Doctor insights on:
Home Inr Testing
Can Lasix affect INR Coumadin level? My 84 year old mother is on Coumadin theropy (has st judes valve) it has been in the INR targeted range of 2.5-3.5 but today it was 8.0...We do home testing and checked it twice. She lives alone and has a terrible m
According : According to drugs.Com, Lasix (furosemide) may displace warfarin from plasma protein binding sites. Plasma warfarin concentrations and warfarin effects may be increased. This interaction is characterized as minor clinical importance. However, everything else being the same, and that she did not confuse her Lasix (furosemide) with Coumadin and take more Coumadin than thought, then this interaction may have contributed to the increased inr. In any case, this is too high and if she is bleeding, or altered mental status or paralysis, she should be sent to the hospital for evaluation and treatment. However if she is stable, hold the Coumadin and retest her inr. She can resume taking her dose when the inr is less than 5.0. In addition, her physician should be notified of this change. ...Read moreSee 1 more doctor answer
What diet should my 18 year old son have? He has protein s deficiency and lupus, he is life long dependent on warfarin and has regular INR testing
I went to the hospital with my INR @9 ish and all they done was take my blood n sent me home what should of happened?
HIGH INR: Assuming you are on an anticoagulant and your inr is really 6.2, that is way above therapeutic range and would place you at risk of a serious bleed requiring intervention. If you can confirm that your inr is indeed 6.2, i would recommend going to a different er as soon as possible for another opinion. Chest pain and short of breath is of additional concern which needs urgent evaluation. ...Read more
How often should someone who is on wafarin for the first time to disolve blood clots at home normally go to have their pt/inr level checked?
Warfarin: Protocols sometimes differ, but i ask my patients to check their inr 2x weekly until we get a good level 2 times, then once weekly a few more times, then once every 2 weeks a few more times, and then once monthly minimum. I increase the frequency again if I have to make any dose adjustments. The accp just recommended that stable patients can be checked every 3 months but i think that's too long. ...Read more
Ben having high INR levels 6.2 and chest pain with shortness of breath. Went to ER and they sent me home. Still having CP and short of breath?
No PE @ 6.2: I would b more worried about a bleed of some sort in the thorax, mediastinum or ever cardiac. Call ur pulmonologist and let him know. ...Read more
Which is better warfarine or sintromfor stroke prevention in afib are those home monitor device for
Sintrom not in US: I have no experience with Sintrom & doubt that anyone on HealthTap does, as it is not used in the US. Warfarin is quite common, though in atrial fibrillation, newer drugs like Rivaroxaban are being used because they don't require INR. According to published data, Warfarin has a longer effective period (36 hr vs 10 hr) than Sintrom, & therefore less fluctuation in INR. Fingerstick INR shld be accur ...Read more