Hopefully I will receive my second injection on Wednesday 24th April. This will be my fourth attempt. I have already attended the Clinic 3 times and they have refused to give me the injection because my INR has jumped from 2.5 to 3.6.
This is really a worry for me as my eyesight is not being helped. I have wet AMD in my right eye and dry in my left eye. This means I have had only one injection so far. Has anybody else has this happen to them.
Gosh, I feel for you. I am not on warfarin but understand it's more tricky than aspirin. You are being unfortunate with your injections. I dare say someone on the forum has experience with warfarin and perhaps can help you.
Good luck with injection on the 24th.
Hi, what a worry for you. Afraid i know nothing about their views on INR but the 4 week gap between the three loading dose inj is a minimum so its maybe not as bad as might appear. I would ask your clinic to explain fully the implications and rationale - as the patient you should be fully involved in decision making, especally if its trading off one risk against another. Good luck going forwards.
What is INR? I never have anything checked before an injection.
I had to look it up...
INR stands for International Normalised Ratio, also referred to as Prothrombin time (PT), and is a standardised measurement of the time it takes for blood to clot.
I go for a Blood Test every time before my injection.
Ask your doctor if tranexamic acid would help. I have low platelets and was given this when I needed minor surgery. I took it a day before and during. It is a commonly used drug for bleeding issues
If your INR is not stable then the warfarin is really not working for you. I hated using warfarin as when the INR is checked, it is really only checked for that instant & you could be way off the very next day or even in a few hours.
If it is available to you & if most of it is covered by your insurance, you should switch to something like Pradaxa. I am on Pradaxa & have been for 7+ years. It is great as there are no diet restrictions & no INR tests needed. Also, it did not cause any concern when I was getting Avastin injection & same for my current Eylea injection. Also, Pradaxa is better than the other new blood thinners because there is an antidote to cancel out the Pradaxa if you should ever get into an accident & have a major bleed. It also dissipates 75% in 12 hours so one only needs to miss one dose (one takes it every 12 hours) if having something like oral surgery. I had a heart ablation & only needed to miss 2 doses (24 hours) before having the heart procedure).
Pradaxa is a godsend for anyone needing eye injections.
Thank you for your help I go for my injection tomorrow 24th. I will find out then if my warfarin is working. I didn't know there was an alternative. This forum is a god send for help. It appears Pradaxa is better than Warfarin, the people on here have made me feel so much better and stopped me worrying.
Good luck for 24th. It is somewhat amazing your eye clinic consultant didn't think/know of Pradaxa.
Does the Macular Society have any advice; (Helpline 0300 3030 111)
I had a bleed which was halted leaving just a very tiny scar. After one injection. My wavy lines straightened and the scan showed the bleed had stopped. Is your vision better? Perhaps you won’t need more for a while. Ask for a scan to find out. I am in the USA and protocols are somewhat different here.
I switched from warfarin to Apixaban with no problem. It's possible to bring your INR down by having your dose changed but needs to thought through by your clinic
Dear hyshee9,
Please contact the Macular society to discuss your concerns.
The Macular Society Advice and Information service is open 9am – 5pm Monday to Friday on 0300 3030 111.
Alternately, you can contact us via:
help@macularsociety.org
Just to make you aware, we are currently offering free 6 month membership.
This is a good way to keep up with current developments:
macularsociety.org/6months
Kind regards.
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