DachsieMom
Well-known member
So it was 3.1. Maybe I didn’t forget, or only forgot one day and not two. I did take extra strength Tylenol on two days due to migraines, and I had a beer which I never do! Weird. I am back to using the pill box.
So it was 3.1. I had a beer which I never do! I am back to using the pill box.
3.1 is not a bad number so all is goodSo it was 3.1. Maybe I didn’t forget, or only forgot one day and not two....
........... I am back to using the pill box.
I've On-X valve in aortic position and On-X recommends 1.5 - 2.0 with 1 baby aspirin. However my current INR recommended range is 2.5 - 3.5 (because my INR fluctuates a lot)@vivekd What do you call too low before you use the lovenox injections?
as long as you don't take both sleeping pills and laxatives you'll be right ;-)...I take all my meds before bedtime (maybe not the best idea), and know the next morning if I missed my meds the night before..
usually you don't need lovenox, if you're not sub-therapeutic for few days, but since I'd a TIA in 2018 and my INR fluctuates a lot (I take 13 mg to maintain 2.5 - 3.5), I don't want to take any chances.Thanks @vivekd
I was Just curious as in the first few months of starting warfarin when I was in the progressively increasing dose phase I went as low as inr 1.5/1.6 a few times but never had lovenox
I've On-X valve in aortic position and On-X recommends 1.5 - 2.0 with 1 baby aspirin. However my current INR recommended range is 2.5 - 3.5 (because my INR fluctuates a lot)
If my INR ever goes below 2.0, i plan to do the following for at least 2 days and then retest.
I'd a TIA in 2018 because of warfarin mismanagement where my INR was somewhere between 1.5 - 1.9 for a week.
- increase my warfarin dosage for 2 days.
- take full strength aspirin (325 mg) instead of baby aspirin (80 mg) for 2 days.
- lovenox injections for 2 days (every 10-12 hours). Lovenox strength is determined by the body weight.
- May be couple of beers (if INR is around 1.4-1.7)
- Retest after 2 days
- Reassess.
Therefore me and my cardiologist have decided to be more aggressive with INR management.
standard INR recommendation for aortic position is 2-3. However my INR fluctuates more than 1 point within 2-3 days and therefore we (me and my cardiologist) agree to 2.5-3.5. I try to be around 3.0, so that even if i my INR goes down by 1, I'm still a 2.0.Why do you have a range of 2.5-3.5, do you have a co-morbidity beyond your artificial valve that requires such a higher range then recommended by the manufacturer?
It that regimen of aspirin, lovenox and beer prescribed by your cardiologist? To me it seems severe. My range is 2-2.5, what's recommended for my valve. I've been down as low as 1.5 for surgery w/o anything other than an increase in warfarin immediately after surgery for two days and testing in 5 days. Same when I went to 1.7 for "who knows why." The "increase warfarin and test more frequently" was what the cardiologist warfarin specialist prescribed.
standard INR recommendation for aortic position is 2-3. However my INR fluctuates more than 1 point within 2-3 days and therefore we (me and my cardiologist) agree to 2.5-3.5. I try to be around 3.0, so that even if i my INR goes down by 1, I'm still a 2.0.
I'm moving to brand name coumadin next week to see if crazy fluctuations are because of generics or not. These are my last 6 INR readings with absolutely no change in diet, workout or warfarin.
June 12 4.2
June 8 3.4
June 5 3.9
June 2 2.9
May 29 3.2
May 22 3.8
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