Is this unheard of?

[Freddie]

In regards of dosing, is it unheard of to do the following.....
6mg - 5mg - 6mg - 5mg - 5mg - 6mg - 5mg ?

Just wondering.
Thanks for the input.

 

[Bina]

Oh, is it Thursday already? I don't understand the question.....

 

[Freddie]

In regards of dosing, is it unheard of to do the following.....
6mg - 5mg - 6mg - 5mg - 5mg - 6mg - 5mg ?

Just wondering.
Thanks for the input.

Would the above dosing be considered as a regular dosing method?

Yes it's Thursday...but never mind that - I thought this was a simple question

 

[Bina]

Yes, honey bunny.....the varied dosing is perfect, depending on what u want to do.

 

[Freddie]

LOL, not sure what I want to do, that's why I'm asking

 

[dick0236]

your schedule is one way to take 38mgs per week, by taking 6mg/3days and 5mg/4days and there is nothing wrong with such a schedule.

That's too complicated for an old man like me. I would take 37.5mgs per week, 5mg/6days and 7.5mg/1day. I doubt that the loss of .5mg/wk would make much of an INR difference for me and I could do this schedule using only 5mg tablets...

 

[Freddie]

From 35mg a week to 38mg just might be what I have to do to get over this hump.
Guess it won't hurt to try.

Thanks Dick and Bina for sharing your knowledge with this dumb bunny.

 

[Jkm7]

That is not at all unusual. It is common to alternate dosage amounts in order to reach a weekly total but not have any single day very much higher or lower than all other days.

I take a varied dosage of a medication other than coumadin and doctor has ordered the alternating dose so that I take a little higher dose on four days than on the other three days each week.

 

[ALCapshaw2]

With 5 and 6 mg tablets you can adjust your dosing anywhere from 35 to 42 mg/ Week taking only ONE tablet per day simply by varying the daily allocation. This is a good way to minimize cost and have the ability to change your weekly dose as needed to maintain your INR in range.

Making the allocations symmetrical maintains a smooth average level and can be done easily with a 7 day Pill Box as follows:

5.5.5.5.5.5.5 = 35 mg/week
5.5.5.6.5.5.5 = 36
5.6.5.5.5.6.5 = 37
5.6.5.6.5.6.5 = 38
6.5.6.5.6.5.6 = 39
6.5.6.6.6.5.6 = 40
6.6.6.5.6.6.6 = 41
6.6.6.6.6.6.6 = 42

'AL Capshaw'

 

[Freddie]

In regards of dosing, is it unheard of to do the following.....
6mg - 5mg - 6mg - 5mg - 5mg - 6mg - 5mg ?

Just wondering.
Thanks for the input.

Well that didn't work - today, monitor reads 2.2. Lab will probably come back around 1.9

With 5 and 6 mg tablets you can adjust your dosing anywhere from 35 to 42 mg/ Week taking only ONE tablet per day simply by varying the daily allocation. This is a good way to minimize cost and have the ability to change your weekly dose as needed to maintain your INR in range.

Making the allocations symmetrical maintains a smooth average level and can be done easily with a 7 day Pill Box as follows:

5.5.5.5.5.5.5 = 35 mg/week
5.5.5.6.5.5.5 = 36
5.6.5.5.5.6.5 = 37
5.6.5.6.5.6.5 = 38
6.5.6.5.6.5.6 = 39
6.5.6.6.6.5.6 = 40
6.6.6.5.6.6.6 = 41
6.6.6.6.6.6.6 = 42

'AL Capshaw'

So now I'm going try ......going by Al's chart.......maybe 40mg a week? - was on 38mg/wk. Or should I go to 41mg????
ahhhh, decisions, decisions

Any other suggestions out there?

 

[Ross]

38 if that is 10% over what you were taking previously and you were still too low. To find percent, take 38 X .10= 3.8 or 4 rounded off, so if you increase 38 by 10% your adding 38 + 4= 42

 

[Freddie]

In regards of dosing, is it unheard of to do the following.....
6mg - 5mg - 6mg - 5mg - 5mg - 6mg - 5mg ?

Ross, I believe the above dosage change was a 5% increase. As I was only taking 5mg/wk = 35mg the previous week

I thought of increasing it again by 5% - you thinking this is not a good idea and 10% increase is better?

 

[mac]

I guess I will never understand taking a variety of doses. I take 4.5mg every day and my INR in sticking at 2.6 and 2.7 on two week checkups.

Mac
AVR, single by-pass 11/19/09
carbomedics mechanical
Dr. Suri
Mayo Clinic

 

[Bina]

Freddie, your doc will freak if you are too high....I would do another 5% increase over the week.

 

[Freddie]

Bina, that's how I was thinking.
So increase to 40mg/wk or 41mg?

I'm planing on using Al's little guide here:

5.5.5.5.5.5.5 = 35 mg/week
5.5.5.6.5.5.5 = 36
5.6.5.5.5.6.5 = 37
5.6.5.6.5.6.5 = 38
6.5.6.5.6.5.6 = 39
6.5.6.6.6.5.6 = 40
6.6.6.5.6.6.6 = 41
6.6.6.6.6.6.6 = 42

 

[Bina]

You can do 40 or 41 depending on what you do with your diet, alcohol, exercise, etc.

 

[Freddie]

With no kitchen, I've been doing a lot more stairs since our secondary kitchen is in the basement. So the exercise has increased a tad.
Guess I'll try 40mg for this week and test again next Thursday. This coming week shouldn't be as crazy.

 

[Ross]

I'll let you have my CHF, COPD, and Emphysema. That'll slow your butt down and stabilize you. You'll look at those stairs and say, "Forget it".

 

[catwoman]

I guess I will never understand taking a variety of doses. I take 4.5mg every day and my INR in sticking at 2.6 and 2.7 on two week checkups.

Mac:
You're not quite 2 months post-op. One of these days you too will understand it or you'll need to vary your daily dosage some.

 

[sue943]

I used to take 5 one day then 6 the next as my dosage was supposed to be 5.5mg, I got fed up with that and got my doctor to prescribe some .5 so I take 5.5 every day, much easier.