Why did my blood-thinning level (INR) drop from 2.13 to 1.82 after my dosage was increased from Acitrom 3 daily to a combination of Acitrom 3 and Acitrom 4, and what should I do to manage this given my history of a narrowed heart valve and a blood clot?
Fluctuations in INR can happen due to dietary changes (like eating more green leafy vegetables), minor illnesses, or other medications interacting with Acitrom. Because of your history of a narrowed heart valve and a blood clot, keeping your INR in your target range is very important. Please contact your doctor or cardiologist right away. They will likely review your daily diet, confirm your exact dosing schedule, and safely adjust your Acitrom dose to bring your INR back to a safe level. Meanwhile, watch for any unusual swelling, pain, or shortness of breath.