallowed, I realized I took the wrong pills. I then took my evenings pills but am now trying to figure out , what I should do with my dose of Coumadin tomorrow. Any help would be deeply appreciated. Thanks!

    Lorraine
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  2. #2
    Join Date
    Mar 2003
    Location
    North Alabama
    Posts
    6,910

    Default

    GOOD Question !

    What is your INR Range?
    What was you last INR reading?

    How well do you trust your Coumadin Manager
    (or are you self testing / dosing)?

    I always hate to Skip Doses, but I've never taken a Double Dose (that I am aware of).

    I'm thinking taking 1/2 dose for 2 days might be a less 'disturbing' option but I would recommend getting a professional from someone you trust.

    I do recall AL Lodwick saying that he didn't "think" taking a double dose for One Day would be dangerous but I forgot what he said to do on the following days.

    'AL C'

  3. #3
    Join Date
    Dec 2001
    Location
    On The Hot Seat
    Posts
    25,981

    Default

    So you did an oops. Just continue on your regular schedule and plan on being a little high this week, but it'll be fine the week after.

  4. #4
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    AL C: My range is 2.5-3.5. I have two mechanicals and my dose is 8mg a day. So lasr night I ended up taking 16mg for the day! I do self test sometimes but since I still have a hard time getting the drop of blood I need, I mostly go get tested. I have tried everyones technique to get the blood when I prick my finger, but it's only once in a while that I can actually get a good sample. I do self dose to an extent. What I mean is if I go in for my INR and let's say it's 4.2. The nurse may tell me to hold a day and I tell them I won't do that, and tell them what I'm comfortable to do. An they do listen to me. After 9 years of being on Coumadin, they know I know my body better than they do.

    Ross: Normally I wouldn't even worry about the double dose, but I had a few more beers than normal over the weekend. So my INR is probably a little higher already. I'm suppose to go get tested this Friday.

    I know if I call the nurse she will tell me to hold. That was why I was wondering if I should just take half my dose today or just cut back my dose by a 1/3 (or almost a 1/3) over the next two or three days. That way I would get my average dose in for the week. Then again maybe I should just do my normal dose and just drink some v-8 and lots of greens!

    I appreciate your responses and respect what is said. Thanks!
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  5. #5
    Join Date
    Jun 2001
    Location
    Texas Hill Country
    Posts
    1,836

    Default

    Lorraine ~~ your double-dose probably won't show up until tomorrow or the day after, so testing today probably wouldn't tell you much..

    Can't say as I've double-dosed (small miracle)....but what I would do is half today and tomorrow and hope to be in range.

    I tested at 5.8 last evening....and am on 8.5mg, so today I'm taking 5mg and 5mg again tomorrow. Ain't it fun...
    Happy Trails,

    BAV-1999 - St. Jude Silzone recalled valve still clickin'
    CoaguChek testing since 1999
    CoaguChek S testing since 2002
    CoaguChek XS testing since 2009
    "Gee, ain't it funny how time jus' slips away..."

  6. #6
    Join Date
    Oct 2005
    Location
    Massachusetts
    Posts
    4,326

    Default

    Eat something really high in soy, drink a bottle of Ensure..... Isn't that high in Vitamin K? Stir fry up a bag of spinach. If you eat it cooked, you'll eat more than just a spinach salad. A combination of all that has to bring down your INR at least some.

  7. #7
    Join Date
    Feb 2007
    Location
    East Ontario, Canada
    Posts
    12,611

    Default

    Take 1/2 dose tonight.....and test in a few days.
    BAV-Aortic Stenosis...AVR Oct 11, 2005 / St.Jude Regent mechanical 21mm
    INR Home testing since 2007 with Coaguchek XS...Self-Dosing

    "Caution: I may have been in contact with Nuts"

  8. #8
    Join Date
    Aug 2008
    Location
    Northern CA.
    Posts
    3,818

    Default

    Quote Originally Posted by Jkm7 View Post
    Eat something really high in soy, drink a bottle of Ensure..... Isn't that high in Vitamin K? Stir fry up a bag of spinach. If you eat it cooked, you'll eat more than just a spinach salad. A combination of all that has to bring down your INR at least some.
    Quote Originally Posted by Bina View Post
    Take 1/2 dose tonight.....and test in a few days.
    I would also drink a couple of 'red bulls'. The week I drank it, my INR went down and I tried this to see if it is true...it did affect my INR.
    Eva

    Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

    INR home tester/Coagucheck

    Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
    act on the information contained herein without the express consent of your own physician."

