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Questions and Answers
Is 11 mg a high dosage of Warfarin/Coumadin? Someone I know is taking Warfarin (Coumadin). They are now up to 11 mg a day, and the pharmacist seemed very alarmed that the dosage was that high. Is 11 mg a pretty high dose compared to normal? Website redirects to a sales website, no good. Thanks. How often is often for those blood tests?

zeldaslexicon replied: "Yes, 11 mg is on the high side. However, every person is different and some people require higher dosages of Coumadin in order to be in a theraputic range. Coumadin therapy must be closely monitored. Hopefully, your friend is getting regular blood tests to see where his/her INR is. This is even more important when high doses are being used."

Alena replied: "The usual doses go between 2 and 10 mg for an adult. But that depends on the person, their size and their metabolism. Also depending on what they are taking it for. Usually the Doctor uses the INR (a blood test) to control the level of anti-coagulation the person has, and readjust the dose."

shannonk1977 replied: "that is a high dose of warfarin but some people do require more than others make sure they are getting their protime tests to check their blood thickness"

jloertscher replied: "I don't want to get into the hows and whys of Coumadin. You should know (and the pharmacist needs to be reminded) that some people are resistant to the effects of Coumadin. Nobody is ever started at 11 mg of Coumadin, but depending on their INR (the measurement of how 'thin' your blood is) the dose of Coumadin can be adjusted up to 11 mg an even higher........depending on patient response."

ive take too much warfarin, is my dosage ok? Hi, I have been accidently taking 12 mg a day of warfarin for three days . I was supposed to be taking 4mgs. I have only just foudn out. i have not had any side effects except dehydration........... if i go back to my regular dosage will i be ok?.

the crusader replied: "Yes, you obviously want to go back to your normal dosing, however, you need to notify your doctor about this. Even though you haven't had any symptoms, your doctor will still want to draw some blood and take a look at the level of warfarin in your body and make sure that it is not harming you internally. You really need to call your doctor now and let him know about this. 12 mg is a high dose and he may want you to go to your local ER immediately."

murrayc replied: "just don't cut yourself or hit your head. be careful shaving and brushing your teeth"

kokochin01 replied: "You need to see your dr to have a PT level drawn. The most serious side effect is increased bleeding time which can lead to internal bleeding. This test will tell if you are at risk & what dosage you need to take to bring your PT level down. Only your dr can tell you what dosage you need to take based on your PT level. Please be honest with him/her about what you have done. You aren't the first one to have made a mistake like this."

Citizen X replied: "Please click on this link to get good medical info. Whe it comes to Rx meds it is best to only trust the professionals Thumbs up to the pharmacist. Wish there were more professionals on here to provide good info"

Katie T replied: "I would'nt play with that, why don't you call an emergency room, and ask them??? They will tell you, but for 3 days-I would ask a professional. Everybody's body is different, and the effects are different on each one."

happydawg replied: "No. You need to call your doctor and tell him/her what you have done. You will need to have a PT/INR drawn because your risking bleeding to death from too much blood thinner. Dehydration is not a side effect of warfarin overdose. Dying from a gastrointestinal bleed is a risk and they can reverse the effects of your overdose by giving you vitamin K and or a transfusion of fresh frozen plasma or another drug which I have lost from my vocabulary right now. I am serious. Call your doctor NOW! Also. do not take any more warfarin until you have spoken with your MD."

Will warfarin dosage be effected when you are back on feet? Started on warfarin due to inactivity( in cast ) and a result of a small clot, and now I'm trying to walk and improved a lot that I can walk without crutches( weight bearing but not completly normal walking). Since warfarin is given for inactive body, and now since I'm walking a bit, does it have effect on the inr levels and could result in any kind bleeding or am I safe.The present inr level is 2.2 and pt is 2.6 or 2.9.

ernesto n replied: "You better consult or talk to your doctor about your worry. you can also do test on yourself try to observe 2 to 3 day if you have lower you dose or remove the med on your in take."

N replied: "Your activity level has no effect on the warfarin dose. Moving around will just be beneficial to you in terms of regaining mobility after your injury and preventing clots (as an adjunct to the coumadin). Make sure to follow up with your doctor or clinic to have your INR checked."

