Is 3.5 INR too high?

The INR goal for people who take warfarin is usually from 2 to 3.5. 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.
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What is a critical INR level?

Normal and Critical Findings

INR levels above 4.9 are considered critical values and increase 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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How do I lower my INR levels?

Asymptomatic patients with an INR that is only slightly above the therapeutic maximum can often be managed simply by omitting their usual warfarin dose and increasing their frequency of INR monitoring. The INR will reduce over several days. Warfarin should be restarted, if necessary, when the INR falls below 5.0.
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What does an INR above 3 mean?

The higher the INR number, the longer it takes the blood to clot (or the “thinner” the blood). For most people on warfarin, the target INR is between 2 and 3. But it is common for that number to rise over 3 — even without any changes to your dosage. And this can put you at risk for dangerous bleeding.
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Warfarin Therapy



What does INR reading of 3.7 mean?

The INR goal for people who take warfarin is usually from 2 to 3.5. 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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Can a high INR cause a stroke?

Elevated International Normalized Ratio Is Associated With Ruptured Aneurysms | Stroke.
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What happens if your INR is high?

The higher your PT or INR, the longer your blood takes to clot. An elevated PT or INR means your blood is taking longer to clot than your healthcare provider believes is healthy for you. When your PT or INR is too high, you have an increased risk of bleeding.
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How do you fix an elevated INR?

Vitamin K is a safe and effective antidote to warfarin. Both oral and intravenous (IV) routes are effective in reducing a raised INR due to warfarin with a similar correction of INR by 24 hrs. IV has a more rapid response, within 6-8 hours. Anaphylaxis to IV vitamin K is rare.
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What foods cause your INR to go up?

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  • Kale.
  • Spinach.
  • Brussels sprouts.
  • Collards.
  • Mustard greens.
  • Chard.
  • Broccoli.
  • Asparagus.
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Why would someone have a high INR?

A high INR level can happen when you take warfarin (Coumadin). Warfarin helps prevent blood clots. To do this, it slows the amount of time it takes for your blood to clot. This raises your INR level.
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What can I eat to lower my INR?

The most common foods with high vitamin K are green leafy vegetables such as kale, collard greens, broccoli, spinach, cabbage, and lettuce.
...
Vitamin K can also be found in some nutrition supplements, such as:
  • Boost®, Ensure®, and Slim Fast. ...
  • Certain multiple vitamins and Viactiv® calcium chews.
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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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What are the symptoms of too much warfarin?

Symptoms of overdose may include the following:
  • bloody or red, or tarry bowel movements.
  • spitting or coughing up blood.
  • heavy bleeding with your menstrual period.
  • pink, red, or dark brown urine.
  • coughing up or vomiting material that looks like coffee grounds.
  • small, flat, round red spots under the skin.
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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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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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Does thin blood make you tired?

Aside from bleeding-related issues, there are several side effects that have been linked to blood thinners, such as nausea and low counts of cells in your blood. Low blood cell count can cause fatigue, weakness, dizziness and shortness of breath. Be careful mixing medications.
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Why do you take warfarin at 6pm?

Although some patients will take it in the morning, most commonly warfarin is taken at dinnertime (or later in the evening) so that the results from each INR test can be communicated to the patient in time for dose adjustments (if any) the same day.
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What can affect INR levels?

Multiple factors such as vitamin K consumption, drug interactions, herbs interactions, disease states, and alcohol intake affect INR values and thus warfarin dosing.
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What is the safest blood thinning medication?

Safer Blood-Thinning Drugs to Prevent Stroke

The newer medications are Pradaxa (dabigatran), Xarelto (rivaroxaban), Eliquis (apixaban), and most recently Savaysa (edoxaban) — which work by preventing pooled blood in the heart from clotting. Unlike warfarin, the newer drugs are safer and easier for patients to use.
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Can warfarin cause extreme fatigue?

Global rating for change in fatigue intensity showed no increase of fatigue with warfarin use. Conclusions: The short-term use of warfarin was not associated with symptoms of fatigue.
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Can high INR cause death?

A high INR was associated with an excess mortality: with an increase of 1 unit of INR above 2.5, the risks of death from cerebral bleeding (149 deaths) and from any cause were about doubled.
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How do I keep my INR stable?

To keep your INR stable and within the recommended range it is important to: Eat the same number of servings of high Vitamin K foods each week. A good rule is, the greener the plant the higher the Vitamin K level.
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Can you eat bananas while taking warfarin?

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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