My AORTIC VALVE was replaced 10 years ago twice in a span of 17 days since the first open heart surgery had gone bad on account of one of the suitchers had opened very next day. Since then, I am on CLAVIX 75 and ACITROM 1mg/2mg per day and the INR Values are ranging between1.15 to 1.58 and at times it shoots up to 13/14 when I start urinating blood. I am taking the following medicines besides CLAVIX 75 and ACITROM : - Remistar 5 mg - 1 BD,Lanoxin 6/7, Frusalac DS 1 OD, Amtas 5 1 OD, Arkamin 1 BD and Derriphylin Retard 150 mg 1 BD. Kindly advise if I should continue with CLAVIX 75 and ACITROM?