Does this sound right?

[marie]

To refresh your memory I started on coumadin 8/5/09. On 8/5 and 8/6 I took 10 mg. On 8/7/09 I was at 1.1. Continued on 5 mg. On 8/11/09 I was 1.6. continued on 5mg. daily.

Today I was at 1.7.

Change of dosage to 7.5 twice a week and 5mg daily for the rest of the week.

Does that sound right to you?

Thanks for your help.
Marie

 

[catwoman]

Marie:

Obviously, 5mg isn't the right dose (duh!) for you. What is your activity level like, and what is your usual diet like? You're on Altace, but that supposedly doesn't affect warfarin.

The increase of 5mg overall to your weekly dosage is a 14% increase. That sounds good to me. If you were adjust upward, you usually do it by 10-15%.

 

[KristyW]

Ok Marie...here goes

What you need to remember is just the last 7 days worth of doses. And from what I'm seeing, you're on 5mg/day since about 8/6, right? Ok so for the last 7 days, 5mg/day = 35mg for the week. You're anti-coag manager has upped your dosage to 40mg/week 7.5+5+5+7.5+5+5+5=40. That is a 15% increase...looks like it's within the guidelines.

Go back and be tested in a week. 3-4 days is not enough time. Hopefully you'll be up over 2.0 by then.

If you have questions...don't hesitate to ask.

 

[marie]

Marie:

Obviously, 5mg isn't the right dose (duh!) for you. What is your activity level like, and what is your usual diet like? You're on Altace, but that supposedly doesn't affect warfarin.

The increase of 5mg overall to your weekly dosage is a 14% increase. That sounds good to me. If you were adjust upward, you usually do it by 10-15%.

I am beginning to increase my activity level some as I have started walking again. My diet is normally high protein, low carb maybe a salad here and there. I did have some tylenol this week but not a lot.

Thanks
Marie

 

[catwoman]

Marie:

As you increase your activity level, you'll need more warfarin. Don't worry, though; just keep on keepin' on. Sounds like you're working with someone who understands warfarin and he/she will adjust your dosage accordingly.

 

[Ross]

I'd of made it a 20% increase, but we'll see.

 

[Bina]

Marie, the 14% increase is a very good start. Don't worry.

 

[marie]

Thanks everyone. Next testing is Monday the 24th so "To Be Continued"

Marie