I would ask the pharmacist to interpret the instructions.

An INR of 1.9, 1.8 is pretty close to 2. In other words, while not therapeutic, it’s not that low. I find it hard to believe no one at your doctors office can give you guidance on your INR, but when I was on warfarin, if my INR was like 1.8, 1.9 my doc would usually tell me to keep on my normal dose and retest in a week to 10 days. If it was still dropping, then he’s adjust the dosage.

I didn’t think of pharmacist. I will inquire. My only concern with making the choice to stopping progesterone myself is if it will make next month worse.
My gynaecologist is retiring and just closed his office only working out of town hospital in ambulatory care now. I tried calling his office and number doesn’t exist. Very frustrating as he ordered me an iron infusion for anemia with instructions to get a full blood count in 2 weeks after second iron infusion but failed to give me a blood requisition for me to get it done. I called the hospital and ambulatory care is closed until Jan 8th. Then my family dr (who is watching my warfarin dose), comes back from holidays Jan 9th. The spealist I saw in November told me she won’t prescribe warfarin because of the extra monitoring it needs and suggested I take another medication. I refused at this point because I had so many issues and had no problems on warfarin. With the holidays coming I didn’t want to chance changing medications just to please her. It is very frustrating and kinda just adds to my frustrations. I don’t feel like all the Drs I’m seeing are communicating and I could really use them to because I feel like I’m balancing it all on my own. Diabetes, anemia from the blood loss during hemorrhage from first blood thinners I took all on top of the PE.
I tell you though I could kinda guess my INR was going to be low because my heart started acting off and my blood pressure went high in addition to being out of breath again.

It should be on each of the first 10 days of the month (10 tablets, 1 a day for 10 days). The number of pills they gave you should also be a clue to confirm e.g. it should be a multiple of 10. Not sure of the effects the next month.

It sounds really frustrating. I know for me after my PE, I felt the same way. Sometimes you just have to sort of take a breath and assess what’s urgent, what can wait, what’s likely not an issue. Because when you have a lot going on at once, everything feels heightened.

I’m not quite sure I get the correlation between low INR and shortness of breath/heart palps or rate/ high blood pressure. I mean shortness of breath and heart palps or skips or things like that are often related to anemia as well, and also to anxiety and stress. I’ve had low INRs over the years when I was on warfarin, like down to 1.2 and could never tell until I was tested. Anyway, you’ll be ok. I’ve had iron infusions and eventually the do make you feel so much better. Hang in there.

I had my heart checked for back flow. Something about value from when clot went through. I don’t know results of that test but was told they would retest again in 6 months if it came back positive to see if it corrects itself. I’m assuming the thicker the blood the harder my heart has to adjust. When I was taken off thinners when I hemmoraged I couldn’t breath again (it was like the begging when first diagnosed)then I was slowly put back on the thinners and my breathing was better.
I felt funny 2 days before my INR test and that was right after I started the progesterone so I just thought that was it. Had my second last infusion right after Boxing Day.