HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does The INR From 1.5 To 2.2 Suggest?

hello sir! i underwent a cross-over bi-femoral bypass grafting recently for a blocked right axillo-femoral bypass graft which was placed 4 years back for right external iliac block. iam a diabetic on insulin glargine 16 units before sleep and diamicron tablets. iam also a hypertensive on tablet amlodipine 5mg od and lasilactone. i also take tablet acitrom 5mg od .... but my INR keeps on fluctuating between 1.5 and 2.2. kindly suggest a reason for this as iam consuming a prescribed diabetic diet without green leafy vegetables and tomatoes...
Mon, 26 May 2014
Report Abuse
Diabetologist,  's  Response
Hi, I had gone through your query and understood your concerns.
I am sorry for the situation you are in.
In my opinion the optimal therapeutic level when using coumarin should be within INR values of 2.0 and 3.0....
Lower values will not offer protection while higher values promote bleeding risk, especially in individuals of advanced age .
Usually depending on this doctor will adjust the dose of acitrom.
This fluctuation might be due to Drug interactions and due to different kinds of food intake which induces your liver enzymes to burn drug quickly.
i suggest to meet your doc for dose change if require.
Hope I was able to help you.
If you have any further question fell free to write me back.I will be happy to help.
Take care.
Best Regards.
Dr Vamsi Krishna
Consultant Diabetologist
Apollo Hospitals
I find this answer helpful
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Amlodipine


Loading Online Doctors....
What Does The INR From 1.5 To 2.2 Suggest?

Hi, I had gone through your query and understood your concerns. I am sorry for the situation you are in. In my opinion the optimal therapeutic level when using coumarin should be within INR values of 2.0 and 3.0.... Lower values will not offer protection while higher values promote bleeding risk, especially in individuals of advanced age . Usually depending on this doctor will adjust the dose of acitrom. This fluctuation might be due to Drug interactions and due to different kinds of food intake which induces your liver enzymes to burn drug quickly. i suggest to meet your doc for dose change if require. Hope I was able to help you. If you have any further question fell free to write me back.I will be happy to help. Take care. Best Regards. Dr Vamsi Krishna Consultant Diabetologist Apollo Hospitals