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Get an PT/INR done as must be doing it previously.If it is deranged (out of therapeutic range of 2-3 ) then you must have to visit the physician for adjusting the dose accordingly.
Long term alcohol affects the coumadin metabolism
function and causes increase in INR. High INR will lead to bleeding complications.
Certain foods and beverages affects coumadin metabolism and cause deranged INR and bleeding complications.Hence avoid eating or drinking large amounts of:
As you need long term coumadin therapy hence get INR levels atleast once in a month.
Hope this information will help you better.
Wish you good health.