Country Anticoagulation in the local language

Warfarin or similar drug

Where to go or ask about INRs

America Anticoagulation Warfarin/ Coumadin/ Jantoven/ Miradon

Make an appointment with a doctor who will refer you for an INR

Argentina Circuint/ Coumader

Australia Warfarin/ Marevan Alice Springs Hospital, Gap Road, Alice Springs, NT087008 8951 7777

Austria Gerinnungshemmer Marcoumar/ Sintrom

Private laboratory/ GP (Allgemeine Arzt), Ambulanz department or central laboratory of many hospitals**

Belgium Antistollings-behandeling

Hospital/ doctor/ Roche +32 2 247 48 38

Canada Anticoagulation Coumadin®-Warfarin, Sintrim®-Nicoumalone

Make an appointment with a doctor who will refer you for an INR

Costa Rica Laboratories or hospitals. Facilities exist throughout the country.

Crete Varfarin Most towns have Micro-Labs or Private Clinics which can be identified with a red cross. The INR can be obtained usually for a maximum price of 15 Euro. Most Hotel receptions will help clients look for a Micro Lab or give information as to where there is one of those clinics with the red cross.

Cyprus Varfarin Private or general hospitalsDenmark AK-behandling Hospital (sygehus)Ecuador Laboratories in the major cities –

Guayaquil, Quito and Cuenca.Eire Anticoagulation Warfarin GP/ hospital Finland Anticoagulant-

tihoitonsaWarfarin GP/ Hospital

France Traitement anticoagulant oral

Fluindione/Acenocoumarol

Central ‘laboratoire analyse’ in all towns, ask for ‘analyse INR’* if not district nurse, doctor or pharmacy, private or hospital lab. In Paris, there was laboratory right around the corner. It cost 14.58euro. No waiting and the results were picked up in the afternoon.

Germany Gerinnungshemmer Marcumar/ Local hospital – INR result should

Phenoprocoumon/ Coumadin

be available the same day. Cost is less than Euro20

Greece Varfarin Private laboratory or hospitalHolland Antistollings-

behandelingPhenprocoumon/ Acenocoumarol

Go to a GPThey cannot advise on correct Warfarin dose, you will have to phone your clinic or doctor

Iceland Warfarin GP/HospitalItaly Terapia

anticoagulante oraleAcencoumarole- Sintrom®/ Warfarin - Comadin®

Centro di Sorveglianza dell’Anticoagualto, hospital or doctorIn Rome go to a Pharmacy and they will direct you to the laboratory. They were very friendly and accommodating. It cost 22euro. No waiting and the results were emailed a few hours later.

Indonesia Simarc-2Japan Warfarin/

CoumadinNot at Japanese equivalent of G.P.

New Zealand

Warfarin Find a drop in clinic, there is a chain called Labtest. The result is phoned through later in the day. The clinics do not take cash only credit/debit cards. Cost in 2013 was 21 NZ dollars, approximately £11.00.

Norway antikoagulasjons-behandling

Private medical centre or clinic, outpatients department of a public hospital (legevakt)

Panama Major hospitals have their own laboratories and there are independent companies. Try Hospital Punta Pacifica Panama or Raly Laboratorios for more information.

Portugal Anticoagulação, terapeutica anticoagulente oral

Varfine Health clinic/laboratory. We can recommend Laboratorio Chagas,Lad.Large Dr.Bernard Lopez, 20-20-1o 8100 Loule-Telephone. 289 463 608.You can ring them for a test and also result in the afternoon.The charge to date is 4,50 euros, better than waiting a long time if you have it done on the system. They give you a print out of results, but you need to adjust dose yourself if necessary, so take your card for reference.

Russia Warfarin/ Nafarin

Singapore Warfarin Singapore General HospitalOutram Road, Singapore 169608Tel: 6222 3322Fax:6224 9221Phone to see whether they will do visitors INR

South Africa

Knysna Private Hospital, 20 Jonker Street,0443841044 (about 500 km east of Cape Town) at the end of the Garden Route every weekday morning. The result is usually available after approx 30 minutes. The Pathcare cost is about ZA 75 which is less than £5.00Somerset West or Constantia Main Hospital referred to as Medi- Clinic. No appointment necessary. Waiting time never more than 2 minutes with results available 2-3hours later. It costs less than £5.00

Spain/ Balearic Islands

anticoagulation Aldocumar/ Sintrom/Syntrom

Private Hospital/ Clinic/ Health Centre

Sweden Warfarin

Switzerland Gerinnungshemmer Cumarine Doctor specializing in ‘Innere(internal)/ Allgemeine(general) Medizin’

Thailand Befarin/ Maforan/ Fargem

BNH, 9/1 Convent Road, Silom, Bangkok 10500, +662 686 2700Used many times and when I needed to see a haematologist they made an instant appointment, very cheapSamitivej Sukhumvit Hospital 133 Sukhumvit 49, Klongtan Nua, Vadhana,Bangkok, +66 (0) 2711 8000Cost about £40 as you have to see a doctor Chiang Mai Ram Hospital053 920300www.chiangmairam.com turn up, register, wait – efficiently seen, phone an hour later for the resultOverbrooks Hospital, RAi Singhakhlai Road, Muang,Chang Rai 57000, 053 711366Turn up, run by nuns as a public hospital for charity, very cheap

but little spoken English – wave your yellow book

Tunisia Warfarin? GP surgery, ask rep. to find English speaking doctor

Turkey Orfarin/ Warfarin

Venezuela Anasmol/ Cumar Anticoagulation and/ or Thrombosis Clinic

*No appointment is needed. A fee of Euro 11 is charged. You will be given a note with the test number, which you present for the print out of the result in about 4 hours. If you don’t speak French it would be a good idea to prepare a document for them stating your ‘nom’ (surname), ‘prenom’ (Christian name), ‘addresse’, and ‘naissance’ (date of birth).**Try and call the laboratory first to see whether they use the same testing method you are used to, i.e. Coaguchek as opposed to venous testing. If you look on the homepage www.roche.at you should be able to find information about which doctors use Coagucheks.