Dosing after INR 5.5?

Natanni · Dec 30, 2005

Nathan was on 5 mg Warfarin six days a week and 7.5 one day a week.

His INR has been stable at around 3 to 3.5, and he had been eating greens daily. Also came off Amiodarone Dec 13th (shouldn't factor in at this point, correct?), AND SKIPPED his darn salads 4 days prior to Sunday--naughty boy.

On Sunday, his INR was 5.0
On Monday, his INR was 5.4

He called his clinic and was adjusted to 2.5mg on Mon and Tue, then to resumed 5.0 mg--and was back down to 2.5 mg today. I should add that he resumed his salads now, and even had a beer last night and tonight.....

Should he resume his 7.5 mg tonight (which was his normal 7.5 mg night) or does he stay with the 5.0 mg? He thought he was suppose to just stay 5.0 mg daily now, but I thought I would check with you guys.....since the 37.5 mg worked for him before with his salads, shouldn't he stay with that? Is that one beer at night going to be factoring into this at all? Thanks for your help....

Ann

Ross · Dec 30, 2005

All I would have done is take 5mg everyday and test in a week. They are going to have him see sawing.

geebee · Dec 30, 2005

I think he has already dropped his dosage more than enough to compensate for the 5.4 INR. If he is back to the same amount of salads as before, his INR may very well end up too low.

I think he should go back to the old dosing and test on Monday. If he can get in for a test tomorrow, I think that would be a good idea just to make sure he is not below range.

Natanni · Dec 30, 2005

Thank You

Thank You

Thank you so much. That is what I was wondering.....

Is the beer going to make any big deal here at all? I swear, I must have read every single darn post about alcohol here....know all about the "two drinks" rule.....but every time he ventures out to something from the old life, I think I need reassurance

Just wait until he goes back to work next week..

Thanks again for the help guys....