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Had pulmonary embolism and on Warfarin. Taking Tinz injection for dropping INR. Reason?

hello my name is amy, i had a pulmonary embolism about 6 weeks ago and have been on warfarin. lately my INR dropped to 1.5 so i had to take more warfarin and take tinz injections, and went back for bloods 3 days later and it had dropped again to 1.4, so i have still been taking the injection. yesterday i had testes again and have not heard from the wafarin nurses to tell me if i can stop the injections or not? why would it be still dropping and why have they not got back to me?
Asked On : Sat, 6 Apr 2013
Answers:  1 Views:  71
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Internal Medicine Specialist 's  Response
warfarin has so many interaction with food and medicine which causes less efficacy of warfarin and hence low inr.
Foods high in vitamin K (eg, beef liver, pork liver, green tea, and leafy green vegetables) inhibit anticoagulant effect. Do not change dietary habits once stabilized on warfarin therapy. A balanced diet with a consistent intake of vitamin K is essential. Avoid large amounts of alfalfa, asparagus, broccoli, Brussels sprouts, cabbage, cauliflower, green teas, kale, lettuce, spinach, turnip greens, and watercress; decreased efficacy of warfarin
Plus i need to know your other medicines that may cause less warfarin in your bloood
increase your warfarin dose or think of above causes.
keep on taking tinz injections till your doctor calls coz you have high chances of re embolism

take care
Answered: Thu, 25 Apr 2013
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