What strategies can be used to improve INR control and minimize bleeding complications when taking anticoagulants?
Good control of blood pressure (BP) is essential to reduce the risk of stroke and decrease the risk of bleeding on antithrombotic therapy, adhering to current guidelines on the management of hypertension. To improve INR control, more frequent monitoring and review of factors influencing INR control can be done (including diet, alcohol, and drug interactions). Improving patient education about INR control, INR management by dedicated anticoagulation clinics with experienced personnel, and self-monitoring/self-management in selected individuals can also increase the proportion of time spent in the therapeutic range (TTR). Increasing patient awareness of the importance of anticoagulant medication adherence and the potential bleeding risks associated with overdose are also important to minimize bleeding complications. 