It is your warfarin manager that is messing you up. Holding warfarin for two days for someone who takes as much warfarin as you do will drop your level to the danger zone. The reason that you take a high dose of warfarin is because you metabolize it rapidly. The warfarin manager does not understand how warfarin works nor the minimal risk of an INR of 5. There is a much greater risk of having an INR that is more than 0.2 untis under the range than slightly high.
Al Lodwick, R.Ph.
Certified Anticoagulation Care Provider
[URL=http://www.warfarinfo.com]Go to my website for warfarin information[/URL]