Used instead of INR to monitor warfarin in patients bridged with direct thrombin inhibitors that might interfere with INR. Drug Interactions Analysis and Management. Patient assessment nomogram. UW Medicine Anticoagulation Services. No dosage adjustment may be necessary if the last two INRs were in range, if there is no clear explanation for the INR to be out of range, and if in the judgment of the clinician, the INR does not represent an increased risk of hemorrhage for the patient Consider continuation of prior maintenance dose if factor causing elevated INR is transient e. Consider holding 1 dose Consider resumption of prior maintenance dose if factor causing elevated INR is transient e.

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Check INR after 2 days and adjust dose according to results. Consider dosage based on genotype see Genomic Considerations We offer free shipping on all orders shipped to North America. Price Match Guarantees If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. Ofzpon says: January 16, at pm. Yiwxzs says: February 12, at pm.

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Warfarin can cause major or fatal bleeding. Drugs, dietary changes, and other factors affect INR levels achieved with warfarin therapy. The adult dosing recommendations are based upon the best available evidence and clinical expertise. Note: Dosing must be individualized and use of an institutional protocol is recommended Ref. Response to warfarin is influenced by numerous factors eg, age, organ function as described below.

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