Hi doctor,
My mother is 91 years old. She is currently taking 4.5 mg of Coumadin a day. She has developed a very itchy rash on most of her body. She has been on Coumadin for six years, but this dosage is particularly high for her. Her INRs were only showing 1.2 to 1.4, which is why it was increased to 4.6 mg from 3 mg. Will this medicine cause this rash? She is miserable and we are currently putting Triamcinolone cream on the rash. Coumadin was originally prescribed for atrial fib, but she now has a pacemaker and did have an ablation. Is there any way to change her to Aspirin and discontinue Coumadin, which seems to be wreaking havoc with her system? I will be calling her primary doctor tomorrow; however, I want to have a little knowledge when I talk with him. Any of your comments will be appreciated. Thank you.
Hi,
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Based on your query, my opinion is as follows:
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