My INR levels have been all over the place latelyone month it's at 2.5, and then the next it's down to 1.5. My doctor keeps changing my medication dose, and honestly, I'm getting worried. If this continues, could it cause problems with my mechanical valve in the aortic position? I do an echo each year, but I'm still concerned. Can you explain how this might affect me?

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

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Fluctuating INR levels can indeed be concerning, especially for patients with a mechanical heart valve. It is important to maintain a stable INR to prevent complications such as blood clots or bleeding. To help stabilize your INR levels, your doctor may consider prescribing a medication like Warfarin. It is crucial to follow your doctor's instructions regarding dosage adjustments based on your INR levels. If your INR continues to fluctuate, it can increase the risk of blood clots forming on your mechanical heart valve. This can potentially lead to serious complications such as valve malfunction or stroke. Regular echocardiograms are essential for monitoring the function of your mechanical valve and detecting any issues early. To help stabilize your INR and protect your mechanical heart valve, it is important to adhere to your prescribed medication regimen and attend regular follow-up appointments with your healthcare provider.

Answered 9 days ago