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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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INR Keeps Going Too High, Reducing Warfarin Dosage. Which Vegetables Will Help ?

my INR keeps going too high. I am supposed to take 8mg's. my InR is supposed to stay in the 2.9 -3.4 range. right now it's at 3.9. when I cut back on my warfarin dose to 7.5 it drops to a 2.3 which
is way too low. I know the veggies that have too much Vitamin K which thickens the blood. But what kinds of fruits and vegetables cause it to get too thin? like tomatoes, grapes oranges
Thu, 3 Oct 2013
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Internal Medicine Specialist,  's  Response
Dear friend,

I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance.

Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns.

1. Firstly, you not mentioned the disease for which you were prescribed Warfarin.

2. Under normal circumstances, we maintain INR between 2-2.5
Hence, 2.3 in within target range. I can't think of any condition which requires INR to be between 2.9-3.4 (chances of bleeding are much more at these levels.)

3. It is OK to maintain INR to around 2.5, for which- had I been your treating doctor- I would have recommended 8mg on alternate days and 7.5mg on alternate days (that is, 8 --> 7.5-->8-->7.5mg)

Please feel free to revert back to me in case of further clarifications, if any.

I am sure that you will benefit from the advice.

May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience.

HAVE A NICE DAY AND A SPEEDY RECOVERY.

Fond Regards,

Dr.(Col) R Karanwal
MBBS; M.D. (Internal Medicine)
Consultant Physician


(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)
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INR Keeps Going Too High, Reducing Warfarin Dosage. Which Vegetables Will Help ?

Dear friend, I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance. Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns. 1. Firstly, you not mentioned the disease for which you were prescribed Warfarin. 2. Under normal circumstances, we maintain INR between 2-2.5 Hence, 2.3 in within target range. I can t think of any condition which requires INR to be between 2.9-3.4 (chances of bleeding are much more at these levels.) 3. It is OK to maintain INR to around 2.5, for which- had I been your treating doctor- I would have recommended 8mg on alternate days and 7.5mg on alternate days (that is, 8 -- 7.5-- 8-- 7.5mg) Please feel free to revert back to me in case of further clarifications, if any. I am sure that you will benefit from the advice. May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond Regards, Dr.(Col) R Karanwal MBBS; M.D. (Internal Medicine) Consultant Physician (PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)