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Medical Forum / General / Cardiology / November 2007

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warfarin

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cas - 07 Nov 2007 15:31 GMT
Does anyone know of a n/g covering the use of Wafarin,which is used in heart
conditions to thin the blood.I have been on it for several months now ,but
the readings are unstable as shown on my weekly blood test.Last week it was
INR of 1.90 the week before of 2.90. what are your views .thank you ...cas
Jim Chinnis - 07 Nov 2007 16:31 GMT
"cas" <casquets@tesco.net> wrote in part:

>Does anyone know of a n/g covering the use of Wafarin,which is used in heart
>conditions to thin the blood.I have been on it for several months now ,but
>the readings are unstable as shown on my weekly blood test.Last week it was
>INR of 1.90 the week before of 2.90. what are your views .thank you ...cas

Is your diet varying in some way that could explain the change?
--
Jim Chinnis   Warrenton, Virginia, USA
cas - 07 Nov 2007 19:16 GMT
> "cas" <casquets@tesco.net> wrote in part:
>
[quoted text clipped - 8 lines]
> --
> Jim Chinnis   Warrenton, Virginia, USA

Could be  Jim  . The problem is made worse because I am a diabetic ,type
two, on metformin and the dietician advises me to have a high fibre diet
with plenty of fruit,green vegetables low fat food. all of which contain
vitamin K, But this can affect  the warfarin readings.the Warfarin clinic
diet list of food to avoid is  green veg and many of the foods that the
diabetic  clinic tell me to have, the complete opposite!!   so I cant
win..cas
Andrew B. Chung, MD/PhD - 07 Nov 2007 19:29 GMT
> > "cas" <casquets@tesco.net> wrote in part:
> >
[quoted text clipped - 16 lines]
> diabetic  clinic tell me to have, the complete opposite!!   so I cant
> win..cas

What Jim asked you was about variability in your diet and not the
composition of your diet.

It is the variability rather the composition of your diet that can
potentially enhance variability in your INR.

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
Jim Chinnis - 07 Nov 2007 19:43 GMT
"cas" <casquets@tesco.net> wrote in part:

>> "cas" <casquets@tesco.net> wrote in part:
>>
[quoted text clipped - 16 lines]
>diabetic  clinic tell me to have, the complete opposite!!   so I cant
>win..cas

Keep careful track of the vitamin K from tables and weighing of foods, and
keep it about the same, day-to-day.
--
Jim Chinnis   Warrenton, Virginia, USA
Andrew B. Chung, MD/PhD - 07 Nov 2007 17:35 GMT
> Does anyone know of a n/g covering the use of Wafarin,which is used in heart
> conditions to thin the blood.I have been on it for several months now ,but
> the readings are unstable as shown on my weekly blood test.Last week it was
> INR of 1.90 the week before of 2.90. what are your views .

There can be more variability in the use of unbranded generic warfarin
compared to a branded generic warfarin or branded Coumadin.  This is
because while each generic warfarin maker is held to being consistent
in the amount of medication in each tablet, they are not held to being
the same relative to each other.

> thank you ...cas

You are welcome, Cas.

Redirecting your thanks to my Father in heaven, so that we will both
be that much more blessed (hungrier).

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
Nel - 08 Nov 2007 03:26 GMT
Hi Cas,
 I have been on coumadin for a couple of years now for my Afib heart..I
also take prednisone for an autoimmune disease, so it can make the thinnest
fluxuate. And they are right about the veggies, the dark green ones, but 4
weeks ago mine was 2.6(perfect), and this week it was 1.9, so they just left
it alone and will check again in a couple of weeks..I can't keep track of
all the veggies I eat. Some times more than other...As long as you are
keeping it checked, you'll be fine...Nel

> Does anyone know of a n/g covering the use of Wafarin,which is used in
> heart conditions to thin the blood.I have been on it for several months
> now ,but the readings are unstable as shown on my weekly blood test.Last
> week it was INR of 1.90 the week before of 2.90. what are your views
> .thank you ...cas
Pramesh Rutaji - 09 Nov 2007 04:10 GMT
> Does anyone know of a n/g covering the use of Wafarin,which is used in heart
> conditions to thin the blood.I have been on it for several months now ,but
> the readings are unstable as shown on my weekly blood test.Last week it was
> INR of 1.90 the week before of 2.90. what are your views .thank you ...cas

The Life Extension Foundation had an article a while back on taking vitamin K
regularly along with wafarin in order to get more consistent INR readings.  This
mitigates the cardiovascular and bone loss problems problems(calcium from bones
ending up in other tissues) of wafarin use and allows you to not restrict your
intake of vitamin K containing items since their contribution of your total K
consumption will be small.

Pramesh
Andrew B. Chung, MD/PhD - 09 Nov 2007 09:18 GMT
> > Does anyone know of a n/g covering the use of Wafarin,which is used in heart
> > conditions to thin the blood.I have been on it for several months now ,but
[quoted text clipped - 7 lines]
> intake of vitamin K containing items since their contribution of your total K
> consumption will be small.

This would antagonize the effects of warfarin so that indeed the INR
would be consistent...

... consistently normal.

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
 
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