Warfarin and Dentistry
Today I encountered a new twist on anticoagulation and dentistry. I guess we all know that dentists want our INR to be lowered before invasive dental surgery such as extractions. In fact their code suggests it must be below 4.0. Today I arranged to have an extraction next week and my dentist (in Sheffield) told me that he has received a new code of practice which says that he must have official, written confirmation of INR which was tested not more than 24 hours before surgery in order to proceed. He will accept a dated printout from an approved testing machine.
If, like me, you use the Coaguchek XS machine to self test but don't have the CoaguChek XS Connect device to produce an official, dated printout you have a problem.
Today I have ordered the "connect" device which comes with the necessary software to produce an acceptable printout from my home printer without which I imagine I would have to take my machine and test my INR in his presence!
Keep brushing those teeth well!