My GP asked if I would like to switch from Warfarin to a NOAC. I said no.
I have taken warfarin for 8 years. I self test with the Coagucheck system and do not attend the surgery for monitoring. Since I started testing twice a week, more than 90% of my INR readings are in range. I find it very simple to do the test, probably no more difficult than testing blood sugar.
My advised range is 2 - 3.. I can fine tune to keep in range 2.5 to 3 fairly easily. If my medication changes I am able to adjust the dose of warfarin if needed, and feel confident to do this without seeking advice, much as diabetics adjust their insulin.
I know that no tests are required for NOACs. In a way, I see that as a disadvantage, because there seems to be no way for the patient to achieve the level of anticoagulation he/she wants. I prefer my readings in range but closer to 3 than to 2.
Does anybody else feel the same or am I missing some fundamental point about how NOACs are used or how they work?