My girlfriend went off on holiday for 2 weeks and left me home alone. This changed quite a few lifestyle factors that would affect warfarin. I drank more alcohol in the evenings, either alone with the TV or out with friends ... and I ate much less vegetables.
The INR started climbing almost immediately, and sods law says that I had a pharmacy test 4 days in. Just long enough for INR to get too high, and not long enough for me to have got it back under control.
The pharmacy had no record of the real history because they only record their own tests, and I keep mine secret anyway. They looked up the algorithm of what to do in the situation where INR > 4. The algorithm was quite different whether my range was "2.0 - 3.0" or "2.5 - 3.5". Remember my range is a bit custom at 2.5 - 3.0. She decided to go with the algorithm of "2.5 - 3.5" which recommended simply a small dose cut and wait it out. The alternative algorithm for "2.0 - 3.0" recommended skipping a dose and then reducing the dose 10%. I was sent home and told to reduce 10% and not to skip a dose. I ignored this, skipped the dose.
On the next evening's test the 4.2 had dropped to 2.3 which was a tad low, but proves the algorithm had worked as it should. I then pretty much left my dose as it was before and tried to eat a bit more greens! At this point i'm typically consuming somewhere around 7mg or 8mg mark.
This shows the test results and dosages for the period, the worst period of time to date:
The INR started climbing almost immediately, and sods law says that I had a pharmacy test 4 days in. Just long enough for INR to get too high, and not long enough for me to have got it back under control.
The pharmacy had no record of the real history because they only record their own tests, and I keep mine secret anyway. They looked up the algorithm of what to do in the situation where INR > 4. The algorithm was quite different whether my range was "2.0 - 3.0" or "2.5 - 3.5". Remember my range is a bit custom at 2.5 - 3.0. She decided to go with the algorithm of "2.5 - 3.5" which recommended simply a small dose cut and wait it out. The alternative algorithm for "2.0 - 3.0" recommended skipping a dose and then reducing the dose 10%. I was sent home and told to reduce 10% and not to skip a dose. I ignored this, skipped the dose.
On the next evening's test the 4.2 had dropped to 2.3 which was a tad low, but proves the algorithm had worked as it should. I then pretty much left my dose as it was before and tried to eat a bit more greens! At this point i'm typically consuming somewhere around 7mg or 8mg mark.
This shows the test results and dosages for the period, the worst period of time to date:
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