There is something I'm missing ............

[lance]

There's a lot more I need to know about warfarin.

Tested at 3.5 last Monday, continued on 70.5mg the same in-range dose I've been taking for 1 month. I was told to increase to 73.0 mg and didn't.
Tested to-day at 2.6

How could she possibly have known the INR would drop requiring an increase?

 

[catwoman]

2.6 is still in range.

Did you start a new activity/exercise program in the last week? Are you sure you've taken all your warfarin each day?

If no to the first and yes to the second question, this could just be a fluke. If your next test is in the lower part of the range, but still in range, you may want to increase your dosage a tad -- perhaps by 5%, which is what your manager was recommending.
If it were me, I wouldn't change my dosage unless I get 2 consecutive tests that are lower than normal.

 

[dick0236]

There's a lot more I need to know about warfarin.

Tested at 3.5 last Monday, continued on 70.5mg the same in-range dose I've been taking for 1 month. I was told to increase to 73.0 mg and didn't.
Tested to-day at 2.6

How could she possibly have known the INR would drop requiring an increase?

Beats me.....but she is gooooood. Any recent changes in meds that may have prompted her action? FWIW, I would not have adjusted either

 

[Ross]

Your still in range, so why worry about it? Could have been some extra vit k you ate last night, more excercise this week or just plain the way you tested. It's really not unusual to have figures like that. As long as your in range, I wouldn't worry about it, but if you want to see what happens, go on up to 73mg and see what the next test says. I'm betting you'll be over, but just slightly.

 

[lance]

As far as I can tell ...............

As far as I can tell ...............

Catwoman,
nothing's changed except the weather. The north wind doth blow and we do have snow--just a dusting.

Has anyone ever suggested there is a different dose regime required for changes in temperature, seasons with their associated changes in activities?

Last week I was chilled to the bone every day inside a centrally heated house where everyone else was toasty. I didn't walk the dog as usual.

 

[Bina]

I know if I don't get outside to check goats, etc. then my INR can creep up a tiny bit.

 

[Cooker]

There's a lot more I need to know about warfarin.

Tested at 3.5 last Monday, continued on 70.5mg the same in-range dose I've been taking for 1 month. I was told to increase to 73.0 mg and didn't.
Tested to-day at 2.6

How could she possibly have known the INR would drop requiring an increase?

My question is ... are you sure you understood her? ... just keep a check on it and like Rossman said "you are in range, why worry?"

 

[lance]

Yeah, I understood her

Yeah, I understood her

My question is ... are you sure you understood her? ... just keep a check on it and like Rossman said "you are in range, why worry?"

She sends her dose adjustments via e-mail so it is in black and white.

I'm not worried about the 2.6. Had I trusted her my INR would probably be in the high 3's where I prefer it to be.

 

[Montrealer]

Catwoman,
nothing's changed except the weather. The north wind doth blow and we do have snow--just a dusting.

Has anyone ever suggested there is a different dose regime required for changes in temperature, seasons with their associated changes in activities?

Last week I was chilled to the bone every day inside a centrally heated house where everyone else was toasty. I didn't walk the dog as usual.

Do us a favour and try to keep the snow in Ontario this year.......

 

[Karlynn]

I stopped worrying years ago about why one week my INR will be 3.7 and the next 2.6 on the same dose. Just chalk it up to Rain's dog in the flower bed. (I'll make you search for that one.)

It's not a precise science. The reality is, unless you were starting to trend low on your INR, your manager had no rhyme or reason for raising your dose, so it's just a happy coincidence for her that your INR went down on the dose ou stayed on.

 

[lance]

Do us a favour and try to keep the snow in Ontario this year.......

Ha ha, fat chance of that. Why, don't you like it?

 

[lance]

I'm not worried about it

I'm not worried about it

I stopped worrying years ago about why one week my INR will be 3.7 and the next 2.6 on the same dose. Just chalk it up to Rain's dog in the flower bed. (I'll make you search for that one.)

It's not a precise science. The reality is, unless you were starting to trend low on your INR, your manager had no rhyme or reason for raising your dose, so it's just a happy coincidence for her that your INR went down on the dose ou stayed on.

Instead I think it's a comment about the vagueries of ACT. In other words it's just warfarin being warfarin.

 

[dick0236]

Instead I think it's a comment about the vagueries of ACT. In other words it's just warfarin being warfarin.

Say the following with a British accent..."By jove Watson, I think he has gotten it"