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Old 05-30-2012, 07:18 PM   #1
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Is low pt inr dangerous?

Hi Everyone,
I was I the hospital last fall with blood clots in my lungs I was put on coumadin and lovenox. The lovenox shots were discontinued as the warfarin began to work. Well, the value with my pt inr is low at 1.35 and below theraputic levels. My hematologist wants me on lovenox shots twice daily for a month, but I just cannot afford them.
Is it dangerous for me to go without the lovenox? Any advice? I do not want to worry unnecessarily.
Thanks!

 
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Old 05-31-2012, 10:13 AM   #2
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Re: Is low pt inr dangerous?

Quote:
Originally Posted by TiffanyL View Post
Hi Everyone,
I was I the hospital last fall with blood clots in my lungs I was put on coumadin and lovenox. The lovenox shots were discontinued as the warfarin began to work. Well, the value with my pt inr is low at 1.35 and below theraputic levels. My hematologist wants me on lovenox shots twice daily for a month, but I just cannot afford them.
Is it dangerous for me to go without the lovenox? Any advice? I do not want to worry unnecessarily.
Thanks!
My understanding is that 1 is the normal number for most people. They want the number to be between 2-3 to be theraputic. I have recently started warfarin and the doctor just adjusts the dosage until it gets to what is needed. I went as high as 5.8, which was not good to a low of 1.9. Right now it is at 3 with another blood test next week. Had about 12 blood tests in the last 10 weeks. Never talked about lovenox just adjusting the warfarin doseage.

 
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Old 11-14-2012, 09:29 AM   #3
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Re: Is low pt inr dangerous?

Hi,
When I developed pulmonary emboli in both lungs my INR was 1.7. I had been on a 6 month regimen of warfarin (Coumadin). I was below therapeutic level but high enough that I received genetic causative testing. I have Factor V Leiden , a genetic problem, and others. My hematologist now wants my INR between 3.5 and 4.
To answer your question, yes it is dangerous. However, warfarin therapy is used quite extensively and is low cost. Target Pharmacies offer a $5 per month warfarin refill. Your doctor probably has a good reason for using Lovenox. Ask him, or her, of there is an alternative you could use.
There are no stupid questions regarding your health. Not asking is problematic.
You need to receive a INR test repeatedly until your INR is therapeutic. Then you need maintenance INR checks. Most hematologist's offices have a test protocol using a test strip similar to diabetic glucose testing. It is much cheaper than having lab work by Quest or Labcorps. Labs can't use the machine as a doctor needs to be present to instruct you on adjusting your medication.
You need to make it a priority to control your INR. If you don't, the ER and ICU visits are much more expensive than any of the medications you are taking.

 
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