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Took two doses today of Coumadin!

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  • Took two doses today of Coumadin!

    Okay everybody. I just realized as I went to take my evening meds, that I accidentally took a second dose of my 5:30pm meds of my Coumadin! I had a very trying day, as I was on jury duty. Instead of reaching for my evening meds pill box, I took my 5:30pm meds (which was my Coumadin). So what should I do tomorrow? Skip the does of Coumadin, take half the dose? As soon as I popped the pills in my mouth and swallowed, I realized I took the wrong pills. I then took my evenings pills but am now trying to figure out , what I should do with my dose of Coumadin tomorrow. Any help would be deeply appreciated. Thanks!

    Lorraine
    Lorraine
    AVR & MVR and Tricuspid Repair
    St. Judes Mechanical
    March 8, 2001
    Chicago University Hospital

  • #2
    GOOD Question !

    What is your INR Range?
    What was you last INR reading?

    How well do you trust your Coumadin Manager
    (or are you self testing / dosing)?

    I always hate to Skip Doses, but I've never taken a Double Dose (that I am aware of).

    I'm thinking taking 1/2 dose for 2 days might be a less 'disturbing' option but I would recommend getting a professional from someone you trust.

    I do recall AL Lodwick saying that he didn't "think" taking a double dose for One Day would be dangerous but I forgot what he said to do on the following days.

    'AL C'

    Comment


    • #3
      So you did an oops. Just continue on your regular schedule and plan on being a little high this week, but it'll be fine the week after.

      Comment


      • #4
        AL C: My range is 2.5-3.5. I have two mechanicals and my dose is 8mg a day. So lasr night I ended up taking 16mg for the day!:eek: I do self test sometimes but since I still have a hard time getting the drop of blood I need, I mostly go get tested. I have tried everyones technique to get the blood when I prick my finger, but it's only once in a while that I can actually get a good sample. I do self dose to an extent. What I mean is if I go in for my INR and let's say it's 4.2. The nurse may tell me to hold a day and I tell them I won't do that, and tell them what I'm comfortable to do. An they do listen to me. After 9 years of being on Coumadin, they know I know my body better than they do.

        Ross: Normally I wouldn't even worry about the double dose, but I had a few more beers than normal over the weekend. So my INR is probably a little higher already. I'm suppose to go get tested this Friday.

        I know if I call the nurse she will tell me to hold. That was why I was wondering if I should just take half my dose today or just cut back my dose by a 1/3 (or almost a 1/3) over the next two or three days. That way I would get my average dose in for the week. Then again maybe I should just do my normal dose and just drink some v-8 and lots of:D greens!

        I appreciate your responses and respect what is said. Thanks!
        Lorraine
        AVR & MVR and Tricuspid Repair
        St. Judes Mechanical
        March 8, 2001
        Chicago University Hospital

        Comment


        • #5
          Lorraine ~~ your double-dose probably won't show up until tomorrow or the day after, so testing today probably wouldn't tell you much..

          Can't say as I've double-dosed (small miracle)....but what I would do is half today and tomorrow and hope to be in range.

          I tested at 5.8 last evening....and am on 8.5mg, so today I'm taking 5mg and 5mg again tomorrow. Ain't it fun...:D
          Happy Trails,

          BAV-1999 - St. Jude Silzone recalled valve still clickin'
          CoaguChek testing since 1999
          CoaguChek S testing since 2002
          CoaguChek XS testing since 2009
          "Gee, ain't it funny how time jus' slips away..."

          Comment


          • #6
            Eat something really high in soy, drink a bottle of Ensure..... Isn't that high in Vitamin K? Stir fry up a bag of spinach. If you eat it cooked, you'll eat more than just a spinach salad. A combination of all that has to bring down your INR at least some.

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            • #7
              Take 1/2 dose tonight.....and test 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"

              Comment


              • #8
                Originally posted by Jkm7 View Post
                Eat something really high in soy, drink a bottle of Ensure..... Isn't that high in Vitamin K? Stir fry up a bag of spinach. If you eat it cooked, you'll eat more than just a spinach salad. A combination of all that has to bring down your INR at least some.
                Originally posted by Bina View Post
                Take 1/2 dose tonight.....and test in a few days.
                I would also drink a couple of 'red bulls'. The week I drank it, my INR went down and I tried this to see if it is true...it did affect my INR.
                Eva

                Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

                INR home tester/Coagucheck

                Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
                act on the information contained herein without the express consent of your own physician."

