INR Crazy times! : Go figure! Last week... - Hughes Syndrome A...

Hughes Syndrome APS Forum

10,337 members10,534 posts

INR Crazy times!

Greenmil3 profile image
7 Replies

Go figure! Last week at 4.7 little higher than I need so as I self medicate and adjust dropped from 8mg 7mg alternate nights to 7mg for 7 days and arrive at 1.8 tonight!! No diet changes no increase in anything so so frustrating. The only change is a change in pain med from 15/500 to 30/500 codeine but can that cause this?

Written by
Greenmil3 profile image
Greenmil3
To view profiles and participate in discussions please or .
Read more about...
7 Replies
HollyHeski profile image
HollyHeskiAdministrator

Dont know about codeine but have you got dome heparin while your INR is so low?

Greenmil3 profile image
Greenmil3 in reply to HollyHeski

No just going to hit the warfarin button large for a couple of days usually does the trick!

HollyHeski profile image
HollyHeskiAdministrator in reply to Greenmil3

You know your body 👍x

KellyInTexas profile image
KellyInTexasAdministrator

Too many nights in a row of 7 mg.

Some hematologists like to see what a weekly average of mg total is, as well as day to day, what will hit through in 48 hours.

When you look accumulated 7 mg for 7 knights in a row- that totals too much mg loss.

I’ve also learned to do 1/2 and 1/4 doses.

You might try 7.25

7.5

Are you bridging with clexane for a few days until it comes back into range?

KellyInTexas profile image
KellyInTexasAdministrator in reply to KellyInTexas

Sorry Greenmil- I’m just seeing that you said you you did alternate the nights that you lowered the mg, not 7 nights in a row.

It still must have been too much of an accumulated drop in mg.

( sorry, I’m in a migraine today, I apologize. I had a rituximab infusion a week ago today, and an infusion lowers my antibodies- so I have noticed I have to lower my mg on warfarin also. It’s the warfarin roulette for me also right now. I had to inject over lunch. I find it very helpful! )

However, with my already poor vision, add a low inr and my ability to read is diminished. Sentence quiver and warble.

Greenmil3 profile image
Greenmil3 in reply to KellyInTexas

Kelly that is no problem with your writing and am feeling for you in your roulette struggle get better soon xxx

dottiedoris profile image
dottiedoris

I find that, when I hit 4.7, then I just take 2 or 3 for one night (or 5’s for 2 nights) and I’m back in range (3.5). If I’ve ever needed to stop warfarin for surgery, I’ve usually dropped down to 1 within 2 days so mine does drop pretty quickly but yours may take a little longer. My INR is always affected if I change any of my other meds or I’m in pain.

You may also like...

Crazy time!!!! Sorry!!! :-(

work. I just feel I'm juggling and managing to drop the ball a lot. I am still about though and...

High INR crazy palpitations and tinnitus spike, anybody else get this?

INR has crept up to 3.7 not terrible I know but higher than I have ever had it, I am used to in...

INR results can be so odd at times!!!

had a result of 4.5 last week (range 3 -4) I went from 10 mg to having a few days of 9 mg. Todays...

INR

and he said I would be OK and not need any change in medication so suppose he knows best

INR

INR drops below the required range? I do all the time but get dismissive looks and comments from...