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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should dosage of Coumadin be decreased if INR is 1.9?

My INR today came in a 1.9 and my Doctor tolld me less Coumadin each day for a week and recheck iln a week.
Iused to be on 5mg each day and 2.5mg to days in that week. It got out of wack lately and he told me to decrease
the amount I take for the following week. I think it should be increased.
Fri, 20 Dec 2013
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General & Family Physician 's  Response
Hello there!
Once again issue of self diagnosing and considering personal opinion more sacred than doctors. if the doctor said lower coumadin which deranges Blood profile like PT APTT INR as your INR is already on upper border 1.9 so your doctor is right. lower the dose and monitor INR. Game of Hemostasis is tough one and trying to be ned stark when actually being no more than a sully can bring serious damage. comply with the doctors advice and avoid un necessary harm which can be cost of life too.

S Khan
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Should dosage of Coumadin be decreased if INR is 1.9?

Hello there! Once again issue of self diagnosing and considering personal opinion more sacred than doctors. if the doctor said lower coumadin which deranges Blood profile like PT APTT INR as your INR is already on upper border 1.9 so your doctor is right. lower the dose and monitor INR. Game of Hemostasis is tough one and trying to be ned stark when actually being no more than a sully can bring serious damage. comply with the doctors advice and avoid un necessary harm which can be cost of life too. S Khan