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My wife has gone with Mitral Valve replacement surgery 2 years back and St. Judes Mechanical valve has been placed. But from 1 year INR not coming in Normal range which is given by doctors. Acitrom 3/4 MG is being given. What should be done to maintain INR ration in Normal range? Can Warfarin be given instead of Acitrom? And Which is the best Anticoagulant in between Acitrom and Warfarin? Or any other?
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