What should a patient of pph (age:46 , with inr target 2-3) do, with dosage of warfarin, if she has to undergo tooth removal treatment?

Consult all docs: Talk to your physician and dental surgeon. Warfarin only limits one of the pathways to form a clot--in most cases, simple 'first aid" pressure will stop bleeding after tooth removal. A warfarin "holiday" can triple the risk of a clotting event, and may not be indicated. The doc may consider to lower your inr and/or utilize a vacuum-formed socket compression appliance. Best to ask ?S first.

Depends on dentist: If your dentist is comfortable with your Coumadin onboard then you may proceed. However if he is not comfortable then you need this to discuss with your physician who manages your warfarin.

Stop for 1 to 2 days: You can stop the warfarin tx. For one to two days prior to surgery with the consent of your physician . To minimize post operative bleeding. And also bleeding during the surgery.