Hi i am Sex Female. I am 36 years old. 3 years ago, I am suffering from Brain thrombosis which called Lakwa (One Side weakness) Paralysis. Now is OK. But Monthly Report PT INR continuous 1.79 to 2.30. I have consult by a doctor at Thane. But Problem is PT INR fluctuation Rate. So I request you So what is the prevention of PT INR fluctuation Ratio. This Time Precaution Tab 4 mg Five times & 5 Mg Two times.
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Reply: the fluctuation of the pt inr is common. This is due to the variation in the body metabolism and food habits. In order to maintain a pt inr of 2.5 times the normal which in your case seems to be in range, a fluctuation of the tablets is necessary. If your symptoms have improved and you have continued this medication for almost 3 years, you may do a mri with Mr. Venogram and re-assess whether the thrombus is completely resolved. In case, the thrombus is resolved and you are not prone for repeated thrombotic attacks, the tablets can be tapered and stopped. In order to give complete details and treatment schedule, you need to provide all the previous details of the problems, the symptoms, the case records, the imaging and the management strategy till date. Regards
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