Case Report

Graves’ Disease and Treatment Effects on Warfarin Anticoagulation

Table 3

Outpatient warfarin response status after radioactive iodine ablation of the thyroid and discontinuation of methimazole.

Days since ablationWarfarin dosea
(mg/day)
INRb,cNew warfarina dose
(mg/day)
TSHd
( IU/mL)
Free
(ng/dL)
Free
(pg/mL)

75: TWRSSu
7.5: MF
1.65: TRSSu
7.5: MWF

145: TThSSu
7.5: MWF
3.15: TWThSSu
7.5: MF

245: TWThSSu
7.5: MF
2.9No change

425: TWThSSu
7.5: MF
3.35: MTWThSSu
7.5: F
1.784

675: MTWThSSu
7.5: F
2.8No change

945: MTWThSSu
7.5: F
2.7No change0.1630.45

1225: MTWThSSu
7.5: F
2.5No change

Letters are abbreviations for days of the week: Monday (M), Tuesday (T), Wednesday (W), Thursday (R), Friday (F), Saturday (S), and Sunday (Su).
bINR: international normalized ratio, goals 2-3.
cINR obtained via point of care testing with Roche Diagnostics CoaguChek XS.
dTSH: thyroid stimulating hormone, reference range 0.450–4.500.
eFree T4: free thyroxine, reference range 0.82–1.77.
fFree T3: free triiodothyronine, reference range 2–4.4.