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INR test on warfarin

INR test · PT/INR · prothrombin time · warfarin blood test · clotting test

This blood test shows how fast your blood clots. Your doctor uses it to set your warfarin dose.

Regularly while you take warfarin: more often at the start, then usually every few weeks.

⏱ Duration: the blood draw takes a few minutes; results usually come the same day

Be sure to tell your doctor

How to prepare

  • Warfarin. Take it as usual, at your usual time. Do not change the dose yourself before the test.
  • Food. Usually you do not need to fast, but it is best in the morning before a big breakfast. Check with your clinic.
  • Records. Keep a log: date, dose, and INR result. Bring it with you.

What to bring

  • Your test request form
  • Your ID
  • Your INR and warfarin dose log

How it goes

  1. Blood is taken from a vein, or sometimes from a fingertip with a quick-test device
  2. From a vein: a band is tightened and there is a quick prick
  3. From a finger: a small prick, and a drop of blood is taken
  4. A cotton pad is pressed on the spot

What you'll feel

  • A quick prick, like a pinch

Afterwards

  • Press the cotton pad longer, 5 to 10 minutes. On warfarin, bleeding stops more slowly
  • Your doctor will tell you the result and your new dose
  • Write the result in your log

Contact a doctor straight away if

  • Black stools, blood in urine or vomit, or a nosebleed that will not stop: call emergency services
  • A sudden severe headache, or weakness in an arm or leg: call emergency services
  • Many bruises for no reason: see a doctor in the next few days

Common questions

How often do I need an INR test?

Often at first, while the dose is being set. Then usually every few weeks. Your doctor will give you a schedule.

Can I eat greens on warfarin?

Yes, but about the same amount every day. Sudden diet changes change your INR.