How Much Coumadin Do You Take Per Day?

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Christina

Christina

Well-known member
Joined
Jun 9, 2001
Messages
1,102
Location
AZ USA
This post is out of pure curiosity. How much Coumadin do you take per day to stay stable? Is there anyone on the VR.com site that takes more Coumadin per day than I do?
I am a fast Coumadin and vitamin K metabolizer and am taking 22mg per day at the moment to stay stable. I have taken as much as 28mg per day. My INR was 3.3 today and a week ago it was 3.2. You'd say that looks good, but let me tell you that at times I am all over the place and haven't done anything different. I am consistant with the food and drink but eat and drink what I want. Two weeks ago my INR was 4.9 and I adjusted the dose from 24mg down to 22mg per day because I didn't want to go over 5.
 
Christine, I have been on doses from 3 1/2 mg to 7 1/2 mg over the last 4 1/2 years. I was on 6 mg before starting amiodarone but then quickly dropped down to 3 1/2 mg. I haven't ever met anyone who takes a higher dose than you on a consistent basis. I've used you for an example many times when explaining that the right dose for a patient is whatever keeps that patient in range.

Hasn't your dose crept up a bit in the last couple of years?
 
I'm also a fast metabolizer. Right now, I'm on 12 mg. a day but have been up to 17 mg. a day. My INR also bounces around a lot. It's been that way for the for the almost 26 years that I've been taking Coumadin. Makes me wonder if metabolizing Coumadin faster has anything to do with not being able to always stay in range??:confused: . LINDA
 
Wow, some of the doses seem high... I take 5 mg 5 days a week and 2.5 on Wed and Sun. I'm usually stable but seems like if it swing it is on the up side. Guess I do most things slow.
 
I am another 'average' patient on 5mg per day. I eat whatever I like and exercise if it suits me. I havent been out of range for ages. I hope it stays like this for ages too!
 
I was on 6.5 mg for several months and stayed in range. Now for some reason my INR has started dropping:(
Last week I increased to 8mg to try and get it back above 2.5 (surgeon said ideally it should be above 3, which it had been for quite a while until last week when it dropped) But instead of coming back up it has dropped even more:mad: Tonight it was 2.3.
I am going to increase it to 9mg and retest next week.
Maybe I am starting to metabolise faster or something? My diet is consistent (if anything I haven't eaten many greens lately rather than the reverse) and Warfarin is my only med although I do take iron and magnesium and I have upped the iron dose lately. But they shouldn't make a difference should they?
Anyway I'll stop moaning now, I guess I am just depressed that it has dropped when it had been stable

B
 
I left the hospital 22 years ago on 2.5 mgs per day and now have climbed to 3.0. In reading this I have to ask the dose warafin or coumadin is dispensed. Do they make 15 and 20 mg tablets.
Kathleen
 
Kathleen said:
I left the hospital 22 years ago on 2.5 mgs per day and now have climbed to 3.0. In reading this I have to ask the dose warafin or coumadin is dispensed. Do they make 15 and 20 mg tablets.
Kathleen
Click to expand...
COUMADIN Tablets for oral use also contain:
All strengths: Lactose, starch and magnesium stearate
1 mg: D&C Red No. 6 Barium Lake
2 mg: FD&C Blue No. 2 Aluminum Lake and FD&C Red No. 40 Aluminum Lake
2-1/2 mg: D&C Yellow No. 10 Aluminum Lake and FD&C Blue No. 1 Aluminum Lake
3 mg: FD&C Yellow No. 6 Aluminum Lake, FD&C Blue No. 2 Aluminum Lake and FD&C
Red No. 40 Aluminum Lake
4 mg: FD&C Blue No. 1 Aluminum Lake
5 mg: FD&C Yellow No. 6 Aluminum Lake
6 mg: FD&C Yellow No. 6 Aluminum Lake and FD&C Blue No. 1 Aluminum Lake
7-1/2 mg: D&C Yellow No. 10 Aluminum Lake and FD&C Yellow No. 6 Aluminum Lake
10 mg: Dye Free


Short answer is NO.
 
Bridgette said:
I was on 6.5 mg for several months and stayed in range. Now for some reason my INR has started dropping:(
Last week I increased to 8mg to try and get it back above 2.5 (surgeon said ideally it should be above 3, which it had been for quite a while until last week when it dropped) But instead of coming back up it has dropped even more:mad: Tonight it was 2.3.
I am going to increase it to 9mg and retest next week.
Maybe I am starting to metabolise faster or something? My diet is consistent (if anything I haven't eaten many greens lately rather than the reverse) and Warfarin is my only med although I do take iron and magnesium and I have upped the iron dose lately. But they shouldn't make a difference should they?
Anyway I'll stop moaning now, I guess I am just depressed that it has dropped when it had been stable

B
Click to expand...
Are you getting more excercise? Any other new meds? Sometimes this is just the way it is with no real explaination.
 
I've taken 8mg for most of my 5 years on coumadin. Though I have been up to 10mg from time to time. At first it fluctuated quite a bit, but I seem to be more stable now that I determine my own dosing. I quickly figured out not to freak over high INRs and just increase my salad intake for the week. It generally works for me. It's only if it doesn't that I start making changes. Well, that and the time my INR went up to 7. I changed it then... ;)
 
I was also on a high dosage 22-25 mg per day. All of my doctors never had seen such a high dosage so they sent me to a specialist........the specialist said not to worry 1 out of several thousands have to take a high dosage. He said nothing to worry about due to the high dosage and said to tell my other doctors to relax.......

P S I have been on this sight almost daily for the past 1 1/2 years and this has been such a wonderful web sight. This is my first reply.....hope it works!
 
5mg a day on average. I have at times taken 4mg once or twice every 10 days to keep it below 3.5.

Eat what i like, excercise little and drink a little...pretty stable 2.2-3.2 most of the time, last 4 tests been 2.9.

Hope it continues this way....

Boy that sounds like a high dose....do you get the correct amount for a month as one prescription or do you have to pay more?
 
First. Welcome Brad Rupp. Now that you have made your first post we hope you will join us more frequently.

Now to the point, in the 17 years that Al has been taking Coumadin, his doses range from 4.0 to 12.5. Right now he is taking 6.0 per day, which is the same amount that I take. It is interesting to note that on the same dose our INRs are different. I am 2.5 and he is 3.5.

Christina, a while back I mentioned to our cardiologist that I had a friend who took 20+ Coumadin. He said that while that amount is unusual, he has several patients who are in the 20's.

Kind regards,
Blanche
 
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