  9. #9
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Janie: How are you GF! Yeah, I figured testing wouldn't show anything today anyway. I can see I was on the right track to at least half the dose one or two days. I'm leaning more towards doing it for two days, since as I said I had a few more to drink than normal over the weekend. We went up to see my brother who had tongue cancer(tongue and voice box has been removed) a few years ago, Then this spring he had cancer near his lymph nodes which radiation seems to be shrinking, now he has cancer in his cheek that they found out from a pet scan he had done. He can only drink liquids, so besides the nourishing drinks like ensure etc, he still drinks his rum and coke! He treated me, his wife and one of my sisters out for dinner, and while we ate, he sat at the bar and drank. My sister and I had a beer at the bar before dinner, and another with dinner. My sister-in-law doesn't drink. Then he insisted on buying me a chocolate martini, made with Godiva chocolate. I never drink hard liqour any more but boy was that chocolate martini wonderful It was delicious, but along with the couple of beers I had, it was more than my quota, so that was why I was concerned about accidentally taking a double dose of Coumadin Monday.

    JKM7: In hindsight I should have taken one of my brothers ensures home with me. No spinach in the house either..

    Eva: No Red Bull in the house either. Thanks for the tip, maybe I should get some as a back up. I do have v8 though.

    Bina: Thanks! For sure the half dose today, but as I told Janie, since I'm sure my INR was a little on the high side already, I'll probably half dose for two days. I do go for a test on Friday, but I may test myself on Thursday to see where I stand, if I can get that darn drop of blood. The one thing I haven't tried is taking a warm shower and then testing. I'll try that. I've tried everything else everyone has suggested when I've brought this subject up before.

    I thank everyone for their inputs. I kind of knew what I ought to do, but it is always good to ask others who are experienced too. Last night as soon as I swallowed I realized I took the wrong pills and just panicked, wishing I could get the pills back. I wasn't going to try to upchuck to do that thought. I appreciate everyone's help.
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  10. #10
    Join Date
    Feb 2007
    Location
    East Ontario, Canada
    Posts
    12,611

    Default

    Yes, soak those hands in warm water. Even under the tap is fine.
    Quick stab, maybe a bit of "milking" of the finger, and away you go.
    BAV-Aortic Stenosis...AVR Oct 11, 2005 / St.Jude Regent mechanical 21mm
    INR Home testing since 2007 with Coaguchek XS...Self-Dosing

    "Caution: I may have been in contact with Nuts"

  11. #11
    Join Date
    Dec 2001
    Location
    On The Hot Seat
    Posts
    25,981

    Default

    Personally, I still wouldn't worry about it. It will all even out in 14 days. If it really really bothers you, just skip a dose and resume. The beer isn't going to have much, if any affect on INR, so don't sweat it. Nobody is perfect, er, well um, except my wife.

  12. #12
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Gina: I did try soaking the hands in warm water. Maybe I didn't soak them long enough. That's why I thought maybe just getting my whole body warm to circulate the blood may work. I just haven't tried it yet. I will tomorrow.

    Ross: It isn't the beer I was worried about, it was the vodka in the martini, besides having the beer. An I am do to test on Friday, not 4 weeks from now. Of course Saturday I'm going for a teeth cleaning and I will be taking my antibiotics too, which usually raises my INR. I know they say you don't have to take antiobiotics any more for cleanings, but I prefer to do it anyway, and my cardio still writes me prescriptions for it. Thanks for your thoughts! An your so right! No one is prefect! well as you said except for your wife!
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  13. #13
    Join Date
    Jun 2001
    Location
    Nashville, TN
    Posts
    1,331

    Default

    Hi Lorraine,

    The doctors office told you to " Take two aspirins and call them in the morning" !!! Not Coumadin!!

    Please keep us posted on what you did to counter this, and what the results were.

    Hope all goes well..

