Day | INR | DOSE |
---|---|---|
D0 | < 1,2 | 20 mg |
D2 | 1–1,4 | 30 mg |
1,5–1,7 | 25 mg | |
1,8–2,3 | 20 mg | |
2,4–3 | 15 mg | |
>3 | 10 mg | |
D4 | <1,8 | +10 mg |
1,8–2,0 | +4 mg | |
2,1–2,5 | unchanged | |
2,6–3 | dose > 20 mg: -5 mg | |
dose ≤ 20 mg: inchangée | ||
>3 | dose > 15 mg: -10 mg | |
dose ≤ 15 mg: -5 mg | ||
D6 | <2,3 | +5 mg |
2,3–3,5 | unchanged | |
>3,5 | -5 mg |