Coumadin & nose bleed

[shell921]

My husband is on coumadin, plavix & asprin [ 325 dose ] because he has a-fib & stents.
A few days ago he got a nosebleed and we went to the ER.
at the ER they checked his INR and it was 2.7.
The coumadin clinic wants it between 2 & 3 but 2.7 is at the high end.
Do you think he can omit the aspirin ? Or should I call the doctor?

If he omitted the aspirin would that would put him a little lower in his INR like 2.1 or 2.2 ?
that seems like a safer number.  anyone ever go through this?

[shell921]

Thanks everyone for your answers. The cardiologist called back and told him to stop the Plavix and take one 81mg baby asprin instead of the regular adult one. It's been 14 months since his stents were place so now he is on just coumadin and baby asprin. His last INR 2 days ago was 2.2

[ed34]

One thing to watch in association with INR is blood pressure. You obviously don't want hight blood pressure and INR. I thought the target INR for A-fib is usually 2-3 unless the patient has a mechanical valve, then it's higher, 2.5 -3.5.

[Paderla Anitha, DNB]

Hello and hope you are doing well.

The INR varies from lab to lab. Aspirin helps reduce the risk of heart attacks and strokes by inhibiting the production of thromboxane, a chemical that causes platelets to stick. Coumadin acts by inhibiting vitamin K and the clotting mechanism. So, stopping aspirin might not have an effect on the INR. But combined both the medications have an effect on bleeding. So, please contact your concerned physician at the earliest.

Hope this helped and do keep us posted.

[shell921]

Thanks for your comment. I have a call in to hubby's cardiologist as his next appt with her isn't until June. She will call me back tomorrow I hope.

[Flycaster305]

I have an ongoing problem with blood thinners, different than your husband's issues, however.
This is a question best answered by a health professional who can look at the entire picture, not a snapshot on a chat board.  That being said, I'd urge you to report any bleeding issues, such as coughing blood, blood in stools or urine, unusual bruising or skin-tearing to your doctor.  He is taking a huge load of blood-thinners.  He may be at high risk for a heart attack or stroke, so I suggest you talk to your doctor before removing drugs on your own.  Keep us informed.