Rats!

Just when I thought I'd cracked the warfarin... its not as easy as I was hoping. I'm doing something wrong, just not sure what it is. As a result the INR, which has to be level, is currently not.

The goal of anticoagulant therapy with warfarin is to administer the lowest effective dose of the drug to maintain the target international normalized ratio (INR). Warfarin, a vitamin K antagonist, is an oral anticoagulant indicated for the prevention and treatment of venous thrombosis.

Things that increases your metabolism such an exercise including walking or eating anything more than usual and a change in stress level can lower you INR.
Too much exercise bike?

Eating citrus fruit within several hours of taking warfarin can also lower INR. Activities that make you sweat more than usual can also lower INR.
Anastrozole hot sweats?

It is best to keep track of everything you eat and your activities for awhile and see how your lifestyle affects you INR. It may take some time for you INR to stabilize but +/- 10% - 15% is common and nothing to worry about. Forget dieting?

You can eat and drink ANYTHING you want, including things high in vitamin K as long as you are consistent.

Thank Christmas for that then.



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