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Originally Posted by Sir_Dispensalot roche do a nifty machine for INR readings called the coaguchek - if you ask them really nicely they'll send you a machine for free. I tried (unsuccessfully) to set up INR services in two pcts - be warned - some pcts and surgeries can be very unhelpful when you try to set up a pioneer service...
there was a good article in the pj in may i think (might have been early june) that gave an excellent list of drugs, otc stuff, herbs and foods that can potentially affect INR (although some of it was a little over-cautious). |
We run an INR clinic at present, just need to work out how to expand it as the GP surgery next door also runs one, though we are far more flexible with appointment times. We have another branch in Maidstone who pretty much look after all the warfarin patients in the town - none of the surgeries there do INR monitoring. We also have a pharmacy over in East Kent who have been running INR clinics for over 20 years. We got the PCT to fund a coagucheck, and they also pay up front for the consumables.