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catwoman

VR.org Supporter
Supporting Member
Joined
Sep 23, 2003
Messages
6,024
Location
near Fort Worth TX
On Feb. 17, I tested at home and my INR was 3.6.
I received a new box of strips a day or two later (bought on e-Bay) and tested again on Feb. 21. My INR was 2.0. :eek: Thinking it was due to the e-Bay strips, I retested, using the last strip from the box I got from QAS.
INR: 2.1.
Perplexed, I took an extra 2mg of warfarin for that day (for a total of 7mg). My usual dosage is 5 mg X 3 + 5.5 mg X 4.
Even though I use a 7-day Rx box, perhaps I somehow missed a dose on the day I was refilling the box.

I retested several days later and it was 3.0, which is a little lower than my usual INR. I took my INRatio with me to Beaumont TX last weekend (cat show weekend) and retested and it was still at 3.0.

Whatever the reason for the drop, it made me really appreciate the fact that I was lucky to have my own INR tester and be able to detect a drop. Of course, it went back up. However, had it not and had I been relying on going to my PCP's office every 3-4 weeks, I could have missed being able to correct a downward trend in my INR.

Finances and insurance do factor into the equation when considering an INR tester for home use. And of course there's your doctor -- PCP, cardio or whoever -- who must sign forms (at least in the U.S.) for you to purchase one.

I just thought my recent experience might be fuel for some people or an argument they can offer their doctors in persuading them to sign paperwork to get one.
 
Please keep in mind wether you home test or not that new medications, or a change in dosage factors into your INR. If you do not home test you must keep your tester informed!
 
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Whatever the reason for the drop, it made me really appreciate the fact that I was lucky to have my own INR tester and be able to detect a drop. Of course, it went back up. However, had it not and had I been relying on going to my PCP's office every 3-4 weeks, I could have missed being able to correct a downward trend in my INR.

Thanks for sharing this, Marsha, and I absolutely agree with you. I cannot wait to receive mine and have my peace of mind instead of the anxiety I have for two weeks until I go to the doctor's office and his assistant keeps insisting that I am OK when his home machine shows 2.6! I do not agree with her but do not want to fight her as she seems stubbon and full of ego! It makes better sense when my INR is between 2.8-3.2 since I am supposed to be between 2.5-3.5. She would not accept it or understand me when I say that 2.6 may be 2.3 or 2.4!!

It is frustrating when we are smart :D yet controlled or have to follow limited-minded higher authority! Forgive me if I sound harsh, but sometimes the system upsets me so much.:mad:
 
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