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INR - Please help
Started by Abbi Cooper
Posted: September 10, 2007 at 20:03
Am all new to this, have had my 1st blood test and warfin introduction today and have been told my INR needs to be between 2-3 and its today its 1.6, is this a long way from 2 or quite close, am on 10mg of warfin for the next two days and fragmin every night, blood test again on Wednesday, any advise gratefully received, thanks.
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Re: INR - Please help
Reply #1 by Karen
Posted: September 11, 2007
You could go up over 2 very quickly. There are so many factors that can influence your INR, but it seems feasable that you could be there very soon.

I once went from the very top of my range (3.9) down to the bottom of my range (2.1) within a matter of days! I think it was a matter of my diet/vitamin K. I've since leveled out and stayed more consistently within range. :-)

Good Luck!
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Re: INR - Please help
Reply #2 by Abbi Cooper
Posted: September 11, 2007 at 10:38
Thanks Karen, having another blood test tomorrow, cant wait to come off the Fragmin, but have to have two good tests before that can happen!


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Re: INR - Please help
Reply #3 by gail k jones
Posted: September 11, 2007 at 12:43
Hi Abbi.
Sorry have been off line few days , dont worry, it does take time sometimes to settle down.Sometimes there is no reason why INRs fluctuate,ie l have been stable for 3months and only last week it dropped to 1.7 , l cant think of one reason why this should be so.
The consolation is as long as you are on the Warfarin the INRs will be monitored closely .( the Warfarin takes longer to get in your system than the Fragmin) After the week of Fragmin there is normally a platelet count done ,and the INRs need to have at least 2 readings the same before they reduce your visits to have INRs done.Kind regards Gail

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Re: INR - Please help
Reply #4 by Bernard
Posted: October 12, 2007 at 04:54
I agree with Karen, you can be up there very quickly. When I first started out I was up to 15. It took 2 weeks to come down to between 2 and 3. Had to eat a lot of Vitamin K foods to counter it. Now I check weekly and have managed to keep it right. Your diet is very important and get plenty of exercise. I used a great website for foods that are high, medium or low in Vitamin K. www.ptinr.com. Click on the brocoli icon. It is very important to find out why you had a DVT. Mind was due to a Protein S Defiency (Heredity) English Man blood in the family line. My Haematologist took over 25 different blood test to find it.
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Re: INR - Please help
Reply #5 by Di
Posted: October 17, 2007 at 19:43
My INR was 1.3 after 24 hours on Lovenox and warfarin, but then jumped to 6.1 in another 72 hours. They discontinued the Lovenox and reduced the dose of warfarin to get it down to 2 - 3 more quickly. It was a tiny bit high a few days later, but fell into range after that. It did still jump around some for the six months I was on warfarin.
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Re: INR - Please help
Reply #6 by jeff
Posted: April 5, 2008 at 02:52
on warfarin but my irn was 8 and now it is 5.8 been in the hospital since nov 4 07
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Re: INR - Please help
Reply #7 by jeff
Posted: April 5, 2008 at 03:01
on warfarin but my irn was 8 and now it is 5.8 been in the hospital since nov 4 07 this problem is never ending they stop the medication and than start it up again i am so tried of being this way my platlets have droped twice down to 2 and have receive blood products in the amounts of 40 times during both times
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Re: INR - Please help
Reply #8 by Sharon
Posted: April 7, 2008 at 07:11
Jeff--Have they checked for thrombocytopenia? I think that platelets dropping out is a major symptom of that, isn't it? I'm so sorry you are in the hospital so long. Spent 40 days myself lst summer--no fun--you got me beat by a long way.

Abbi--It took me 13 days to get to 2 bcs I have antiphospholipid syndrome and was very resistant--in fact, clotted thru the coumadin. I have 2 disorders tho. I tell you this not to scare you, but just the only thing I can add to s=what has already been said--it 'typically' takes 48 to 72 hours to become 'therapeutic' or =/<2. If it takes more than a week, you may want to ask for a hemotologist.
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Re: INR - Please help
Reply #9 by Bonnie
Posted: September 4, 2008 at 05:17
Mitral valve annuloplasty ring replaced with prosthetic and Tricuspid stanchion tears repaired in 2004 - complication following heart failure following aneurysm left optic artery surgery.I have been on Coumadin since 2003 and INR is a weekly roller coaster! One week,1 and the next week 2.5 then 1.5, then 3.5. Hematuria X one week - INR 8.5.
Blood product transfusion, hospital off Coumadin and then restarted - 1.8 when released from hospital. I feel fine @ about 2.3 to 2.5. Should I see a Cardiologist or Hematologist?
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Re: INR - Please help
Reply #10 by carol emerson
Posted: January 7, 2009 at 18:01
my mother has been taking 5mg of warfarin for about ten years and tested every other week - then was in hospital for pneumonia and they lowered it to 4.5.

shortly after this doctor phoned and said to go to emergency as she was in danger of haemmoraghing

Dose was lowered to 1.5 mg

recently she was back in hospital and discharged with prescription for 5mg of warfarin

two weeks later:

doctor phoned and said my mother's INR is 6.1
to stop her warfarin and to order new test in three days

my mother is 87 and this is all very worrying to her

what is going on?

thank you
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Re: INR - Please help
Reply #11 by ellieuk
Posted: January 8, 2009 at 15:53
Carol - Similar happened to me - I'm 43! The Doctors at the hospital altered my warfarin levels and I ended up at 1 (it had become stable 2.5-3 before they intervened).