                Comment


                • #9
                  Janie: How are you GF! Yeah, I figured testing wouldn't show anything today anyway. I can see I was on the right track to at least half the dose one or two days. I'm leaning more towards doing it for two days, since as I said I had a few more to drink than normal over the weekend. We went up to see my brother who had tongue cancer(tongue and voice box has been removed) a few years ago, Then this spring he had cancer near his lymph nodes which radiation seems to be shrinking, now he has cancer in his cheek that they found out from a pet scan he had done. He can only drink liquids, so besides the nourishing drinks like ensure etc, he still drinks his rum and coke! He treated me, his wife and one of my sisters out for dinner, and while we ate, he sat at the bar and drank. My sister and I had a beer at the bar before dinner, and another with dinner. My sister-in-law doesn't drink. Then he insisted on buying me a chocolate martini, made with Godiva chocolate. I never drink hard liqour any more but boy was that chocolate martini wonderful :D It was delicious, but along with the couple of beers I had, it was more than my quota, so that was why I was concerned about accidentally taking a double dose of Coumadin Monday.

                  JKM7: In hindsight I should have taken one of my brothers ensures home with me. :D No spinach in the house either..

                  Eva: No Red Bull in the house either. Thanks for the tip, maybe I should get some as a back up. :D I do have v8 though.

                  Bina: Thanks! For sure the half dose today, but as I told Janie, since I'm sure my INR was a little on the high side already, I'll probably half dose for two days. I do go for a test on Friday, but I may test myself on Thursday to see where I stand, if I can get that darn drop of blood. The one thing I haven't tried is taking a warm shower and then testing. I'll try that. I've tried everything else everyone has suggested when I've brought this subject up before.

                  I thank everyone for their inputs. I kind of knew what I ought to do, but it is always good to ask others who are experienced too. Last night as soon as I swallowed I realized I took the wrong pills and just panicked, wishing I could get the pills back. I wasn't going to try to upchuck to do that thought. :eek: I appreciate everyone's help.
                  Lorraine
                  AVR & MVR and Tricuspid Repair
                  St. Judes Mechanical
                  March 8, 2001
                  Chicago University Hospital

                  Comment


                  • #10
                    Yes, soak those hands in warm water. Even under the tap is fine.
                    Quick stab, maybe a bit of "milking" of the finger, and away you go.
                    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"

                    Comment


                    • #11
                      Personally, I still wouldn't worry about it. It will all even out in 14 days. If it really really bothers you, just skip a dose and resume. The beer isn't going to have much, if any affect on INR, so don't sweat it. Nobody is perfect, er, well um, except my wife.

                      Comment


                      • #12
                        Gina: I did try soaking the hands in warm water. Maybe I didn't soak them long enough. That's why I thought maybe just getting my whole body warm to circulate the blood may work. I just haven't tried it yet. I will tomorrow.

                        Ross: It isn't the beer I was worried about, it was the vodka in the martini, besides having the beer. An I am do to test on Friday, not 4 weeks from now. Of course Saturday I'm going for a teeth cleaning and I will be taking my antibiotics too, which usually raises my INR. I know they say you don't have to take antiobiotics any more for cleanings, but I prefer to do it anyway, and my cardio still writes me prescriptions for it. Thanks for your thoughts! An your so right! No one is prefect! :rolleyes: well as you said except for your wife!:D
                        Lorraine
                        AVR & MVR and Tricuspid Repair
                        St. Judes Mechanical
                        March 8, 2001
                        Chicago University Hospital

                        Comment


                        • #13
                          Hi Lorraine,

                          The doctors office told you to " Take two aspirins and call them in the morning" !!! :eek: Not Coumadin!!

                          Please keep us posted on what you did to counter this, and what the results were.

                          Hope all goes well..

                          Rob
                          3/23/00 Ascending Aortic Dissection-St. Judes mech valve+graft, Vanderbilt, Nashville, TN
                          9/16/10 ON-X Aortic Valve/Root Replacment, Cleveland Clinic,OH, Dr Pettersson
                          9/16/10 Aortic Stent and Frozen Elephant Trunk Procedure, Cleveland Clinic,OH, Dr. Roselli

                          Comment


                          • #14
                            Rob! You are soo funny! I'll let you all know what my INR ends up being Friday! Like I said, I do think I will just take half my dose for two days. Let's see what happens. It good to hear from you! I hope your doing well! Take care my friend.
                            Lorraine
                            AVR & MVR and Tricuspid Repair
                            St. Judes Mechanical
                            March 8, 2001
                            Chicago University Hospital

                            Comment


                            • #15
                              I can remember accidently taking double the dose once, I just carried on as normal same as I do if I miss a dose and don't realise until my next dose is due, it all ends up just fine.
                              Lithotripsy for kidney stones 8 December 2004.
                              Began to feel unwell 19 December 2004, with hindsight, the beginning of endocarditis.
                              Stroke 12 March 2005.
                              Endocarditis diagnosed 16 March 2005.
                              MVR/AVR - ATS 30 June 2005.
                              Discharged 10 July 2005, taken ill on journey from hospital.
                              Admitted to hospital 14 July 2005, complete heart block.
                              Discharged from hospital 22 July 2005.
                              Returned to work 9am on 7 November, dismissed 9am 7 November 2005.

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