How do I lower my INR?

Vitamin K works against warfarin.
  1. If you eat more vitamin K, it can lower your INR.
  2. If you eat less vitamin K, it can raise your INR.
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What do I do if my INR is too high?

If your INR is between 4 and 10, you might take some vitamin K in addition to skipping your medication for a few days. If your INR is higher than 10, you'll probably take vitamin K. You'll also want to stop taking warfarin and get frequent INR checks to make sure it's improving.
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How do I lower my INR level?

Keep the amount of vitamin K in your diet about the same from day to day. Do not suddenly eat a lot more or a lot less food that is rich in vitamin K than you usually do. Vitamin K affects how warfarin works and how your blood clots. Limit your use of alcohol.
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What foods to avoid if INR is high?

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  • Kale.
  • Spinach.
  • Brussels sprouts.
  • Collards.
  • Mustard greens.
  • Chard.
  • Broccoli.
  • Asparagus.
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What causes INR to go up?

Low vitamin k consumption can increase INR (fewer clotting factors are produced). While vitamin K consumption does impact INR, this doesn't mean that anti coagulated patients have a free pass when it comes to eating veggies.
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Warfarin Therapy



Does drinking water affect INR levels?

What you eat and drink can also affect your INR. The more consistent you are in what you eat and drink, the easier it can be to regulate your dose of Warfarin and keep your INRs in range.
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What drugs decrease INR?

Drugs that can decrease warfarin effect & lower INR in some pts include antacids, antihistamines, barbiturates, rifampin, sucralfate, trazodone, carbamazepine, cholestyramine, griseofulvin, haloperidol, oral contraceptives, penicillin, dicloxacillin, and nafcillin.
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How do I keep my INR stable?

In order to maintain stable PT/INR levels you should not eat more than 1 serving of a high vitamin K food, and no more than 3 servings of a food with moderate amounts of vitamin K.
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Can you eat bananas on blood thinners?

If you are a patient on warfarin, wondering whether it's on your list of foods you can eat without worry shouldn't make you crazy. The only time to be a little cautious when eating bananas is when you prepare green bananas.
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Do eggs interfere with warfarin?

Foods You Can Eat on a Warfarin Diet

On the positive side, patients are able to consume many foods considered safe if they are taking any anticoagulants. These are the foods that are considered safe to consume: Meat, fish, and eggs.
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How long does it take for INR to drop?

If your patient is therapeutic, it will probably take a few days for the INR to drop below two and almost a week for it to get to 1. Just as the anticoagulation response to warfarin is variable, so is the response to cessation. It can take days and days and days.
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How long does it take for vitamin K to decrease INR?

For most warfarin-treated patients who are not bleeding and whose INR is >4.0, oral vitamin K (in doses between 1 and 2.5 mg) will lower the INR to between 1.8 and 4.0 within 24 hours.
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Do green vegetables make your INR go up or down?

Green, leafy vegetables, such as kale, spinach and lettuce, contain vitamin K. Suddenly increasing your consumption of these vegetables and herbs will lower your INR. A consistent diet is essential in maintaining normal INR, so avoid making drastic changes in the foods you consume.
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Does vitamin K decrease INR?

Vitamin K can change how warfarin works, which changes your INR. Vitamin K lowers your INR values. The lower your INR, the less time it takes for your blood to clot.
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What is a critical INR?

INR levels above 4.9 are considered critical values and increase the risk of bleeding.
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Are eggs high in vitamin K?

Eggs. Eggs are the easiest to make and can be eaten for any meal of the day. This protein-rich food is also packed with vitamin K. One egg yolk contains anywhere in between 67 and 192 mcg of vitamin K2.
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What vitamins should be avoided when on blood thinners?

If you are a heart patient who is taking blood thinners, such as warfarin (Coumadin®), you need to be careful not to overdo vitamin K. Blood thinners are often prescribed for people at risk for developing harmful blood clots.
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Do eggs thicken blood?

A nutrient in meat and eggs may conspire with gut bacteria to make the blood more prone to clotting, a small study suggests. The nutrient is called choline. Researchers found that when they gave 18 healthy volunteers choline supplements, it boosted their production of a chemical called TMAO.
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Why does my INR fluctuate so much?

Foods with high levels of vitamin K include kale, broccoli, and Brussels sprouts. Other changes to your nutrition, such as starting a new diet or taking new supplements, can also cause your INR level to fluctuate. Talk to your doctor before starting any new diet/nutrition regimens.
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Can stress affect your INR levels?

Stress may affect the length of time your medication stays in your system, potentially causing a spike in your INR levels. Science has shown that because of the effect stress can have on your body, vitamin K antagonists, such as warfarin, can stay in your system longer than normal causing a spike in INR levels.
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What is considered dangerously high INR?

A value higher than 3.5 increases the risk of bleeding problems. Many things can affect the way warfarin works. Some natural health products and other medicines can make warfarin work too well. That can raise the risk of bleeding.
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What are the symptoms of high INR levels?

Signs of bleeding or a high INR are:

Gums bleed when you brush your teeth. Coughing up blood. Vomit that looks like coffee grounds. Bruising in unusual areas or for unknown reasons.
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Can a high INR cause a stroke?

Elevated International Normalized Ratio Is Associated With Ruptured Aneurysms | Stroke.
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What foods affect PT INR?

A higher baseline intake of dietary vitamin K is associated with less PT/INR fluctuation (SOR: C, disease-oriented evidence). The effect of specific dietary items like alcohol, cranberry, mango, avocado, grapefruit, soymilk, and cranberry juice is mixed (SOR: B, systematic review of lowquality trials).
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Can drinking lots of water thin your blood?

Water helps to thin the blood, which in turn makes it less likely to form clots, explains Jackie Chan, Dr. P.H., the lead study author. But don't chug your extra H2O all at once. "You need to drink water throughout the day to keep your blood thin, starting with a glass or two in the morning," adds Dr.
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