J
J.B.Rice
Does anyone else have a hard time controling their PT/Inr Levels? I have been as high as 20gm of coumadin/day I am still at 10 or 11mg /day now.
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Does anyone else have a hard time controling their PT/Inr Levels? I have been as high as 20gm of coumadin/day I am still at 10 or 11mg /day now.
Ross
Well-known member
Hi J.B. and welcome to the forums.
Could you give us a little back ground, such as what your target range is, how often your testing, your current dose over one week broken down day by day, what type of diet you have, other medications you take, any illnesses recently, and so forth?
Could you give us a little back ground, such as what your target range is, how often your testing, your current dose over one week broken down day by day, what type of diet you have, other medications you take, any illnesses recently, and so forth?
Hi & welcome. I am only 3 months post op and am still trying to get mine stabilized. That said, I have spent hours reading various threads/posts on this site and investigated other sites to glean information. Here are some of the things I have learned.
Virtually everyone on warfarin has had trouble at one time or another maintaining a stable INR.
Many things can cause your INR to vary - one of the keys to stabilization is consistency - Vitamin K foods, exercise, other medications (internal & external, prescription or OTC).
Herbal supplements can drastically affect your INR.
Hot weather can make your INR rise.
Illness can change your INR.
Testing & dosing adjustments done too frequently can produce a yo-yo effect (mainly due to the length of time it takes for warfarin to get metabolized. Todays dose takes 3-5 days to show up in your system)
A really wonderful site for the true nitty, gritty on warfarin is: www.warfarinfo.com This site is operated by Al Lodwick - a pharmacist who specializes in the monitoring and dosing of warfarin. He has been recognized by the National Certification Board for Anticoagulation Providers as a Certified Anticoagulation Care Provider.
You don't say how long you've been on warfarin... there are people on this site much better equipped to give you advice. It would be helpful to them if you gave some details of your daily dosage & INR readings.
OOPS - Ross snuck in before I finished... he's one of the ones I was thinking of for help in answering your question...
Cris
Virtually everyone on warfarin has had trouble at one time or another maintaining a stable INR.
Many things can cause your INR to vary - one of the keys to stabilization is consistency - Vitamin K foods, exercise, other medications (internal & external, prescription or OTC).
Herbal supplements can drastically affect your INR.
Hot weather can make your INR rise.
Illness can change your INR.
Testing & dosing adjustments done too frequently can produce a yo-yo effect (mainly due to the length of time it takes for warfarin to get metabolized. Todays dose takes 3-5 days to show up in your system)
A really wonderful site for the true nitty, gritty on warfarin is: www.warfarinfo.com This site is operated by Al Lodwick - a pharmacist who specializes in the monitoring and dosing of warfarin. He has been recognized by the National Certification Board for Anticoagulation Providers as a Certified Anticoagulation Care Provider.
You don't say how long you've been on warfarin... there are people on this site much better equipped to give you advice. It would be helpful to them if you gave some details of your daily dosage & INR readings.
OOPS - Ross snuck in before I finished... he's one of the ones I was thinking of for help in answering your question...
Cris
