well at long, long last I am to have my guided cortisone injection into my right shoulder on Friday 1 April. I am planning to stop Warfarin on Sunday night ( being the day of my last dose) in order to get my INR down to around 1.2 or 1.3 by the Friday.
Based on my statistics I kept for CT Scan and Knee Replacement Surgery I estimate it will take 4 days to get down to these values or close to it.
Questions for you loverly AF'ers - has anyone had this done ( or similar) and if so can you remember the INR value that you were told to get down to ? My GP told me it wasn't necessary to get right down to 1.0 or 1.1, ..... just checkin' ....... fanx muchly. With my previous experiences I was told had to be down to 1.0 or 1.1 but my GP says not so with shoulder injection just aim for around 1.3 ish !
Next question - did anyone find the injection juice kicked off their AF after a long, long period of AF stability.
Thanks for your comments. My GP rang this morning and has advised me NOT to cut out Warfarin altogether but to slow doseage down and aim for an INR of around 1.9 to 2.0. I am currently pretty stable at around 2.5 to 2.7, so probably reducing my daily intake of Warfarin for a couple of days starting Tuesday night should see me pretty much on here target. I do all my blood testing at home so this is no great drama for me.
I am not really worried about AF kicking in, I doubt it will as I am so stable and in fact my current GP has never (in 4 years) had to treat me for any aspect of AF ( other than tweak my medication occasionally).
Just can't wait to be pain free and get decent sleep.
Thanks Afbiff ..... can't wait TBH - too much pain, too much lack of sleep over too long a time period. I know it ain't gonna be a quick fix or a permanent one so we'll see how it goes.
Hi John, I had a cortisone (40mg Kenalog plus local) injection in my left shoulder. When I told the consultant that I take Warfarin, he said that's not a problem and jabbed me. Sadly it hasn't really helped but I had a MRI scan today so will get results in a few weeks. All the best with your treatment.
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