Don't worry - just make sure your mums INR is checked regularly (I've had to go every 2 days to Warf nurse since going back on warf for life). Sometimes (for no apparent reason levels change). My warfarin intake has constantly changed - luckily it seems to have stabilised over last couple of weeks.

I wish you both well!
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Re: INR - Please help
Reply #12 by ger
Posted: June 3, 2009 at 02:52
is a warfarin doze at 9mg (per day) very high for somebody that has been on it since 1991.
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Reply #13 by Lori
Posted: June 3, 2009 at 18:56
Hi Ger,

Everyone has a very different chemistry with respect to warfarin
(coumadin)doses. If you read through these forums you will see that
many people are taking 7-10 mg per day and many are taking only 1-2
mg per day. The most important thing is to ensure that your INR is
within a safe range.
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Re: INR - Please help
Reply #14 by Clare
Posted: June 11, 2009 at 19:46
Ive only just found this forum and im so relieved to know im not on my own, i was diagnosed with a free flowing bloodclot in my right leg almost 7weeks ago, i was in hospital for 7 days and the day i was discharged the lady i had got very friendly with died because her clot went from her lung and killed her, i was so distraught as tis lady was a lovely woman but i was also so scared i to would die. i came home to my 4 small children and after about 4hrs my clot moved and also went to my lung, i was an absolute wreck, i knew what was happening and the fear i felt was indescribable. I was in hospital for 13days and now im home my inr is all over the place. Im on 15oooc framin injections a day and 10 warfarin then my levels go up to between 2.1 and 2.4, then the hospital take me off the fragmin and lvels go straight back down to 1.3. 4 weeks ago i was on antibiotics for a bad case of tonsilitis (im so run down i seem to be picking up everything) and my levels went up to 2.4 so the hospital decided to leave me 2 weeks, when i went back my level was 1.5 and they started me straight on fragmin again but later that night i got that familiar stabbin pain and knew straight away it was a clot so the next day i went back to hospital i had another scan and was told i had developed another clot, again that fear was just awful, im now on fragmin every day and 10 warfarin a day, i went for another check the other day and levels stil at 1.5. Im married with 4 beautiful boys aged 6, 4, 2 and 1 year old and a large extended family but i can honestly say ive never felt so alone and this scared in all my life, i cant sleep and havnt had a period since all this happened, the doctors say its all stress and within time things should return back to normal. Nyway getting back to what i actually started writing, im so glad thre are forums like this as i think i actually feel alittle better knowing im not on my own and there are other people in my situation, so i just want to say thank you to every1 as without even knowing it you have helped me emensely.
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Re: INR - Please help
Reply #15 by abbeydabbydo
Posted: June 14, 2009 at 02:28
My INR was 0.93 before I started taking warfarin 6 weeks ago for (PE)
now it's a steady 2.4-2.6 . I was wondering because of the very low level I was at will I be on warfarin for a long time ?..I'm 42 and had clots in both lungs (very very painful) The hospital found no obvious cause for these clots .
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Re: INR - Please help
Reply #16 by abbeydabbydo
Posted: June 14, 2009 at 02:28
My INR was 0.93 before I started taking warfarin 6 weeks ago for (PE)
now it's a steady 2.4-2.6 . I was wondering because of the very low level I was at will I be on warfarin for a long time ?..I'm 42 and had clots in both lungs (very very painful) The hospital found no obvious cause for these clots .
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Re: INR - Please help
Reply #17 by Lori
Posted: June 14, 2009 at 02:57
If they have found no obvious cause for your PE's you should stay on the
warfarin. I hope they are doing a thorough examination on you including
checking for any cancer. Cancer would be a rare cause, but you
absolutely need to rule that out. Many people have no major bad side
effects from warfarin and hopefully you will be on of the lucky ones who
doesn't have side effects too.
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Re: INR - Please help
Reply #18 by Char
Posted: June 14, 2009 at 10:00
Hey abbey, my DVT/PE was from a genetic blood clot disorder, but I had diagnostics to rule out other causes such as Cancer. The term for taking Warfarin depends on the cause and your Doctor. I am on Warfarin for life because of the blood clot disorder Protein S deficiency.
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Re: INR - Please help
Reply #19 by Lori
Posted: June 14, 2009 at 21:18
Hi Abbey,

If i understand you correctly, you had only the lung clots but no DVT,
is that correct? If that is correct, I hope your doctor is really
giving you a very good physical, also including your heart. Before you
are taken off blood thinners you should feel comfortable that your
doctor is more than 80% certain you won't get those clots again. PE's
with no known origin would be of concern to me if they took me off blood
thinners.
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