INR question

[EVELYN]

Hi All

Quick question, for all you coumadin vampires out there:

Tyce takes 5mg m,w,th,f,s,s and 2.5 on Tuesday. We checked his INR today with our Hemosense and he was 2.1. Yes, lots of broccoli, salad this week, but he has been running in the low normal for about 3 weeks....ie., 2.4, 2.5,. 2.6. (His target is 2.5-3.5)


Anyway, my question is: Should we just up his coumadin to 5 mg. daily?
Should we make any changes between now and next Tuesday?

Thanks all.....much appreciated!!!

Ev

 

[Karlynn]

Is his range 2.5 - 3.5? Increasing his Tues dose to 5 is less than a 10% increase, so it's not going to make his INR jump too high.

 

[EVELYN]

Thanks, K.....that's what I figured, but I value everyone's opinion here, so I thought I'd ask.

Yes, his target is 2.5 to 3.5

ev

 

[LUVMyBirman]

Hi Ev,

I would try the 5MG straight. Actually, you may find him to be more consistant with a "staright" dose. As Karlynn stated....less than 10% can't hurt.

 

[Ross]

Yeap, go 5mg a day and if it's just barely over 2.5, then make it 5mg 6 days a week and 7.5mg one day a week.