Intense cardio (mountain hiking) 3 - 4 times per week decreases my INR. What activities have you found to increase your INR? and how often? Thanks in advance!
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Exercise and INR
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ashadds
Well-known member
Has the weather changes impacted INR (ex: hot to cold) ? For example, lets say I stay in a tropical climate and would want to visit alaska to see the aurora, would this impact INR
pellicle
Professional Dingbat, Guru and Merkintologist
I've gone from Australia in summer (42) to Finland in winter (-20) and there was no influence. Why should there be? I wore different clothes to keep my body comfortable
Hi carolinemc. I asked you a question about this but I made a typo and got the increase and decrease wrong in my previous post to you and thus edited my previous post. My correct question is: What exercise have you found that increases your INR? (My wife hopes it's ballroom dancing because she's been trying to get me to some dance class for 40 years now but I'm not budging.
). The reason I would like to know this is so I can further keep my INR as stable as possible even though I know it will fluctuate.carolinemc
Well-known member
Yes it can lower the INR and increase the INR, depending on the exercise and intensity. Dancing is a great Cardio-Vascular and blood circulating exercise. You go do some dancing for it also helps you lose weight and helps the heart and lungs to be strong and healthy. Hope your wife keeps nagging about the dancing. Good for you to do, dude.Hi carolinemc. I asked you a question about this but I made a typo and got the increase and decrease wrong in my previous post to you and thus edited my previous post. My correct question is: What exercise have you found that increases your INR? (My wife hopes it's ballroom dancing because she's been trying to get me to some dance class for 40 years now but I'm not budging.
Jeff Lebowski
Well-known member
My INR, which I measured between 2.1 and 2.6 for about three months, has risen to 2.90/ 3.0 and 3.1 in the last three weeks.
The fact that it has been rising even though I have reduced my warfarin dose in the last week and have not taken any food that would increase my INR leaves only two usual suspect: increased physical exercise and stress.
Until 2 months ago I was cycling 200 kilometres a week and in the last month I have increased this to 350 kilometres a week.
Again, I have been under stress for the last three weeks due to some problems related to my work.
Until 2 months ago I was cycling 200 kilometres a week and in the last month I have increased this to 350 kilometres a week.
Again, I have been under stress for the last three weeks due to some problems related to my work.
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pellicle
Professional Dingbat, Guru and Merkintologist
IIRC I've found that my INR goes down (necessitating a lower dose by 0.5mg from 7) when I commence training (or step it up, such as when winter and XC Ski season starts); so that to me leaves
- stress
- something else
Have you changed "brands"?
Best Wishes
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I agree that stress can certainly be a factor. Furthermore, if I interpret your exercise report correctly, you certainly are increasing your physical stress. My recollection from previous posts is you have done a lot of endurance activity; which would be consistent with 350km and 14 hrs of cycling in a week. I would definitely think through your food consumption which - in increasing from 200 km to 350km/week - will have changed. Unless you are losing considerable weight 
, those calories are coming from somewhere. Also think about your hydration. My fluid intake increases markedly as distance and temperature (e.g. summer) go up.
For me personally, my prescribed warfarin dosage is 3 mg/day. At times of higher activity (spring and fall for me), I have found that 2.5 mg/day is what keeps me in my 2.5-3.5 range.
, those calories are coming from somewhere. Also think about your hydration. My fluid intake increases markedly as distance and temperature (e.g. summer) go up.For me personally, my prescribed warfarin dosage is 3 mg/day. At times of higher activity (spring and fall for me), I have found that 2.5 mg/day is what keeps me in my 2.5-3.5 range.
Jeff Lebowski
Well-known member
mine is 7,50 mg/day and ı will reduce it to 6,25 mg this week. ı will wait and see.
By the way ı today I had a INR test in the hospital laboratory. The result was the same as the result on my Roche Caougcheck device at home yesterday: 3,1
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If it were me, I would probably do more of a micro adjustment of 0.25mg/day; 05mg/day at the max. You are just barely out of range and dropping it 1.25mg/day seems to be a big drop. Personally, when my INR starts to drift a little, 0.25mg/day adjustment always is sufficient to right the ship.
