Ive been self testing for 3 months now inr has been quite steady,but the last 3 reading they have crept up to 4,my range is 2-3. What’s the best way to bring it down with regarding dosage. Any advice would be great as I haven’t had to adjust before.
so I assumr thee last 3 readings are weekly readings. Could you tell me what your daily dose is normally?Paul1972;n883216 said:...but the last 3 reading they have crept up to 4,my range is 2-3. What’s the best way to bring it down with regarding dosage. Any advice would be great as I haven’t had to adjust before.
ultimately the cause is irrelevant (and can often never be clearly and unambiguously identified), so its always better to follow the golden rule of "make the dose to give the desired INR"You can see a few more readings following, which break out of that "stasis" that I'll go into now. The reading of 3.8 on the 12th was a signal to begin what I call an Adhoc monitor, where I increase the INR tests from weekly to twice a week. When I see something high like this, I like to follow it and see within a few days (like 3 or 4) if its going to return lower on its own ... most often this is exactly what happens.
agreed ... I can only think its something like hysteria .. driven by some poorly chosen words by a Dr (who perhaps has no real idea) saying something like "oh, well you're on warfarin then" , leaving the patient to unconsciously draw out the hidden implication that its dangerous but not really grasp the bounds within which its dangerous.Superman;n883228 said:Every time I see that chart, I wonder what the obsession is that makes people believe lower INR is desirable or better? Looks to me like 2.5 - 4.4 is really optimal and a fairly wide and easy target to manage to.
if your dose goes towards your preferred range at 8mg then perhaps consider 8mg is your "new normal" ... test weekly and if it begins do drift south you'll know to bring it back up with 8.5mg daily.Paul1972;n883230 said:Hi Pellicle thanks for your advice,my dose is 8.5mg daily at present, I will take 8mg for a few days then retest to see what my inr is then. If it then goes back down to near my 2-3 range should I then go back to my original dose of 8.5mg