I know that this has been covered before but I think that it needs to be mentioned again following Mamacass's hugely popular post of yesterday.
I know that some of the new anti- coags are 1x daily and some 2x (ie my Pradaxa) They have a very short time being effective and this is important when there is no antidote. Thus adjustments need to be made due to time differences.
I have to travel to the USA at the end of May so I will lose 6 hours on the way there and gain 6 on the way back. ( My son is marrying an American girl )
I need to weigh up how to handle the necessary adjustments long before I go.