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INR of 5.2 what is best way to reduce INR, along with vitamin K?

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  • INR of 5.2 what is best way to reduce INR, along with vitamin K?

    Doctor ordered Vitamn K 5 mg taking 5 at a time. Changed my diet a bit, not eating so much plus added Fish oil plus MS severe so got my self in a bit of a mess any advice?

  • #2
    Originally posted by frank10b
    Doctor ordered Vitamn K 5 mg taking 5 at a time. Changed my diet a bit, not eating so much plus added Fish oil plus MS severe so got my self in a bit of a mess any advice?
    On the guru totem pole I am at the bottom but I have never heard of taking vitamin K to lower a high INR.....hold or lowering warfarin doses yes but vitamin K never.
    No shoes, no shirt, no problem
    AVR with Ablation -St Jude Mechanical--2006
    ~Easy Does It~

    The early bird get the worm but the second mouse gets the cheese

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    • #3
      Ordering Vit k for an INR of 5.3 is overkill to the max! Are you bleeding? If not, then you should skip 1 1/2 or 2 doses and reduce your overall weekly dose by 10%. Taking Vit k now is going to make getting back in range difficult.


      ‡--Patients with an INR of less than 6 may not require vitamin K administration for reversal; if vitamin K is administered, a dose of 0.5 to 1 mg is sufficient.

      http://www.aafp.org/afp/990201ap/635.html

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      • #4
        no symptoms just really tired, this is what I suspected I really think that this is going to end up putting me in the hospital to get it back in control. I really dont feel all that bad but with the pulminary hypertension, the CHF, the lasix use etc. this is going to add further complications, however then again I dont want to have a stroke etc.

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        • #5
          I can relate pretty well, I'm in the same canoe. Unless your bleeding or have some emergent need to be reversed, having you take Vit K is an insane kneejerk reaction by someone that doesn't understand Coumadin.

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          • #6
            yes, but the question is what do I do now, take a risk and not take the vitamin K or risk a stroke or other problems?

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            • #7
              I agree, skip one dose of coumadin, make the next dose 1/2 and dig into some spinach salad.
              Don't forget to test again in a few days.
              BAV-Aortic Stenosis...AVR Oct 11, 2005 / St.Jude Regent mechanical 21mm
              INR Home testing since 2007 with Coaguchek XS...Self-Dosing

              "Caution: I may have been in contact with Nuts"

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              • #8
                Taking the vit K will be putting you at risk for stroke since it's going to kill your INR and rather quickly too. I'm no Doctor and shouldn't tell you what to do, but if it were me, I'd forget the K and just not take todays or tomorrows dose or perhaps only 1/2 of it and then lower my overall weekly dose by 10%. How much do you take in a week? Coumadin that is.

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                • #9
                  Frank, if you take the vitamin K, you will wind up not only overdosing with vitamin K you may well wind up with INR problems for a very, very long time. Vitamin K is fat soluable and it plants itself in the fatty tissues of your body and leaches out over time.

                  AN INR of 5.2 is not a disaster, especially since you have not having any other bleeding or symptoms. If they wanted to reduce your INR quickly, they could have used frozen plasma because it can be reversed quickly.

                  Do you realize that with that much K it is almost a certainty that your INR will go down to 1.0, which is total coagulation. That's when you have the biggest likelyhood of a stroke. Your doctor is using a sledge hammer to pound in a thumb tack, and that is dangerous.

                  The week before Christmas my husband's INR was 7.5, which was verified by two following tests. (One on a monitor, and one with a blood draw.) He held 1/2 a dose for two days and reduced his daily Coumadin by 0.5 every other day. The next time he tested, less than a week, his INR was 2.3.

                  Search this board and you will see that there have been many,many people here have had high INRs which were lowered by a moderate change in Coumadin dosage.

                  Best of luck to you.

                  Blanche

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                  • #10
                    I agree with the others - Vit K for a 5.2 is like calling in the fire department to put out a candle. I've been much higher than 5.2 on occasion over my 16 years of warfarin use and have never used K to bring it down. I take ~10 mg a day, so my INR drops more quickly with held doses than someone taking 5/day. For an INR over 7 a year ago I held one day and took 1/2 the next and was in-range withing 3 days.

                    It it were me, I'd hold a day, take 1/2 next day. If you high INR is due to a change in meds or supplements, then you'll need to reduce your overall weekly dose by ~10%. If it's a fluke - than I'd resume normal dosing and test again in 4 or 5 days.

                    A high INR shouldn't make you feel anything, including tired. A few people report that they do know, but most will tell you that you can never tell. The fatigue can be from post- holiday let down, or anything else.

                    Please don't adjust your diet to try and control your INR - it's too hard and you end up eliminating foods that are good for you. Dose the diet - don't diet the dose.

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                    • #11
                      Originally posted by Blanche
                      AN INR of 5.2 is not a disaster, especially since you have not having any other bleeding or symptoms. If they wanted to reduce your INR quickly, they could have used frozen plasma because it can be reversed quickly.

                      Do you realize that with that much K it is almost a certainty that your INR will go down to 1.0, which is total coagulation. That's when you have the biggest likelyhood of a stroke. Your doctor is using a sledge hammer to pound in a thumb tack, and that is dangerous.


                      Blanche
                      This is very important information.

                      Vit. K will probably having you see-sawing and messing with your dose for weeks.

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                      • #12
                        My first week after surgery we drove 3 hours to OKC and my INR was over 8, the machine didn't register anything over 8. I had a couple of nosebleeds but they stopped in a reasonable amount of time. The doctor had me with hold a dose and reduce the amount of Coumadin and be tested three days later. So relax a INR of 5.3 is not a real big deal, it is a concern, and can be eased down with reducing your Coumadin. Just relax. Keep reading the forum. It helped me a lot when I was new and still helps today. Experience from people who are like us helps a lot. Hang in there and keep asking questions.

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                        • #13
                          Thanks for all of your comments, I am afraid to start the vitamin K and try to deal with that and all the problems that will encourage but then again after having survived a near fatal cerebellum bleed....... (with only a slightly elevated INR) well you can see my point. After harassing the home health nurse and my GPs local staff (otherwise love my doctor) to test me twice a week as I requested and CCF FL wrote orders upon discharge for in Nov. I could not get my regular doctor to confirm those orders with Home Health. What it comes down to is I need to by my own machine.

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                          • #14
                            Originally posted by frank10b
                            What it comes down to is I need to by my own machine.
                            I very much agree and it shouldn't be a problem for them or the insurance company. I know, anything with insurance is a major war effort. Worth trying though.

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                            • #15
                              Frank-

                              Every time Joe had to have Vitamin K (fast surgery, massive bleeding problem, etc) It took him 10 days to two weeks to get back right with his INR. It comes up very, very slowly. I agree it is an iffy solution. But then, you have complicated issues.

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