Heart Disease - I have had, on two separate occasions, very high coumadin levels, and it manifested... itself as confusion, slurred speech and eventually passing out. Is this a common side-effect of high PT/INR (over 6) or am I drawing conclusions that are not really there?
Can high coumadin levels or high PT/INR cause confusion, slurred speech and eventual passing out?
Question posted by jeepdoc513 on 18 Oct 2010
Last updated on 22 December 2016 by JohnAndrew
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11 Answers
I have a protein C deficiency as well as factor 5. I this week will discontinue use of warfarin and try xerelto because my I.N.R. fluctuations are dangerous. From a Two last week to greater than 8 this week. A year and a half. The side effects of greater than 8 is basically like being high or drunk plus panic on top. Heart racing nausea. Can't eat. No focus and memory loss.
I've experienced this problem also... I also feel vibration in my fingertips n toes. But I also have a Greenfield Filter in my main artery in my stomach..wut is Ur opinion on this? Could this be the filter or Coumadin causing this vibration or both?
My mom occasionally has DVTs in her legs and has been on coumadin for awhile now. Recently tho' her INR has been high. She was in the emergency room and it was off the charts, they couldn't even measure it. She has Alzheimer's disease and falls quite frequently so is now in assisted living as she needs 24 hour care. The last couple of days that I visited she seemed drugged, her voice sounded really strange. Her INR was checked today and it was high and her PT was 65.6. They are holding her coumadin for 3 days and will check her INR on the 4th day. It is scary not knowing what's going on and I'm getting used to the way she acts since being diagnosed with Alzheimer's disease, but it's when something out of the ordinary happens, it's even more worrisome.
I've been on cumodin for only four weeks now following a Pe but my
iNR levels are all over the place. Levels come out high then I don't take cumodin for a few days, the numbers trend downward and then this morning way higher than it has been to date. I understand that fluctuation is normal but what could have made the numbers jump so high after heading lower. Has this happened to any others?
Hi i am on 20mg coumadin5 days and 25 mg the other 2. I also am on levenox 2 times aday 120 shots though I have not passed out... yet I feel like I've been close what i do have is blurred vision. Hot flashes.headaches.confusion.forgetfulness. Light headed. My inr is hard to keep in check the week before I had an inr 9.6 I was in the VA for 6 days in ICU. I dont drink. Im on top of my diet. Ive been on these meds for roughly 3 years constant. All i can say is keep a close eye on it and if you feel like something is different ask. I have a rare heart condition.
good to hear everyones responses as i thought i was the only one! I am 30 yr old f with antiphosphilipid syndrome (coagulation issue) life long warfarin user often taking 12mg daily. i find that i am forgetting the most basic things and have at times been overcome with the sense that i am about to pass out. i have often wondered if it was indeed the warfarin or whether or not a symptom of my syndrome.
I was diagnosed with antiphospholipid antibody syndrome too! I have been taking 12.5mg daily. Recently, I have been feeling "spacey" and like I have been in a fog. I went for my INR check it it was at 4. (The highes that it has ever been) in 4 weeks my INR went from 2 to 4) The doctor said that this should not effect my feeling "spacey" but other posts that I have read mentioned lightheadedness. Has this happened to you? What side effects doe you have?
Crashell82, I feel like I could have wrote what you did myself. I'm 32 I've had aps for 8+ years.I often get dizzy or light headed and feel like I'm going to pass out :-( I think its terrible we feel this way, but in a sense glad to know I'm not the only one :-) my Inr was over five today and I feel miserable. Anyone else have aps, and also do you get migraines? Thank you.
It seems to fit a pattern.
I was taking Coumadin for five months and was having a memory problem when I had a blackout. A friend who takes coumadin also reported a blackout. How common is this side effect?
I have a friend who had a high INR level who passed out shortly after dialing 911. She had been placed on warfarin and heparin by a doctor for a superficial DVT. No other health issues at the time. Her INR at the time was greater than 8 if I recall correctly. This is a 30 year old woman who ran regularly and in good shape. No diabetes, etc.
Hello jeepdoc513. I used to work in an Anticoagulation Clinic. I saw many patients over the years with INRs >6, but more often than not, they were not symptomatic. Often times the patients had other conditions that caused their INRs to go up in the first place (heat stroke, heart failure exacerbation, infection, antibiotic use that they forgot to mention to the Anticoag Clinic staff... ) Is it possible that you had something else going on that may have affected your diet or activity level, or perhaps a medication change, or even a change in your medical condition?