My husband is hospitalized he was taking 5 mg. of warfarin his cardiologist changed the dosage to? 7.5 now the doctors are giving him plasma his blood was being war drawn every 2weeks he never called me to tell me to decrease the dosage what do you think

J. J. B replied: "I'm very confused by your question. Why would the doctor increase the dosage to 7.5 after telling you it needed to be decreased? Anyway, warfarin is a blood thinner. Having had some experience with this, they normally draw blood every week until the patient is stabilized. Your doctor had an obligation to tell your husband (not you) to decrease the dosage. Unfortunately due to the need to comply with HIPA, (Health Insurance Portability Act) the doctor can not share health information with you unless your husband specifically authorizes it. One exception is if your husband is not capable of caring for himeslf, then the doctor may share information with you without specific permission from your husband. I went through a very similar experience when I was caring for my mother. She was overdosed on cumedin (very similar drug) because they didn't monitor her as often as they should have and then didn't communicate the I&R results. If I were in your shoes, I would have a discussion with the doctor on his need to exercise more care in communicating information to you or your husband. His failure to communicate the latest I&R results could have had very serious consequences for your husband. Be calm but firm when speaking to the doctor about his failure to communicate such important information. Remind him that you both part of the 'treatment team". Best of luck"

My Dear replied: "To J J B counmdin and warfarin is the same thing. They increase it to 7.5mg probably becasue 5mg wasn't enough. There's a therapeutic level (the range for best result) for this drug. When patient in hopsital pharmacy usually check on the level to make sure patient gets the therapeutic dose. Probably 7.5mg helps maintain the therapeutic level so the doctor never tell you to decrease it."

dynamite replied: "If the drug was increased to 7.5 mg it must because your husband had too thick blood and this prevents strokes In general the expectation for the Doctor to call you is not practical as there may be a lot of reasons you did not get the call. Like the lab did not send the results, the secretary filed it in your chart, the doctor is out of town, etc. This is because there is so much paperwork by the insurances that things are lost or misplaced You have to be on top of your own medical healthcare these days even in the hospital you hvae to ask questions and knwo about your health as a lot of mistakes can occur With coumadin you have to know what is the normal value and the value aimed at for anticoagulation Draw the blood in the am Take the coumadin in the pm so that you call and get the results in the afternoon you can adjust the dose"

Soothing a sore throat as a side effect of Warfarin? I take Warfarin every night. Now and then my dosage is changed. When I have to take more than 5mg per night, the next morning I wake up and my throat hurts so bad its hard to talk actually. Unfortunately, my doctor has decided I need to take 5 (or more) from now on. So, does anyone have home remedies (not medicine please) that might soothe a sore throat? Has anyone else on Warfarin (Coumadin) had sore throats often?

formerly_bob replied: "I had a sore throat from the opposite condition - i had very poor clotting from low platelet counts, so maybe something irritates the throat when clotting is inhibited. Anyhow, i eventually concluded that the soreness was caused from my throat drying out. I used a vaporizer in the room at night and it made enough of a difference that the throat problem went from being very painful to just being a little sore. If your pain is caused by dryness, maybe a vaporizer would help."

The use of brandy as a medicinal would one gain weight instead of using warfarin & aspirin to thin your blood? having been on heparin and warfarin i experienced weight gain and i have this feeling that by taking small dosage of distilled brandy on a more regular basis it could assist in the thinning of the blood.However i am conscious of gaining weight

Jennifer Aniston replied: "http://tolong.in/health-insurance.html"

AnimalFilter replied: "Red wine is the most healthy type of alcohol to incorporate into your diet. However, if you have high blood pressure, daily alcohol can make it worse which would offset any benefit you'd expect to see otherwise. Check with the doctor. Provided you are able, additional exercise would be the best way to offset the weight gain."

