Doctor insights on:
Going Off Warfarin
My doctor has cleared me to go off Coumadin (warfarin) after my prescription runs out. At what point may i resume alcohol snx vitamin K intake?
K right after,wait 4: As soon as your prescription runs out you can take all the vit k and foods with k you want. Alcohol thins your blood and it takes 4-5 days for Coumadin (warfarin) to leave your system. Limit yourself to 2 drinks a day until a few days after stopping (not that it is ever wise to have much more than that!). ...Read moreSee 1 more doctor answer
I'm on warfarin and my levels go really high like 12+ or down to 1.2 but never get it to 2.5 what it's surpose to b IV bin on warfarin 3yrs now?
Depends: Your inr goal depends on rthe condition you are being treated for. For example a-fib is between 2-3, and a valve replacement may be between 2.5 and 3.5. Speak to your treating dr. And get educated on the foods you need to avoid that are high in vit k . If your numbers are that erradic, and depending on your condition, there are new drugs on the market that do not require blood work and may b4u. ...Read moreSee 1 more doctor answer
INR: Coumadin (warfarin) affects certain factors in your blood responsible for blood clotting. While Coumadin (warfarin) prevents these from working properly, they are continually made by your liver and are replenished. This results in the inr going up and down, so your physician needs to adjust your Coumadin (warfarin) dose accordingly. Maintaining a routine diet makes adjusting Coumadin (warfarin) much easier. ...Read more
Diet or generic...: Dietary foods can make Coumadin levels go up and down, so can certain medications. If all else is the same, the biggest cause is getting generic Coumadin (warfarin). The fda allows generic houses to be +/- 20% bio-equivalent of their trade name partners, so a dose could theoretically be off by as much by 40%. Ask your doctor to try trade name coumadin, be careful with a drug with a narrow range. ...Read more
A good choice: There are several new anticoagulants, including Xarelto, which are both safer and more effective than warfarin. Xarelto does not need to be adjusted and no blood testing is required. Really the only downside is that, depending upon your insurance, it may be more expensive.. ...Read more