They used to give me Percocet which is Oxycodone (5 mg) plus Tylenol (325 mg). After my valve surgery 16 years ago, my internist switched me to separate doses of Oxycodone and Tylenol so she could precisely control the doses of each that I was receiving. She wanted to reach the maximum of Tylenol before begining the taper off the Oxycodone and then work on the tapering of the Tylenol. She could not reach the maximum dose of Tylenol with the Percocet because of the 325 mg of Tylenol in each pill.If I recall correctly, Oxycodone is Codeine plus Acetaminophen. If you take this, you're still getting acetaminophen.
I self test and my doctor has provided a plan to change dosing if out of range. He also gave my 2.5mg tablets since the adjustments can be made by units/day. Ask your doctor about this.Thank you so much. I will see how it goes. I don’t think I would be comfortable self dosing if out of range. But it may be good to have this option instead of having to drive to my doctor’s office. He uses this method. Thank you again
I use the Coag-Sense (2nd generation). There have been a number of times when the poke did not produce an adequate quantity of blood. I lost the transfer tube but did not lose the more expensive test strip. I have my wife use the transfer tube and hand it to me. It is an additional step but having her watching me makes me more careful. She also reminds me when I forget something else.I've used CoaguChek XS for several years and now have a CoaguCheck Vantas. Both are very easy to use and sufficiently accurate when compared to lab draws. I had an INRatio meter for many years, which was less accurate.
I've read about the Coag-Sense meter and by all accounts it is even more accurate than CoaguChek. I doubt it will be enough difference to affect your ability to stay in range. You can't go wrong either way.
It may come down to ease of use and/or cost or simply personal preference.
Your vendor should be able to provide the cost comparison. Others on this forum can probably speak to the ease of use. In reading about the Coag-Sense, they use a "transfer tube" It appears similar to what I used initially with my InRatio meter. I didn't like using that and eventually stopped using the tubes and transferred the drop of blood directly from finger to test strip.
Whoops, poor English phrasing. By "lost the transfer tube" I meant lost the use of that particular transfer tube that we partially filled with blood. Once it is partially used, I assume that it is no longer usable and switch to a new one and poke a different finger.Thanks, Scribe.
You've confused me a bit. I don't know what you mean by 'lost the transfer tube.' Each set of strips comes with 54(?) transfer tubes - one tube per strip. The transfer tubes are for one-time use. I don't know how your wife can keep the transfer tube and reuse it. Is this what you're saying?
If so, you can get the transfer tubes online - the best deal that I've seen is on eBay, where yu can buy strips AND transfer tubes in the same bundle. The price is good, Coagusense has confirmed that these are legitimate strips, OK for use, although I have no idea how the hell this liquidator got them.
If you still need transfer tubes, I have extras - and if I'm able to package and mail them, I would be happy to send you a batch.
I'm testing with both meters daily, watching my INR go from near 1.1, up to about 3. (It was reduced when I had my ablation - after three days of taking warfarin, I'm expecting to see a significant change from yesterday when day three of dosing kicks in).
There are well documented methods for getting a large enough drop of blood. With the transfer tubes that came with your strips, I've found that if you leave the tube on the drop of blood, it eventually fills to the white line on the tube - this may take a few seconds, but it DOES get to that spot. Sometimes you may have to squeeze the finger a bit (but don't milk it) to get a large enough drop. Wapping your finger with dental floss or thread below the knuckle can also concentrate blood in the fingertip, so that you get a large enough drop.
Let me know, by private message, if I can help with using your Coag-Sense meter (although I'm sure that your pretty much an expert by now).
A quick note on my usage of tylenol. When I take 1 or two 8 hour tylenol, it may boost my INR by about 0.2 to 0.5.I pulled a muscle and need something for pain. I understand we can only take Tylenol. Does it change INR a lot? Thank you
It never worked for me either (except in huge doses). At least, before last summer. It now seems to work for moderate muscle pain for me. Who knows what was different. It worked so well that I ended up with 3 hematomas last summer. Then again, none of the NSAIDS worked for me either.I don't take Tylenol. It never worked for me.
Doctors used to recommend it because, in theory, it doesn't affect INR. This, apparently, is nonsense. Plus, if you take acetamophen (Tylenol) consistently, for more than a few days (actually, I think the figure is ten days), you can damage your liver.
Doctors avoided NSAIDS (Aspirin, ibuprofen. and others) because they make the platelets less 'sticky' and may cause clotting times to increase beyond what Warfarin does. Meters don't detect this.
I take Plavix, which is supposed to have more effect on platelets than an NSAID. I haven't encountered any issues with it (aside from, perhaps, a bit more bruising if I bang into something). As I understand it, you CAN take an NSAID for pain - just don't overdo it - and don't take it for more than a day or two.
Personally, if I have pain that actually needs something to reduce it, I go for the NSAID.
My cardiologist initially recommended until I told her I previously had a stroke and subsequent brain surgery during which they clamped off a blood vessel with a clip. She then retracted her recommendation. As my new cardiologist I was somewhat disappointed to assume she didn’t review my medical historyA quick note on my usage of tylenol. When I take 1 or two 8 hour tylenol, it may boost my INR by about 0.2 to 0.5.
However, at one time I had been told that it did not affect my INR. During this time, I had some kidney stone pain that lasted about a week. I was taking 4 to 6 pills a day. After a week, my inr had jumped from 3 to about 4.5 and I got a couple hematomas. So if you have to take the Tylenol persistently, it may affect you more intensely then if you only take it for a day. To quote others on this site, "your meter is your friend". : - )
Walk in His Peace, and six feet away, : - )
Scribe with a Stylus.
My cardiologist advised me not to take Tylenol with Warfarin because I had a clip on a blood vessel in my brain. She told me it may thin my blood excessively and could cause a brain bleedYour cardiologist recommended WHAT? The recent postings were about noth Tylenol and Aspirin.