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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Thrombosis, Pulmonary Embolism. On Coumadin. Had Wine Last Night. Adjust Coumadin Dosage Today?

I am on coumadin as a result of a thrombosis in my leg and a resulting pulmonary embolism . As no cause could be found I am supposed to remain on coumadin indefinately. I don t as a rule drink much alcohol but last night went to a party and had quite a bit of wine ( 5 glasses ..almost a bottle). Should I adjust my coumadin dose downward today?
Thu, 21 Mar 2013
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Internal Medicine Specialist,  's  Response
Hello!

Thanks for being with us.

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,liver 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:

Kale
Spinach
Brussels sprouts
Parsley
Collard greens
Mustard greens
Chard
Green tea
Cranberry juice
Alcohol.

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.




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Thrombosis, Pulmonary Embolism. On Coumadin. Had Wine Last Night. Adjust Coumadin Dosage Today?

Hello! Thanks for being with us. 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,liver 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: Kale Spinach Brussels sprouts Parsley Collard greens Mustard greens Chard Green tea Cranberry juice Alcohol. 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.