I'm certainly no expert, but I suspect some of the long-time Warfarin guys/gals may suggest lowering your dose rather than skipping a dose (or doses). Skipping two doses in a row seems pretty drastic to me. I suspect if I'd creeped up to 6.6 (which admittedly would scare me a little if I got that high) my doc would have recommended lowering my dose from 5mg to 3mg or 2mg and re-test me in 3 days, but doubt she'd ever suggest skipping a dose. But again, I could be wrong as I've never been that high.
How long have you been going between tests? And how long have you been creeping up? It is a little bit of a wakeup call for me that someone 4 years down the road could swing that much, especially after always being in range. I would have thought that once you get things figured out, it would be pretty steady. Makes me nervous to think about ever going more than a week (maybe 2 at most) w/o testing because I imagine if you can go up that much after 4 yrs of being consistent, you could also go down (which would be even more scary for me).
