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Talk to Internal Medicine on INR Level Is Low, 2 Metallic Valves Patient

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Asking For Father, Male 64, Online

My father is on Warfrain medicine from so many years, he maintains his dosage by checking INR Level which he has to maintain 3 to 3.5, but recently he got severe malarial attack which effected everything like HB, Platelettes, bp etc. INR was shppted up suddenly to 14, then admitted hospital doctors gave him vitamin K injection. after which INR Decreasrd to 1.3 suddenly, then started normal dose of Warfrain 5mg , then 7.5mg, INR went up to 2.5 then again its Decreasrd to 1.7, 1.9 which is Low as he is cardiac patient.

He is not taking green leafy vegetables as we know it contains vitamin k, What to do kindly guide.

Internal Medicine Specialist in Bahawalpur - Asst. Prof. Dr. Abdul Wahab Mir

Asst. Prof. Dr. Abdul Wahab Mir - Internal Medicine Specialist

| MBBS | FCPS (Medicine) |FCPS nephrology | Bahawalpur

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5 Positive Reviews

Increase dose of warfarin

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Post Owner


taking 7.5 mg daily already

4 months ago

Internal Medicine Specialist in Bahawalpur - Asst. Prof. Dr. Abdul Wahab Mir
Asst. Prof. Dr. Abdul Wahab Mir - Internal Medicine Specialist

| MBBS | FCPS (Medicine) |FCPS nephrology | Bahawalpur | Book Appointment

review-stars 5 Positive Reviews

Increase to 8mg and recheck INR tomorrow.

4 months ago

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Post Owner


sir, the tablets come in 5 mg only by shagon company. So only 5,7.5 or 10 mg is possible to take.
From yesterday he has started to take clexane 12 hourly injection along with 7.5mg , is it ok? or should warfrain does also be increased more?

4 months ago

Internal Medicine Specialist in Karachi - Dr. Syed Sardar Ali

Dr. Syed Sardar Ali - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Karachi

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40 Positive Reviews

why he took warfarin and what cardiac ailment he suffering from

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Post Owner


His 2 valves replaced with metallic one back in 2008. DVR, since then taking warfrain

4 months ago

Internal Medicine Specialist in Karachi - Dr. Syed Sardar Ali
Dr. Syed Sardar Ali - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Karachi | Book Appointment

review-stars 40 Positive Reviews

continue Claxene until he reach safe INR

4 months ago

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Post Owner


also note this Dr. sb, that when he had malaria his INR level went to 14, hospital doctors gave vitamin k injection after which INR dropped to 1.3, then it increased little bit till 2.5 now again it's dropping and continuously it's 1.7,1.8 that's making us worry. how to increase it now

4 months ago

Member of Marham-Forum

also plz not that he is taking enzultamide medicine from 3 weeks for Prostate CA

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