INR Levels Dropping

[OrlandoTommy]

I haven't changed my diet and over the last 2 months my INR reading has been near perfect at 2.8-3.3.
I went to a wedding out of town last weekend, missed one night of my Coumadin and had a few glasses of wine and since that night my INR has been falling slowly.
I home test so i have been checking it quite often since the wedding when I noticed it going down.
The past 2 days I have checked it and it has been 1.7 on my left hand, then I immediatly prick the finger on my right hand and its 1.5.
Either way its still low, i haven't changed anything, ive been staying away from greens and I take my one baby asprin every day.
Im on Coumadin 6mg per day and Toporol XL 100mg per day. Thats all I take.

Also, I was on Amioderone and quit it about a month ago, I remember my surgeon saying my INR levels would go down once I got off of it, could they start dropping now a month later due to being off Amioderone?

Any ideas, should I take a double dose or just wait it out, other than that I feel awesome.

Thanks,
Tommy

 

[Ross]

One things for certain, you need to increase your dose at least temporarily. 20%?

It could well be the Amiodarone, but I would think it would be a longer wait then this. All of us are different, so maybe your mileage is varying?

 

[ALCapshaw2]

My understanding is that Amiodarone will cause your INR to RISE so yes, coming off Amiodarone could well be the cause of your slow decline in INR. Note that Amiodarone has a LONG half life and may still be in your body at some level for several months after discontinuation. Ask your Doc's or Pharmacist for a more definitive time table.

'AL Capshaw'

 

[Adrienne]

I was on Coumadin for about a year. I was on Amiodarone for about two months before my surgery and about 1 month after. It took several months for my INR to stabilize. It was always low the first few months. Since I do not have a mechanical valve (MV repair) and since I was in normal sinus rhythm ever since my cardioversion and being on Amiodarone, I was not worried about the INR being too low.