Aa
Coumadin, Plavix, and Tylenol
My grandmother was in the hospital last weekend with an INR of 9.2. I had later found out that her doctors had told her it was OK to take extra strengh Tylenol in addition to taking Coumadin and Plavix. Is this OK? In addition, what is the purpose of taking both Coumadin and Plavix? I understand they work by completely different mechanisms, but is taking both necessary? I am concerned she is not getting the correct information from her doctors. Also, I did my dissertation research in coagulation, so I can understand very technical answers.
Thank you, Dr. Melisa Barhoover
Thank you, Dr. Melisa Barhoover
My wife had a INR level taken at the hospital in Liberty Missouri on 6/25/2011. The doctor sent her home from the emergency room with no work for 5 days and to stay in bed.
As I also take coumadin this is hard to believe when her whole body is aching .
As I also take coumadin this is hard to believe when her whole body is aching .
Thanks. I do not think my grandma does home INR testing. My grad professor could not beleive the INR either, it really is amazing that she is alive.
I did my grad work at CSU under Dr. Michael Kalafatis.
Do you think it is OK to take Extra Strength Tylenol and baby aspirin with the Coumadin and Plavix she is on. I told her to stop taking it for now because of her dangerous INR level. The problem with her doctors is that they do not communicate with each other, so her heart specialist is telling her to do one thing, and her other doctor is telling her something different.
I did my grad work at CSU under Dr. Michael Kalafatis.
Do you think it is OK to take Extra Strength Tylenol and baby aspirin with the Coumadin and Plavix she is on. I told her to stop taking it for now because of her dangerous INR level. The problem with her doctors is that they do not communicate with each other, so her heart specialist is telling her to do one thing, and her other doctor is telling her something different.
I can't believe there IS an INR of 9.2. Don't they check her INR? That has got to be dangerous; ordinarily, one shouldn't go much above 3.5.
It sounds like maybe she hasn't switch to home INR testing--I know people who just don't get around to going to their "monthly" check for three or four months, and don't really appreciate the risk they are taking.
If she doesn't want to mess with home testing, her caretaker or family member could learn and do it fairly readily, I would think.
Just curiosity--where did you do your grad work? Is there a ton of anti-coagulation research going on? (I'd think so, since it seems to be far from an exact science at this point.)
It sounds like maybe she hasn't switch to home INR testing--I know people who just don't get around to going to their "monthly" check for three or four months, and don't really appreciate the risk they are taking.
If she doesn't want to mess with home testing, her caretaker or family member could learn and do it fairly readily, I would think.
Just curiosity--where did you do your grad work? Is there a ton of anti-coagulation research going on? (I'd think so, since it seems to be far from an exact science at this point.)
Have an Answer?
You are reading content posted in the Heart Disease Community
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.
