Reducing Coumadin prior to drinking alcohol?

Help Support ValveReplacement.org:

VWalk

Member
Joined
Jul 11, 2016
Messages
16
Location
Kansas City
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?
 

dick0236

Eat the elephant one bite at a time
VR.org Supporter
Joined
Feb 10, 2007
Messages
3,155
Location
louisville, KY USA
A couple beers probably will have little effect on INR. I would not hold any warfarin prior to the event but since you home monitor check your INR next Tuesday to see any effect. Years ago, when I had the surgery, I was prescribed a beer a nite while in the hospital post AVR (about 8-10 days) since beer is a pretty good diuretic.
 

pellicle

Professional Dingbat
Joined
Nov 4, 2012
Messages
8,146
Location
Queensland, OzTrayLeeYa
After a week in Prague drinking about 2 litres most nights mine was 3.5

I dropped my dose as a response from 7 to 6.5 on the evening of the measurement only.

Not that being 3.5 is in any way risky, but I just wanted to see. 4 days later it was 2.5 (But my beer drinking ceased too :)

Perhaps the information in my blog post on 2016 will provide my why as to not being worried at 3.5

http://cjeastwd.blogspot.com/2017/01/2016-inr-data.html
 

Ryanvs

Well-known member
Joined
Jan 10, 2016
Messages
113
Location
Newcastle, New South Wales, Australia

Ryanvs

Well-known member
Joined
Jan 10, 2016
Messages
113
Location
Newcastle, New South Wales, Australia
Ah, never mind. I see that you've already commented on it. But I personally wouldn't adjust my coumadin 'just in case' something happens, and only adjust when required. I mean, without knowing your tolerance, you could reduce your coumadin and then the alcohol has no effect, leading to your INR dropping into a perhaps unsafe range.

Enjoy in moderation, test when the times comes and adjust if needed.
 

Warrick

Well-known member
Joined
Dec 27, 2015
Messages
639
Location
New Zealand
My father had AVR 30+ years ago and would get highly pissed most weekends and alcohol never affected his INR, so the effects can vary greatly

I think adjusting it before you drink would be a big stab in the dark even if you did have a rough idea how much it would affect things
 

VWalk

Member
Joined
Jul 11, 2016
Messages
16
Location
Kansas City
Thanks everyone. Your comments make total sense. I'll keep my dose consistent and see how the alcohol affects my INR (if at all).
 
Top