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The result of an INR test then was grossly abnormal, Mrs Y had peritonitis and was bleeding from her bowel.
However, very rare cases of modification of the INR values have been reported with concomitant use of Rozex and coumarin anticoagulants.
A baseline INR should be checked prior to starting chemoprophylaxis, and re-checked after 1 week of taking chemoprophylaxis.
The decision to administer intravenous heparin once the INR falls below the therapeutic level should be individualized.
The INR is also used to monitor therapy with the anticoagulant warfarin.
