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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Mv Replacement, Taking Ecosprin 75, Stopped, Increased INR. Should She Start Again Ecosprin? Is 1.69 INR Dangerous?

My wife is taking acitrom2 and clopilet 75 mg one tab each daily. She had mv replacement and had stroke of left leg year back and recovered completely. She was given ecosprin75 and acitrom 3 mg for few months initially. She was having INR around 2.5 to 2.7. Now after discontinuing ecosprin 75 a month back her INR is 1.69 in a recent prothombine test. Should she start again Ecosprin 75 and acitrom 3 and discontinue clopilet. Is 1.69 INR Dangerous for her.Please advise.
Mon, 4 Mar 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

INR of 1.69 is not dangerous / but is not likely to be effective too in MVR.
Blood thinners - especially acitrom - are like double edged swords / bleed in excess; ineffective when less - one has to be very careful.
And the combination with ant-platelet agents is even more dangerous - THEY SHOULD NOT BE MANIPULATED BY THE PATIENT - without the doctor's expert opinion.

Every modification must be approved by your physician

Take care
Wishing speedy recovery
God bless
Good luck
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Had Mv Replacement, Taking Ecosprin 75, Stopped, Increased INR. Should She Start Again Ecosprin? Is 1.69 INR Dangerous?

Hi friend, Welcome to Health Care Magic INR of 1.69 is not dangerous / but is not likely to be effective too in MVR. Blood thinners - especially acitrom - are like double edged swords / bleed in excess; ineffective when less - one has to be very careful. And the combination with ant-platelet agents is even more dangerous - THEY SHOULD NOT BE MANIPULATED BY THE PATIENT - without the doctor s expert opinion. Every modification must be approved by your physician Take care Wishing speedy recovery God bless Good luck