Warfarin INR during infection — GPhC CRA MCQ
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Correct answer: C — Arrange prompt INR follow-up through the anticoagulation service
Acute infection, antibiotics and reduced dietary intake can destabilise warfarin control. An INR of 3.7 without major bleeding usually requires anticoagulation service advice rather than community pharmacy dose changes alone. The pharmacist should provide bleeding safety-netting and ensure follow-up.
Reference: BNF; NICE CKS