I am also diabetic, and after I started with these symptoms, maybe 2 hours after, I remember (in a dream like state) getting up and eating two cupcakes with frosting, thinking that my blood sugar may have been down. I didn't check it, but the symptoms escalated to the point of me passing out. When I got to the ER, my coumadin level was >6 and my blood sugar was >500. A), my blood sugar apparently was not low, as two cupcakes would not raise it that much. B), The symptoms didn't change, and the same thing happened to me about 18 months ago, same symptoms, coumadin >7, BS within normal range. So now it just gets more interesting. Could a high coumadin level increase my blood sugar, since the blood would be thinner, or is it being "thinner" a misnomer? I appreciate everyone who has read this and those that have responded.
Coumadin does not affect your blood sugar. I am also a diabetic type 2 and like I said on Coumadin for life and never has Coumadin affected my blood sugars. I have also consulted my Hematologist and Coumadin does NOT affect blood sugars so I think you need to look elsewhere for an issue and not with the Coumadin. Good luck, marjorie zych
Ok, thanks so much for your responses. I will continue to try to get this remedied.
Jeepdoc513, you are correct in that "blood thinner" is a misnomer. Coumadin is an anticoagulant, but it doesn't thin the blood at all. It also doesn't have any effect on the blood glucose level, but stress, illness, and diet do. Stress and illness will also affect your INR. I'm not saying that the elevated INR couldn't cause your symptoms, but I think it is unlikely, and just to be safe, I would examine other potential causes if I were you. The first episode sounds like the symptoms could have been related to your blood sugar. Not sure about the second episode, though.
Hello jeepdoc513, I have been on Coumadin for many years and will be on it for life because of a blood clotting disorder called Factor 5 Leiden and I have been warned of those very same side effects by a Hematologist so you are not off base my friend. Please keep a close eye on your PT/INR results it sounds like they may need to be checked more frequently than they are if this is happening. Do you have a Hematologist or just an internist? Coumadin is a very tricky drug so you have to really watch your diet also as well as other medicines you may take especially antibiotics and fish oils as well. If I can be of any help I will try so feel free to ask anytime. marjorie zych
Thanks for your input Marjorie. Please read the comment I made to the second response. I thought it would show up differently, but it showed as a comment to their reply only.
Hi Marjorie. I too have Factor V Leiden and was recently hospitalized for 2 wks for a clot in my colon. Though I'd had clots in my legs 3 yrs ago post back surgery I was only prescribed coumadin for 6 mos. Now I'm told I'll be on it for life. Like this poster I too have been feeling a bit 'forgetful' and am concerned. Last night I couldn't remember whether or not I'd taken the coumadin so I decided to skip it & contact my phys this morning. Has anything like that ever happened to you? Any advice @ Factor V? (thanks in advance)
do you have a hematologist? I would highly recommend you have one who knows about factor V leiden. You may want to ask for the whole panel of blood work for clotting disorders I did and I also have more stuff so as they say knowing is half the battle. You do need a specialist in this though to keep you healthy. Stress, illnesses, medicines, diet all affect how you do with your PT/INR's good luck if I can help in any way add my name to your friends list and feel free to send me a personal message if you want. marjorie zych
Hi, I'm also on warfaran, and will be for life. I have TWO blood clotting disorders! 1 is Factor 5, the other is DVT. My blood levels bounce around alot. I've had it as low as below 1 to as high as 6. right now I'm at a 5 which is a danger for me, and because I'm such a clutz, I'm now on bed rest for a few days. I get up every couple of hours for circulation, but if I so much as bump into something. or one of my dogs scratched me, I can easily hemmorage. Both when it's High or low, I get shakey, dizzy, and massive headaches. I see a hemotologist, and have my coumadin level checked constantly. And take my warfarin regularly!! every day can be a struggle. I have several other health problems as well, but I've had more surgeries due to blood clots than anything else! In Nov. 2007. Jan. 2008 I had 8 blood clot surgeries!!! If you have any questions, please feel free to comment to me. I'm also greatful I found this site. So I can talk to other people like me
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Further information
- Coumadin uses and safety info
- Coumadin prescribing info & package insert (for Health Professionals)
- Side effects of Coumadin (detailed)
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