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WWW.A4MEDICINE.CO.UK MEDICAL REFERENCE RESOURCE CLEAR AND CONCISE FLOWCHART GUIDELINES SIMPLIFIED RAPID ACCESS FOR PRIMARY CARE CLINICIANS
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Cardiovascular WWW.A4MEDICINE.CO.UK/WARFARIN-HIGH-INR/ Warfarin-High INR High international normalised ratio ( INR )- Consider aspects which may have caused INR to be out of range and level of INR Any medication change ? antibiotic , amiodarone Missed dose or taken too much ? Any intercurrent illness ? gastroenteritis fever , onset of jaundice , weight loss , ? worsening renal function Excessive alcohol consumption ? herbal remedies OTC meds eg cranberry juice , miconazole gel Smoking cessation ( can ↑ the effect of warfarin )
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