I have been diagnosed with a blood clot in my lung. Treatment includes Lovenox and Coumadin.?

I am now off of the Lovenox (thank God…painful shots in the abdomen) but my Dr. can’t seem to get my Coumadin level right. With Lovenox two times daily and taking 6 mg of Coumadin, my INR was 2.3 which is normal. Then my Dr. discontinued Lovenox and raised my Coumadin to 10 mg twice daily which caused my INR to raise to 6.7. Now I’m off of Coumadin for 3 days, then on 9 mg a day for 3 days then another INR test at the end of the week. I’m getting confused and wondering if I should get another Dr. opinion. My Dr. has told me that this clot will never go away, it originated in my lung possibly from Premarin which I’ve been on for 12 years after hysterectomy. I’m also wondering if this could be something besides a blood clot in my lung. Could I possibly have cancer?

With treatment this should go away. However, once on anticoagulants such as Coumadin and Warfarin, one is almost certainly on it for life. I would have thought youd have twice or thrice weekly INRs untill you got to an acceptable level taking 2mgs and 3 mgs on alternate days.
Normally one would have the injections for the first three days of taking the anticoagulant (we call theis the three day loading dose) then a check INR would determine if you need to continue with the injections untill the INR is stable.
we usually use warfarin 10mgs 10mgs 5 mgs for the first three days accompanied by fragmin injections then a follow up INR. If the inr is stable take an INR every 3 days then weekly if remains stable.

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