    Rob
    3/23/00 Ascending Aortic Dissection-St. Judes mech valve+graft, Vanderbilt, Nashville, TN
    9/16/10 ON-X Aortic Valve/Root Replacment, Cleveland Clinic,OH, Dr Pettersson
    9/16/10 Aortic Stent and Frozen Elephant Trunk Procedure, Cleveland Clinic,OH, Dr. Roselli

  14. #14
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Rob! You are soo funny! I'll let you all know what my INR ends up being Friday! Like I said, I do think I will just take half my dose for two days. Let's see what happens. It good to hear from you! I hope your doing well! Take care my friend.
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  15. #15
    Join Date
    Jan 2006
    Location
    Jersey, Channel Islands (British Isles)
    Posts
    1,551

    Default

    I can remember accidently taking double the dose once, I just carried on as normal same as I do if I miss a dose and don't realise until my next dose is due, it all ends up just fine.
    Lithotripsy for kidney stones 8 December 2004.
    Began to feel unwell 19 December 2004, with hindsight, the beginning of endocarditis.
    Stroke 12 March 2005.
    Endocarditis diagnosed 16 March 2005.
    MVR/AVR - ATS 30 June 2005.
    Discharged 10 July 2005, taken ill on journey from hospital.
    Admitted to hospital 14 July 2005, complete heart block.
    Discharged from hospital 22 July 2005.
    Returned to work 9am on 7 November, dismissed 9am 7 November 2005.

  16. #16
    Join Date
    Jun 2001
    Location
    USA
    Posts
    3,334

    Default

    What are we going to do with you LoRain? How are you my friend? Miss our chats. Keep us posted on your levels.

    Wanted to see if we could shoot for a Sunday impromptu sometime this month? Next couple of weeks are tight....perhaps sometime thereafter. If we plan it mid week, I have a feeling we will stick to "the plan"

    Take care and give me a shout when you are ready to go!
    All the best,
    LuvMyBirman :)
    MVR, 3/99

  17. #17
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Sue: I appreciate your advise. As I said though I was concerned about taking a full dose yesterday because of the drinking i had done over the weekend. So I did only half a dose yesterday. I do think I will do my regular dose today and test tomorrow. Will keep everyone posted.

    Gina: Yeah, what are we going to do with me? Normally I'm more worried when I miss a dose, as I drop like a bomb! I never had double dosed on Coumadin before!

    I think we could work something out to get together. Sunday's would be better, but I'm not opposed to mid week. I'm free on a Sunday a few weeks from now, if you want to set a day. There is a restaurant as the far end of Fox River Grove (closer to Lake Zurich) if you would like to meet there. Or we could meet in Lake Zurich too, if you know some place around there. Of course if we can get some of the other locals to join us, we may want to make it more centralized. Take care GF!
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  18. #18
    Join Date
    Jun 2001
    Location
    USA
    Posts
    3,334

    Default

    How does 10-18 look for you? If not, pick a week night, any day other than wednesday...and I will meet you in CL . Love that Around the Clock . What's the name of the place on the far end of the Fox? Is that the Broken Oar? Send me a PM on FB or email to work out the details!

    Are you finished with Jury Duty? I had Grand Jury Duty last year. Which was three months! I kept getting sick. The third time (bad flu) my doctor wanted to know what the heck was going on. He said I should not be sitting in a confined area for x number of hours a day....if it could be avoided. He wrote me out of there! It was an experience. But not worth being sick for 2 months over!
    All the best,
    LuvMyBirman :)
    MVR, 3/99

  19. #19
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Hi Gina: 10/18 looks fine. Name the time and I'll be there.

    When I get my INR taken Friday I'll let everyone know the results. Thanks everyone for all your inputs. I was going to test myself tomorrow, but since it's been so long since I tried, my strips are outdated. I had to order more!
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  20. #20
    Join Date
    Jun 2001
    Location
    Northwest, IL
    Posts
    1,176

    Default

    Hi Everyone,

    Just wanted to let everyone know my INR was 2.7 today. I did only hold half a dose on Tuesday and resumed my normal 8mg for Wed & Thurs! I'm in range, but I'd rather be a little higher. All is well. Thanks again for all of your advise.
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •