Your doctor will adjust your anticoagulant dosage based on your International Normalized Ratio (INR) results. A target INR range usually falls between 2.0 and 3.0, though this can vary depending on your specific condition and health history. Regular INR monitoring is critical for safe and effective anticoagulation.
INR Too High (Above Target Range)
If your INR is too high (e. g., above 3.0), you may experience increased bleeding risk. Your doctor might: reduce your anticoagulant dose; temporarily stop your medication; or prescribe Vitamin K to counteract the effects of anticoagulants.
INR Too Low (Below Target Range)
Conversely, an INR that’s too low (e. g., below 2.0) increases your risk of blood clot formation. Your doctor will likely: increase your anticoagulant dosage; or possibly adjust the timing or method of medication administration.
Dosage Adjustment Guidelines
Precise adjustments are highly individual and depend on various factors, including your medication, health status, and response to treatment. Don’t adjust your medication without consulting your physician. They will provide personalized recommendations based on your specific INR levels and health needs.
| INR > 5.0 | Medication may be temporarily withheld, Vitamin K may be administered. |
| 4.0 < inr ≤ 5.0 | Dosage reduction may be advised. |
| 3.0 < inr ≤ 4.0 | Dosage might be reviewed, potential adjustments discussed. |
| 2.0 ≤ INR ≤ 3.0 | INR within therapeutic range, continue current treatment. |
| 1.0 < inr < 2.0 | Dosage increase may be recommended. |
| INR ≤ 1.0 | Significant dosage increase, possibly additional monitoring. |
Communicate with Your Doctor
Open communication with your healthcare provider is crucial. Report any unusual bleeding or bruising, or any other symptoms, immediately. Regular follow-up appointments for INR checks are essential for maintaining a safe and effective anticoagulation strategy.
