Interesting....l kept a very detailed chart of everything, even down to foods I'd eat if we went out...just incase. Was having INR done by a clinic, in 15yrs l never went any longer than 1mth before l was ordered to have another. I had, had a gutful...so then n basically over night l did my own.for anyone who does self management (or is thinking of it)
INR Warfarin (daily mg) average 2.6 7.0516 std dev 0.3 0.3 max 3.4 7.5 min 1.5 6.0 over event 1 under event 1 inRange % 96.4
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you can clearly see when I had my small surgery.
Happy New Year self managers
This 's for the kind mention. I know many are reluctant to reach out, so I have my blog posts to refer them to.If you can't manage your dosing, there are people on this forum ... who can assist you with dosing suggestions.
My anti coagulant is also acenocoumarol based (acitrom)..But my weekly dose is as high as 38 or 39 mg per week to hold by INR between 2 and 3 ...My own results for 2020, I had the surgery in August 2020 so it starts from week 40. Also keep in mind that the anticoagulant is acetocoumarol.
I continue to add more information.
The doctor's recommendation is for INR 2-3 and as you can see 15% out of range is not important.
I have now learned how my body reacts to the pill and the diet and I can and do adjust the dose easily. I also eat spinach and green vegetables in reasonable quantities and I also have 2-3 drinks on Saturday - Sunday.The weekly measurement is easy about 5 minutes every Saturday morning and I make the appropriate adjustments. Self-management gives me peace of mind because I know that even if I get up or down it will only be for 2-3 days.
Yes my doses are controlled daily. I take 6 mg - 2 days , 5.5. mg 3 days and 5 mg 2 days. is there any significant difference between warfarin and acenocoumarol ? I mean pros and cons ?You will do yourself no good thinking in weekly doses. Stick with daily, especially with an anticoagulant with such a short half life.
I see people make this claim as though someone will actually take 38 mg Sunday morning and nothing the rest of the week. That’s silly.You will do yourself no good thinking in weekly doses. Stick with daily, especially with an anticoagulant with such a short half life.
Dosage is not fixed for everyone, diet, drink and liver metabolism have an effect on the INR.My anti coagulant is also acenocoumarol based (acitrom)..But my weekly dose is as high as 38 or 39 mg per week to hold by INR between 2 and 3 ...
True, did you are my graph?Dosage is not fixed for everyone, diet, drink and liver metabolism have an effect on the INR.
Comes from dealing with Coumadin clinics and explaining to them why I won’t be increasing my dose by 1 mg a day.Stable means doses are the same no?
If so what is this benefit to weekly thinking?
firstly that would be ludicrous to suggest and secondly there would be no clinical different outcome to you taking 6.5mg daily (44.1 vs 39). In my own experiments with trying to hover over a narrow range and taking alternating doses of (say) 6.0 and 6.5 I found no benefit that was stable.. I’m not trying to take 6.3 mg’s a day to be perfectly stable.
My doctor didn’t want me on a generic. I guess that’s why. So he put me on Jantoven. Where are you Pellicle? Not in USA? I am in Va. I ask because I haven’t heard of Marevan.then you should reach out and I'll do what I can to help
PS be wary of generics, they sometimes cause variances (complex) but if you can stick with a brand like Coumadin or Marevan