I've worked in a couple of pharmacies that do INR monitoring, and the approach seems to be to let the patient know about the interaction, to be on the lookout for increased bleeding and to have an INR test in the near future (and mention it when they go). The difficult ones are the housebound patients who have their INRs done by someone else. In this case I dont' think there's much else you can do than check that the doctor is aware of the interaction and is going to monitor it.
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