Heparin should not be detected in an INR number, there is separate blood reading they do for how effective Heparin is. If you range is 2-3 and you are at 2.2 Why do they want to you half your dose. One frustration I have with the INR people was the constant dosage tweaking and the alternating doses they wanted me taking. I like predictable dosing. I eventually stopped using the service becasue my PCP will write my scripts now. She knows how anal I am about this stuff and I have a spreadsheet over the last 2 years since my surgery showing every dose and every reading I took.Finally got out of the hospital yesterday, on post-op day 6, after my INR reached 2.2 from 1.5, with the help of a heparin drip for almost 24 hours. There was some confusion with the surgeon’s nurse who for some reason thought my range should be 2.0-3.0, with a mechanical valve (not on-x) - if not for that I might still be there now, instead of relaxing at home with a cup of tea, in my own clothes, in the quiet; no more being stuck and poked and tortured by the phlebotomy sadists & nurses on power trips that walk the halls. I need to remember that good things can also come from other people not knowing what they’re talking about, ha ha.
A question: they wanted me to reduce my warfarin dose last night from 5 to 2.5, before returning to 5 tonight... Even if my range really was 2.0-3.0, having had a last INR of 2.2, would thatve been the right thing to do?... Were they expecting / Are there late effects from the heparin?
I took 5 mg. With a twinge of conscience from disobeying my very first order for my first experience dosing Warfarin...
Thank you, guys.
I was taking 6.75 daily (a 4mg and a 1/2 of a 7.5mg )for a long time and while I had swings they were always in range. I have an On-X and take a daily 81mg aspirin and I use 2.0-3.0 as my range and my cardio agreed to that. I very rarely fall below 2. 5, btu occasionally get as high as 3.4. If you look ta the atts (posted somewhere on this forum) the sweet spot is 2.5-3.0 but going a little over does not change the risk much. Late last years I was running low liek 2.1-2.2 so I moved my does up to 7.5, but lately I have had more 3.1-3.4 reading that I care for so I have gone to 1-2 days week I take 1/2 of a 7/5mg until I see if I need to go back to 6.75 or get something in line with 7.0-7.25. I don't want to be mixing and splitting a bunch of pills so right now the 1-2x a week split my 7.5 will work until I see the new trend.
Most people can expect a dose change to impact in about 3 days, my body is more like 1 week or more.