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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Generalized Weakness While On Warfarin

My mother is 90 years old. She is using Warfrin because of mitral valve replaced 25 years ago. Her INR fell to 1.8 and Warfrin increased from 6mg to 8mg last week. For the last week, she has been extremely tired and weak. Her tongue looks dry. No other apparent symptoms.
Wed, 7 Dec 2016
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Cardiologist 's  Response
hi dear
dizziness weakness and fatigue is a side effect of warfarin
your mother is 90 years old and is on a very high dose of warfarin ,age and high dose both are responsible for her fatigue,as age progresses every thing from muscles to heart becomes week
a person with age 40 years can tolerate warfarin much better then a person with age 90 years, try to give her fluids as dry tongue can be because of dehydrartion .you can ask the dr to prescribe to her some potent multivitamin and antioxident ...once the inr returns to target range the dose of warfarin could be tapered down
adv
repeat a 2 d echo to see if lvef has not dropped or to rule out any new problem with the valve
thanks
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Suggest Treatment For Generalized Weakness While On Warfarin

hi dear dizziness weakness and fatigue is a side effect of warfarin your mother is 90 years old and is on a very high dose of warfarin ,age and high dose both are responsible for her fatigue,as age progresses every thing from muscles to heart becomes week a person with age 40 years can tolerate warfarin much better then a person with age 90 years, try to give her fluids as dry tongue can be because of dehydrartion .you can ask the dr to prescribe to her some potent multivitamin and antioxident ...once the inr returns to target range the dose of warfarin could be tapered down adv repeat a 2 d echo to see if lvef has not dropped or to rule out any new problem with the valve thanks