Hi wonder if you can help?? How do people control their medication when they are on a long haul flight going through different time zones. My husband has to take warfarin at 6pm and bisoprolol each morning first thjng. Any advise would be appreciated.
Thanks
I start the process a few days before leaving by taking medication an hour later so that by the time I’ve arrived, I’m pretty close to the new time zone. If you check back a week or so, there was a post by Cardiologist Dr Jonathan Pitts Creek about the consequences of missing and/or doubling warfarin doses which made interesting reading......have a great holiday
Hi. I travelled to Sri Lanka recently. I managed the time difference by gradually moving the time for meds while still at home an hour closer to Sri Lanka time for a couple of days. Also found it helped to keep my watch on UK time so I knew when meds would be due (used my phone for local time). A bit awkward but no missed doses while I was away so it can be done. Enjoy your trip!! Liz
Warfarin is pretty amenable. Effectively changing the time you take your dose by a few hours is not going to make much difference, unlike NOACs. I would stick to 6pm local time.
Hello Lindyloo, I am in UK and when travelling to Florida (6 hr time difference) on the day of travelling I take my morning dose as usual, when I land I take my warfarin at USA time. It takes several dayus for warfarin to adjust in the system . When I land I take at 6pm Florida time it is midnight UK time. I then carry on until I return whereby I take morning dose as usual and when in UK revert back to 6pm. I have done this several times now and has worked a treat. I have also taken medication on the plane and I take it as if I was still home, and on return as if I was still on holiday. I also keep on eye on warfarin on holiday with my own Coagucheck machine in case I start to feel unwell. I hope everything goes well with your husband on holiday and you have a great time, Regards David.
Similar to other posts... I kept watch on uk time and gradually adjusted meds to new time zone. It worked fine. Have a great holiday! 👍
Travelled to Aus and N Z and China recently. It was far too complicated to gradually adjust timings so I just took them at the time of the zone I was in. But I had the previous countries time on my phone so that I did not give myself a double dose of NOAC in particulr or have too long a gap. I was also in SR. I would have had to be far more careful if I had been in AF. But all drugs have tolerances, even the NOACs, although not as much.
Been to india ,just back,from Australia now in Cyprus I tend to take,meds in between time difference seems to work for me ,good luck in what you decide to do ,!!
Long haul to Oz. 
Cold medications and AF
Different medications..
