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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 5660
Experience:  Emergency Medicine and Family Practice for over 26 years
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I am supposed to keep my INR reading between 2.0 and 3.0. I

Customer Question

I am supposed to keep my INR reading between 2.0 and 3.0. I was very steady for a long time and now I go up and down. What do I need to look out for to keep my INR readings steady?
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Cameron replied 2 years ago.
HiI am not sure what you mean with your question.
Customer: replied 2 years ago.

My PA will change the amount of Warfarin, or the number of pills to take to adjust my INR reading.

Expert:  Dr. Cameron replied 2 years ago.
have you had your labs done recently- kidney function?
Customer: replied 2 years ago.

That will happen in August.

Expert:  Dr. Cameron replied 2 years ago.
Well, things that can change your INR readings are:1. stress2. Change in medication (other than warfarin), over the counter medications3. time of medication intake4. food intake5. generic versus brand name warfarin6. vitamin supplements7. physical activitySo, you should talk to you PA about any of these possibilities- they can account for fluctuations in your iNRI hope that this helped. please leave positive feedback for my time and expertise :-)
Expert:  Dr. Cameron replied 2 years ago.
did you see what I wrote?