Jason
Always Assume Positive Intent
I have been bouncing around a bit with my INR due to changes in exercise and travel, and have been testing and changing doses per the INR clinic. The INR clinic I am near seems to follow the Online Coumadin Dosing calculator perfectly, so that is very good. I have been secure with this knowledge and following along with no problem. My last three INR checks have been a 4.1, at which time they dropped my dose. Two weeks later I was at a 2.4, so they raised my dose slightly, and today it is a 1.9. To complicate matters I am jumping on a plane to Australia in two days, and will be on the plane for 14 hours. That is playing into my worries a bit, as I will be sitting with little activity for quite some time. I am assuming they are going to be raising my dose, but am wondering for those of you who have done this for a long time if I should be taking a half of a pill this morning (5 mg pills, so 2.5mg dose) in response to this. I haven't been too worried about my INR with it bouncing around between 2.4 and 4, but a number starting with a 1.9 with a long plane trip soon scares me a bit. I was looking for the experiences of others to know if this should sufficiently worry me, or if this is not as big of a deal as I was thinking.