Should I continue Clavix and Acitrom having blood in urine and high INR values?
Patient: My AORTIC VALVE was replaced 10 years ago twice in a span of 17 days since the first open heart surgery had gone bad on account of one of the suitchers had opened very next day. Since then, I am on CLAVIX 75 and ACITROM 1mg/2mg per day and the INR Values are ranging between1.15 to 1.58 and at times it shoots up to 13/14 when I start urinating blood. I am taking the following medicines besides CLAVIX 75 and ACITROM : - Remistar 5 mg - 1 BD,Lanoxin 6/7, Frusalac DS 1 OD, Amtas 5 1 OD, Arkamin 1 BD and Derriphylin Retard 150 mg 1 BD. Kindly advise if I should continue with CLAVIX 75 and ACITROM? Doctor: i presume that you have metallic prosthetic valve,i feel you may discontinue clavix .and stop temporarily acitrom if INR is above 13,also evaluate yourself for any urological abnormality causing hematuria.once INR returns around 2 you should restart Acitrom.