This may sound a bit odd - but I haven't seen it discussed here before.
Next week, I'm going to attend two different trade shows. These will probably involve a LOT more walking than I usually do. This will most likely raise my metabolism so my body will probably metabolize the Warfarin I usually take faster than it does when I'm sitting much of the day at my computer.
My INR is usually stable in the high twos. I'm concerned that the activity at these events may push my INR in the low 2s - or even lower.
The problem with increasing my dosage on a day when the INR is low won't help me that day -- it'll take days for a positive effect.
Normally, I take 51 mg/week (8 mg on Sunday and Thursday, and 7 on the other days). Here's what I'm thinking of doing: I'll take 8 mg tonight (Saturday), 8 mg Sunday, and test my INR on Monday night. (I'm taking a few test strips and my ProTime 3 -- if it gets stolen, I've still got my InRatio at home, and, God Bless the thief--I hope he needs it or has a friend or family member who does - and he can afford more strips and a charger). Unless the INR is still low - or unusually high - I'll probably take 7 mg on Monday night, and possibly 8 mg on Tuesday night, if the INR is low on Tuesday (if I even test on Tuesday). I don't expect to be doing a whole lot of moving around on Thursday and Friday, so I'll probably return to my regular 7 mg/day regimen.
Does it sound as if this small spike on Saturday and Sunday (and maybe Tuesday) makes sense?
Al? Others?
Next week, I'm going to attend two different trade shows. These will probably involve a LOT more walking than I usually do. This will most likely raise my metabolism so my body will probably metabolize the Warfarin I usually take faster than it does when I'm sitting much of the day at my computer.
My INR is usually stable in the high twos. I'm concerned that the activity at these events may push my INR in the low 2s - or even lower.
The problem with increasing my dosage on a day when the INR is low won't help me that day -- it'll take days for a positive effect.
Normally, I take 51 mg/week (8 mg on Sunday and Thursday, and 7 on the other days). Here's what I'm thinking of doing: I'll take 8 mg tonight (Saturday), 8 mg Sunday, and test my INR on Monday night. (I'm taking a few test strips and my ProTime 3 -- if it gets stolen, I've still got my InRatio at home, and, God Bless the thief--I hope he needs it or has a friend or family member who does - and he can afford more strips and a charger). Unless the INR is still low - or unusually high - I'll probably take 7 mg on Monday night, and possibly 8 mg on Tuesday night, if the INR is low on Tuesday (if I even test on Tuesday). I don't expect to be doing a whole lot of moving around on Thursday and Friday, so I'll probably return to my regular 7 mg/day regimen.
Does it sound as if this small spike on Saturday and Sunday (and maybe Tuesday) makes sense?
Al? Others?