Hi,I am Dr. Andrew Rynne (Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
my mother is 87 years old and recently suffered a minor stroke that left no problems.She was already taking carvepen,zestoretic,lescol and aflen before the incident.Now sintrom has been added 1mg each day.Her inr is 1.75 but doctor wants to raise dose every three days to 2mg-why since her inr is under 2?
Hi, In patients who had thrombosis like previous myocardial infarction or stroke (cerebral infarction), the INR needs to be maintained at a higher level. A target level of INR of 2.0 needs to be maintained. It can vary between 1.6 to 2.5. Anything above can increase risk of bleeding and below that will increase risk of thrombosis /clot formation. She should try to maintain her mobility and control her blood pressure, as being bed ridden or uncontrollable BP increase risk of thrombosis. Any further queries, happy to answer again.
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What Causes Low INR Level?
Hi, In patients who had thrombosis like previous myocardial infarction or stroke (cerebral infarction), the INR needs to be maintained at a higher level. A target level of INR of 2.0 needs to be maintained. It can vary between 1.6 to 2.5. Anything above can increase risk of bleeding and below that will increase risk of thrombosis /clot formation. She should try to maintain her mobility and control her blood pressure, as being bed ridden or uncontrollable BP increase risk of thrombosis. Any further queries, happy to answer again.