Hi Pellicle my previous doses for the last two weeks has been 8.5mg and my previous three inr have been 3.0, 3.2 , and then 4.9 because I’ve been on holiday for week with change of diet and consuming alcoholHi
what was your previous dose history (at least for say the last week or (prefereably at least) two, just something like "Xmg per day, INR =Y is enough).
I'm tempted in the absence of knowledge to say "drop 50% of your dose on your next dose time and then resume on the previous".
let me know if you want better than that
so I'd put your metabolism similar to @Warrick and so your response to changes in dose reflected in INR will be closer to his than mine so you may see it a day faster than me. Either way I think the change in the dose you made and then resumption on your regular will see you return to "normal"my previous doses for the last two weeks has been 8.5mg and my previous three inr have been 3.0, 3.2 , and then 4.9 because I’ve been on holiday for week with change of diet and consuming alcohol
I experienced similar for the first few years ... no more than a glass of red. But in the last few years I've been able to have a bit more (like a glass of red after a beer and a burbon to follow) ... but if I let BAC go higher then its (as you say) difficult to sleep. I've found (by experimentation) that different alcohols cause a different response ... so I've gone where the results are ;-)I drink very little now as it makes this thumping/ Ticking in my throat difficult to sleep,
Once we get a "base" dose for where they want his INR to be, I will ask for a range of tablet concentrations. I'm sure they will look at me like I have two heads as why in the world would I question their expertise and not just call with an INR and wait for an updated dose, but I will try to stand my ground. Maybe I can ask for 4 mg and 1 mg to start...those concentrations seem like they will be fairly versatile.This isn't a silly question at all.
Warfarin is available in a variety of useful doses. The doses seem to have been designed so that they CAN be cut in half.
Personally, I get 1 mg, 4 mg (which can be cut into 2 mg halves), 5 mg and 7.5 mg. You can also get 2.5 and 10 mg pills.
For quite a while, I was taking 7.5 mg daily. I dropped it to 7 mg, which I created with one 4 mg pill, a half of a 4 mg pill, and a 1 mg pill. I've just simplified this slightly by using a 5 mg pill plus a half of a 4 mg pill. You shouldn't worry about half pills not being 'exact' - they're close enough. (For example, I don't worry that if I split a 4 mg pill in half, one would be 1.95 mg and the other would be 2.05 mg, assuming that I didn't lose any when I cracked the pill).
If you DO split pills, do them over a surface -- years ago, I split some pills, and one of my dogs somehow got the 'dust' residue from the split pills into her system - maybe she picked it up on her feet and licked her feet, but for a while it seemed like she briefly had some blood in her uring (and this could have been something other than a high INR). For me, even though I unfortunately have no dogs, I split the pills over a table, just to be safe.
Your doctor may balk at prescribing a range of doses, but once you explain that you'll be able to get the right dose for Mathias by splitting pills if necessary. (Also, try to establish the right dose - not by switching doses frequently - and change the dose slowly and only when it seems necessary to get back in range.)
bear in mind that that does will change in the months after surgery, this is well documented. So you may start at (say) 4mg and gradually wind your way up to 7.5 (or something similar).Once we get a "base" dose for where they want his INR to be
I'd agree, but myself I keep 1 3 and 5 on hand as my dose is 7.5mg (although if you read and look at my graphs carefully with an eye of a middle school student you'll see that my dose does move around).... Maybe I can ask for 4 mg and 1 mg to start...those concentrations seem like they will be fairly versatile.
Wow! thank you. I just printed the blog post. I'm hoping I can find an app or something that will help track data...I'm not very technologically savvy. I will keep this printed post for future reference (along with all my other printed notes of research )I'm sure that there is enough data there to help you onw your way. Don't skim it like a social media post but read it carefully like you were actually going to need that data. Like we used to teach kids in school to do. Naturally the only exam is life and I'm of course open to questions and requests of help. Reach out if you have any of those.
absolutely it must be "what's in there".It's interesting that 'different alcohols cause a different response.' I'd attribute the different responses to the stuff that's in there,
The more different doses of warfarin you keep on hand means the greater the chance to grab the wrong pill. I keep 1mg and 5mg on hand. Mine are Tara brand and are scored to easily break evenly. These two tablets allow me to take virtually any strength from .5mg to 10mg. I try to keep my life as uncomplicated as possible .Once we get a "base" dose for where they want his INR to be, I will ask for a range of tablet concentrations.
you're welcome ... its public after all ;-)Wow! thank you.
myself I totally despise most apps (and I'm a software developer) for these reasons (link) and the situation has only become worse since 2012 when I wrote that. So my most sincere advice is "use a spread sheet" and store that on your computer AND also on a cloud storage.I'm hoping I can find an app or something that will help track data...I'm not very technologically savvy.