Hi: "Now Her INR is 6 (and it supposed to be 3 according to her physician), she is currently on Marivan 8 mg (warfarin)." "We need advice on how to adjust the INR to 3, and what's the best course for treatment she should follow." Please note that WebMD/WebMD forums does not provide medical advice.
Your aunt should consult with her doctor(s).
For those on warfarin-therapy, as reported, it is best to manage warfarin according to the International Normalized Ratio (INR) guidelines.
For most clinical conditions/situations, an INR of 2.0/2.5 to 3.0 indicates the appropriate dosage. An INR above 5.0 can be dangerous. An INR of 1.0 indicates no warfarin effect/benefit at all.
The best way to maintain a proper (appropriate for one's specific condition) INR warfarin level is to basically keep one's diet (food and beverages), prescription drug-therapy, etc., the same from day-to-day.
A change/changes in metabolism (or other factors and conditions) can sometimes be responsible for fluctuating/different levels of warfarin.
Treatment with so-called blood thinners (it actually does not do that) may increase the risk that fatty plaque will break away from the wall of an artery and lodge at another point, causing the blockage of a blood vessel. If noticing any of the following symptoms, contact your doctor immediately -
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Foods that contain Vitamin K (includes green vegetables)
One can eat all the greens/green leafy veggies one wants, that is, just AS LONG AS one consistently eats the same veggies/the same amount each day/every week, and with the warfarin dosage being adjusted accordingly, one should do fine.
Informational/support site for heart valve replacement patients, and for those who may/will require this type of major surgery soon.
Thank you for you reply, it is really helpful... We will make sure she sees a physician to control her diet, she could also use to gain a little bit of weight.
I wonder if you can give any advice regarding the treatment of the blood clot in the eye, as she can't see clearly with it, and her Doctor said she is gonna have to accept to live with it (no treatment available).
Regarding the blood clot, my elderly mom has had one in her eye for several years now. Coincidentally, her eye doctor, who is also an eye surgeon, has an elderly mom with the same problem, and has sent her to see several specialists, unfortunately, with no results.
Since there is [apparently> no available procedure to clear it, and he didn't want my mom to waste time like his mom did, all he could do was recommend that she take an eye vitamin (mineral supplement) twice a day to possibly prevent this from occurring to her good eye.
For most clinical conditions/situations, an INR of 2.0/2.5 to 3.0 indicates the appropriate dosage.
eMedicine/Medscape Prosthetic Heart Valves Workup
Prothrombin time (PT)/international normalized ratio (INR):
Recommendations vary as to the target INR.
The following is offered as a general guideline, but remember that therapy must be individualized.
Mechanical valves: Aortic valve INR is 2-3; mitral valve INR is 2.5-3.5; Patients with atrial fibrillation should be kept at the higher end of this range. In patients with low hemorrhage risk, low-dose aspirin is recommended in addition to warfarin.
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