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Lab test

INR (International Normalized Ratio)

INR (International Normalized Ratio) is a standardised way of reporting prothrombin time so results are comparable worldwide.

Normal range (adults)
0.8–1.2
Sample
Blood
Fasting
Not usually needed
Also called
International Normalized Ratio, INR Ratio, PT INR, Prothrombin INR

INR normal range

Group ValueSame unit in all countries
Adults0.8–1.2

Ranges vary slightly between laboratories. The range printed on your own report is the one to go by.

Why is the INR test done?

It is used to monitor warfarin, check liver function and assess bleeding risk before procedures.

What does a high INR level mean?

Above the normal range without warfarin suggests liver disease or vitamin K deficiency. On warfarin, most people aim for 2 to 3; above that raises bleeding risk.

Common causes

  • Warfarin dose too high or interacting medicines
  • Liver disease
  • Vitamin K deficiency

Diet and lifestyle tips

  • Keep vitamin K foods (spinach, broccoli, lettuce) steady from week to week
  • Avoid alcohol binges
  • Tell your doctor about any new medicine or supplement

What does a low INR level mean?

On warfarin, an INR below target means a higher clot risk.

Common causes

  • Missed warfarin doses
  • Sudden increase in vitamin K-rich foods
  • Interacting medicines

Diet and lifestyle tips

  • Take warfarin at the same time every day
  • Keep greens steady rather than suddenly increasing them

When should you see a doctor?

On warfarin, follow your clinic's schedule. Seek urgent care for heavy bleeding.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.