Guest guest Posted December 31, 2005 Report Share Posted December 31, 2005 > > > I need to have a wisdom tooth extracted on Tuesday.snip I am concerned about > the INR dropping below 2.0, which is most likely to be the case. > > Don---- Here >you did not say if you are in persistent AF etc. If you are then, it may be a concern but : A)if you are a major bleeder then adjust down early (two or three days). otherwise so you bleed a bit extra . If the bleeding thing is not a huge concern (you may bleed a fair bit) knock off the coumadin after the morning dose , the day before of the procedure. C) If you are really worried about the stroke risk:take at least 3/4 of your dose the day before.Then you can take a double the recommended amount (on the bottle) of " green " suplement the night before (there at many groceries and health food stores everywhere ) In each case take the meds with you and pop one as soon as the bleeding stops.If you are at risk(stroke ) extra dose by 50% on the morning then go regular. I think this is safe advise but i am not a Doctor your cardio gave you a fairly standard recommendation for average risk folks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2005 Report Share Posted December 31, 2005 > > > I need to have a wisdom tooth extracted on Tuesday.snip I am concerned about > the INR dropping below 2.0, which is most likely to be the case. > > Don---- Here >you did not say if you are in persistent AF etc. If you are then, it may be a concern but : A)if you are a major bleeder then adjust down early (two or three days). otherwise so you bleed a bit extra . If the bleeding thing is not a huge concern (you may bleed a fair bit) knock off the coumadin after the morning dose , the day before of the procedure. C) If you are really worried about the stroke risk:take at least 3/4 of your dose the day before.Then you can take a double the recommended amount (on the bottle) of " green " suplement the night before (there at many groceries and health food stores everywhere ) In each case take the meds with you and pop one as soon as the bleeding stops.If you are at risk(stroke ) extra dose by 50% on the morning then go regular. I think this is safe advise but i am not a Doctor your cardio gave you a fairly standard recommendation for average risk folks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2005 Report Share Posted December 31, 2005 > > > I need to have a wisdom tooth extracted on Tuesday.snip I am concerned about > the INR dropping below 2.0, which is most likely to be the case. > > Don---- Here >you did not say if you are in persistent AF etc. If you are then, it may be a concern but : A)if you are a major bleeder then adjust down early (two or three days). otherwise so you bleed a bit extra . If the bleeding thing is not a huge concern (you may bleed a fair bit) knock off the coumadin after the morning dose , the day before of the procedure. C) If you are really worried about the stroke risk:take at least 3/4 of your dose the day before.Then you can take a double the recommended amount (on the bottle) of " green " suplement the night before (there at many groceries and health food stores everywhere ) In each case take the meds with you and pop one as soon as the bleeding stops.If you are at risk(stroke ) extra dose by 50% on the morning then go regular. I think this is safe advise but i am not a Doctor your cardio gave you a fairly standard recommendation for average risk folks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 1, 2006 Report Share Posted January 1, 2006 Don, Ask your Cardiologist. Mine has always OK'd it. Your INR will definitely drop, but you don't want excessive bleeding during any dental surgery. As I understand low INR would only be a problem if you had an Afib episode that pumped out a clot after you converted to NSR that might cause a Stroke. I also have to take a 4 100MG Amoxcilin Capsules one hour before I have my teeth cleaned and most other dental procedures to be sure no infection goes to my heart which has two stents. Harold _______________________________________________________________ Message: 9 Date: Sat, 31 Dec 2005 15:10:09 -0800 Subject: Dental procedure I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 1, 2006 Report Share Posted January 1, 2006 Don, Ask your Cardiologist. Mine has always OK'd it. Your INR will definitely drop, but you don't want excessive bleeding during any dental surgery. As I understand low INR would only be a problem if you had an Afib episode that pumped out a clot after you converted to NSR that might cause a Stroke. I also have to take a 4 100MG Amoxcilin Capsules one hour before I have my teeth cleaned and most other dental procedures to be sure no infection goes to my heart which has two stents. Harold _______________________________________________________________ Message: 9 Date: Sat, 31 Dec 2005 15:10:09 -0800 Subject: Dental procedure I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2006 Report Share Posted January 2, 2006 Don - are you in permanent afib? If not, then dropping below 2 shouldn't be a problem if you start up again after the procedure. If you are in permanent afib, or in afib often each day, then you should talk to your doctor about an alternate blood thinnner.. like lovenox. Stef Blubaugh wrote: I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2006 Report Share Posted January 2, 2006 Don - are you in permanent afib? If not, then dropping below 2 shouldn't be a problem if you start up again after the procedure. If you are in permanent afib, or in afib often each day, then you should talk to your doctor about an alternate blood thinnner.. like lovenox. Stef Blubaugh wrote: I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2006 Report Share Posted January 2, 2006 Don - are you in permanent afib? If not, then dropping below 2 shouldn't be a problem if you start up again after the procedure. If you are in permanent afib, or in afib often each day, then you should talk to your doctor about an alternate blood thinnner.. like lovenox. Stef Blubaugh wrote: I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2006 Report Share Posted January 2, 2006 Correction to my message below. The Dentist and Cardiologist have me take 4 500MG (not 100MG) capsules of Amoxicilin before most Dental Procedures including cleaning, but this due to the two stents I have and not due to the Afib episodes. Harold Dental procedure I need to have a wisdom tooth extracted on Tuesday. Cardio says drop warfarin for four days before the procedure and start up again immediately following it. Have others experienced this routine? I am concerned about the INR dropping below 2.0, which is most likely to be the case. Don Quote Link to comment Share on other sites More sharing options...
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