Been on 20 mg Coumadin and 130 mg lovenox. My inr reached 2.24 for one day then shot back down the next to a 1.76. It continues going up and down. I don't know what to do.
If you are not seeing a hematologist then you need to see one ASAP. There is no reason that you can't stop the Coumadin and just stay on the Lovenox or you could switch to Arixtra since it has a longer half life than Lovenox. This is something that you need to discuss with a hematologist, regardless of what your GP or Internal Medicine doctor says.
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