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2006-06-15 12:55:58 · 17 answers · asked by ashrof 1 in Health Diseases & Conditions Heart Diseases

17 answers

As the medical director of the anticoagulation for my university, please let me advise you strongly against doing so without a physicians' input. As I am sure you know, this could be very dangerous. It may result in a high or low INR and result in bleeding or clotting. You physician may be able to guide you or provide you with an algorithm for the adjustment of your warfarin, if you are attempting home monitoring of your INR. Or he/she may choose to have you call in your INR value to his/her office and make adjustments that way. But you definitely should not guess at your INR and then adjust the drug, without blood tests. Good luck.

2006-06-15 15:15:05 · answer #1 · answered by Amy P 4 · 0 0

you can't do it on your own.
aren't you getting your protime checked? often? If you live in the USA, you normally don't need a doctor appt to check it - just walk into the office and have your finger pricked and see reading. Based on the results (immediate) the nurse/doctor will tell you how to adjust....Sometimes you don't get the right reading for a while, so be patient.

Sometimes you will be told to increase by half a pill or take one whole one for 1 day, nothing the next day, half-the third day. Important you write down what they told you. Once you get the right dosage, you should be okay.

Bottomline, there is no easy way.

Also, talk to your pharmacist, some meds increase the power of the warfarin (also known as coumadin) -- like asprin. He/She will tell you.

Good luck and stay safe.

2006-06-15 13:01:49 · answer #2 · answered by CJ 4 · 0 0

You cant. Warfarin (coumadin) is subject to alteration constantly depending on your INR level. The only hint I can give you is to eat a constant diet. Eat the same things, every day, your INR level will then stop fluctuating and you wont need to adjust the warfarin so much. Everything you put in your mouth adjusts your INR. Leafy green vegetables, liver etc..really affect warfarin.

2006-06-15 13:14:13 · answer #3 · answered by Anonymous · 0 0

Hi, You can't adjust your Warfarin (coumadin)dosage in a simple way without having a PT test done. Doing so would put you at risk for either increasing bleeding, or having your blood too thick which could put you at increased risk for stroke. Best to keep getting your blood checked. You can however buy PT mashines now and check your blood that way and keep your blood in the therapeutic range, however, I still recommend that you see your MD to see his/her recommendations for warfarin doseages

2006-06-15 13:04:55 · answer #4 · answered by shewhodreams67 2 · 0 0

Regulate your diet to either include or exclude vitamin K food sources. If you are prone to strokes, are taking warfarin, then eat a bunch of mustard greens, your blood will clot too much and you coudl stroke out.

If you are on a larger dose of warfarin, you can include some vitamin K foods in your diet daily. Just be sure to do it *daily.*

Since you didn't say if you are wanting to adjust your dose up or down, I can't help much. But you really need to let your doc draw your PT/PTT levels every week or so while adjusting it.

2006-06-15 12:59:44 · answer #5 · answered by Sugar Pie 7 · 0 0

Er, your question is a little lacking in detail...
BUT, the only way to monitor the effect of warfarin is via a blood test, to check one of your clotting pathways (the "PT/INR").

There is no other way, and not monitoring this time can unpredictably lead to either too little (and so you may develop a clot from eg your heart arrythmia), or too much (thus potentially causing excessive bleeding) warfarin.

2006-06-15 13:00:19 · answer #6 · answered by Brett N 3 · 0 0

you dont want to mess with your warfarin dosage, do whatever your doc says. small changse in your dosage can lead to very negative effects with that drug

2006-06-15 12:59:22 · answer #7 · answered by Anonymous · 0 0

You should NEVER change dosages without your Dr's knowledge. I agree with most of the answers here and could not add much more. I hope you're listening to what you are hearing and take others advice. It COULD save your life.

2006-06-15 16:50:02 · answer #8 · answered by Nancy L 4 · 0 0

are you adjusting it because your dr advised you to lower or raise the dose?......My Mom is on 2 mgs, and every couple of months she has to go down to 1 mg, which is easy we just break the tablet in 1/2 but I wouldn't mess with this med....at all....unless your dr advises it.

2006-06-15 13:01:53 · answer #9 · answered by well_hell_is_this_name_taken 2 · 0 0

You should see your doc about decreasing the dosage.

2006-06-15 13:48:34 · answer #10 · answered by Anonymous · 0 0

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