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How Long Should Tinzaparin Shots Be Taken For Heart Failure?
Question: when do you stop having tinzaparin injections for heart failure if your INR is 2.3
Brief Answer:
I would recommend as follows :
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that you can stop taking tinzaparin as soon as your INR is above 2, while on warfarin.
So as your INR is 2.3 now , you can stop taking tinzaparin injections.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows :
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that you can stop taking tinzaparin as soon as your INR is above 2, while on warfarin.
So as your INR is 2.3 now , you can stop taking tinzaparin injections.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my IRN target is 3.5 i'm on warfarin 10mg. how long will it take to go up to this target from 2.3
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Regarding INR targets, they differ depending on the underlying diagnosis.
With only heart failure diagnosis (a dilated cardiomyopathy), a level of around 2.5 could be sufficient (above 2-2.1 we have a satisfactory anticoagulant effect).
But, if there exist other additional pathological conditions (such as a very dilated heart atrial chamber, or you have actually an implanted mitral valve mechanical prosthesis, heart mural thrombus, atrial fibrillation, etc.), then the INR target should be higher (above 3 up to 3.5).
In such latter case, I recommend continuing Tinzaparin until we have an INR result of 2.5-3.5.
You need to continue Tinzaparin at least 2-3 days and check again INR value (the minimum time needed for Warfarin to achieve a steady change). Nevertheless, the effect is somewhat individual, that's why you need to check the lab test.
In case you need further assistance on managing your INR level and anti-coagulation scheme, I would be glad to help you.
Just let me know!
Kind regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Regarding INR targets, they differ depending on the underlying diagnosis.
With only heart failure diagnosis (a dilated cardiomyopathy), a level of around 2.5 could be sufficient (above 2-2.1 we have a satisfactory anticoagulant effect).
But, if there exist other additional pathological conditions (such as a very dilated heart atrial chamber, or you have actually an implanted mitral valve mechanical prosthesis, heart mural thrombus, atrial fibrillation, etc.), then the INR target should be higher (above 3 up to 3.5).
In such latter case, I recommend continuing Tinzaparin until we have an INR result of 2.5-3.5.
You need to continue Tinzaparin at least 2-3 days and check again INR value (the minimum time needed for Warfarin to achieve a steady change). Nevertheless, the effect is somewhat individual, that's why you need to check the lab test.
In case you need further assistance on managing your INR level and anti-coagulation scheme, I would be glad to help you.
Just let me know!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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