INR is 4.8

[sue943]

The instruction is to miss two doses then go back in three weeks but looking back at my records when I was at 4.7 not long ago I skipped one dose then was re-tested in four weeks and was 3.8 so I think I will just skip the one dose again this time. My range is 3.0 to 4.0 so it really isn't high enough to worry about. No way will I skip two doses.

 

[bvdr]

You aren't that much out of range. A two day in a row skip seems a little heavy handed. For me, I think I would take a half dose two days during the week but not actually "skip".

 

[Bina]

An INR of 4.8 is no cause to freak out (for me, anyway).
With your double valves, is your range a bit higher?
If so, I would take a half dose today and a reduced dose tomorrow, depending on whether you have been trending up or not.

 

[ALCapshaw2]

I'm not a fan of skipping ANY doses for an INR under 5.0
and even then, only ONE.

A really conservative approach would be to cut ONE dose in half and retest in 1 week.

Alternatively, skip ONE dose, or cut 2 doses in Half and retest in 1 to 2 weeks (3 weeks seems a bit long to me).

As you can see from the above, I prefer to 'ease' back into range without Overshooting in Either Direction.

Just my NON-professional opinion.

'AL C'

 

[sue943]

I don't freak out at 4.8, I have been so much higher with no ill effects, more than double that.

I don't mind skipping a single dose but no more than that. As I don't home test I normally stick to the suggested period. I have to go in three weeks anyway as I am having a tooth (molar) extracted that day and the dentist wants to know what my INR is so he is prepared for any bleeding.

 

[Bina]

Sue, I'm glad that you don't freak out, because clearly your doc is over reacting by suggesting that you skip 2 doses.

 

[lb151]

Its funny how you get to know your own body over time. The nurse will tell me to hold for 2 days,then say "you are going to do what you want so come back in 2 weeks"...I am usually spot on with what I do. I would never hold for 2 days either. I like Al's idea. I also never go longer than 2 weeks without going over to test.

 

[njean]

I was at 4.6 last week & I just took 1/2 dose that night, a reduced dose the next day & then resumed with my usual dose for the rest of the week. I have to test tonight to see where I'm at.

I would never dream of skipping even one dose for an INR below 5.0.

Good luck & I hope you get back in range.

 

[njean]

I was at 4.6 last week & I just took 1/2 dose that night, a reduced dose the next day & then resumed with my usual dose for the rest of the week. I have to test tonight to see where I'm at.

I would never dream of skipping even one dose for an INR below 5.0.

Good luck & I hope you get back in range.

....and I have two mechanicals too.