Dosages of Warfarin,Aspirine and Ticlopidine? I need the dosages for my assignement as a Dental assistant,I cannot find anything on this.Need yor help,pleae!

bmac replied: "Yes, there IS lots about this on the Internet. You just have to look up each drug. Dosage and strengths."

severina418 replied: "Try They have great drug info."

pickle015 replied: "The dosage for warfarin varies tremendously. I have managed patients who need less than 1mg per day up to a patient who needed 20mg a day. I would say the average dose is either 5mg or 7.5mg per day (usually in the evening). The usual dose for aspirin is either 81mg per day or 325mg per day depending on a person's coronary risk and the doctor's preference. The medical community is not fully decided on which dose is the better one with fewer side effects as aspirin can cause GI bleeding, but too low a dose can decrease its protective properties against coronary/thrombotic troubles. The usual dose for ticlopidine is 250mg twice a day with food."

Alan M replied: "You have the right answer above, but here's some "enrichment" material, in case you are curious. You'll find info on your PT/INR question as well. "

What do I have engraved on my medical alert bracelet? I take Warfarin, the dosage changes monthly. Do I put "coumadin"or "warfarin"? If warfarin is the generic does it really matter? What other information should it have? My name? "NKA" I'd appreciate any knowledgeable answers. Thanks!

Tahlia M replied: "My grandad has a medical bracelet, except his is a little different. It's kind of like a locket, and he put a bit of paper explaining his condition in the locket. And i'm not sure what it says on his bracelet.. i think it just says his name and something else. but i know he takes warfarin and has heart conditions."

DrLove replied: "YOUR NAME Coumadin NKA --- assuming you do not have any allergies that should be sufficient"

What causes "PT" to increase or fluctuate? My dosage of Warfarin is 1.25mg daily.

gangadharan nair replied: "Pulmonary hypertension is a condition in which blood pressure in the arteries of the lungs (the pulmonary arteries) is abnormally high. * Many disorders can cause pulmonary hypertension. * People usually have shortness of breath upon exertion and loss of energy, and some people feel light-headed or fatigued on exertion. * Chest x-rays, electrocardiography, and echocardiography give clues to the diagnosis, but measurement of blood pressure in the right ventricle and the pulmonary artery is needed for confirmation. * Treatment of the cause and use of drugs that improve blood flow through the lungs are helpful. In many cases, the cause is unknown, in which case the condition is known as idiopathic pulmonary arteril hypertension (IPAH). If it is caused by a known medicine or medical condition, it is called secondary pulmonary hypertension. IPAH is rare. It affects more women than men."

izzy replied: "Random variation of INR (International Normalized Ratio) values may occur in a patient, despite stable intensity of oral anticoagulant therapy, as a result of both biological variation (such as minor changes in diet or intestinal vitamin K absorption) and analytic variation (such as minor changes in blood drawing or processing). This is nothing at all to do with pulmonary hypertension."

Dr Frank replied: "Warfarin is a very sensitive drug and is affected by both changes in diet and alcohol intake. I notice that one regular 'Heart disease' contributor has,for not the first time answered the wrong question!"

kcnurse2003 replied: "My question back to you first would be: Are you talking about your actual "protime" or the INR (International Normalized Ratio)? The INR is the standard laboratory value that clinicians, like myself, would monitor to manage and adjust your coumadin/warfarin dose. If you are talking about the INR, consistency is the KEY to maintaining a therapeutic target range. With that said, the use of generic warfarin sodium can make an INR level fluctuate, even if nothing else does. For example, if you have not had any changes in diet, medications (over the counter or prescription) and general health issues, the use of a generic drug could be the issue. I attended a seminar presented by Dr. Moe (Medical Director and cardiologist) and he stated that the FDA allows a 25% variance of a generic drug from it's original dose. For example: warfarin Sodium dosage 1mg Depending on the manufacturer... Dose could actually be 0.75mg up to 1.25mg A slight change like this can reek havoc on the INR result over the course of a year. Most patients want to utilize generic drugs due to the high cost associated with Coumadin and or their insurance formulary suggests it. A patient should not only look at the cost of the medication as a deciding factor but the ancillary costs related to travel/gas cost, inconvenience of poor parking, bad weather, waiting room/lab time, and not to mention more frequent testing due to unstable INR results causing multiple medication adjustments. for more information on topics related to anticoagulation visit my website at"

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