I haven't drank alcohol since my surgery last June. However I'll probably have 2-3 beers at an event this weekend. I'm pretty fanatical about my INR and test at home weekly. My recommended range is 2.0-3.0. I like to stay in the 2.4-2.8 area. Last week, I was 3.2 (the highest I've ever been), so I reduced my dose by .25 mg/day. Should I slightly reduce my Coumadin dose for 1-2 days prior to the event? Perhaps take 5.5mg, instead of my normal 6? Along the same line, my wife and I are going on tropical vacations this Fall and Winter. I'm sure (in that atmosphere) I'll be drinking daily for the 7 days we're there. I know moderation is the key, but should I plan on slightly reducing my Coumadin dose given that scenario?