BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuProthrombin time (PT)PT; Pro-time; Anticoagulant-prothrombin time; Clotting time: protime; INR; International normalized ratioProthrombin time (PT) is a blood test that measures the time it takes for the liquid portion (plasma) of your blood to clot.A related blood test is partial thromboplastin time (PTT). Partial thromboplastin time (PTT)Partial thromboplastin time (PTT) is a blood test that looks at how long it takes for blood to clot. It can help tell if you have a bleeding problem...Read Article Now Book Mark Article How the Test is Performed A blood sample is needed. If you are taking blood-thinning medicines, you will be watched for signs of bleeding.Blood sample is neededVenipuncture is the collection of blood from a vein. It is most often done for laboratory testing.Read Article Now Book Mark Article How to Prepare for the Test Certain medicines can change blood test results.Your health care provider will tell you if you need to stop taking any medicines before you have this test. This may include aspirin, heparin, antihistamines, and vitamin C. DO NOT stop or change your medicines without talking to your provider first.Also, tell your provider if you're taking any herbal remedies. How the Test will Feel When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or slight bruising. This soon goes away. Why the Test is Performed The most common reason to perform this test is to monitor your levels when you are taking a blood-thinning medicine called warfarin. You are likely taking this medicine to prevent blood clots.Your provider will check your PT regularly.You may also need this test to:Find the cause of abnormal bleeding or bruising Check how well your liver is working Look for signs of a blood clotting or bleeding disorderBleeding disorderBleeding disorders are a group of conditions in which there is a problem with the body's blood clotting process. These disorders can lead to heavy a...Read Article Now Book Mark Article Normal Results PT is measured in seconds. Most of the time, results are given as what is called INR (international normalized ratio).If you are not taking blood thinning medicines, such as warfarin, the normal range for your PT results is: 11 to 13.5 seconds INR of 0.8 to 1.1 If you are taking warfarin to prevent blood clots, your provider will most likely choose to keep your INR between 2.0 and 3.0. Ask your provider what result is right for you.Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results. What Abnormal Results Mean If you are not taking blood thinning medicines, such as warfarin, an INR result above 1.1 means your blood is clotting more slowly than normal. This may be due to:Bleeding disorders, a group of conditions in which there is a problem with the body's blood clotting process. Disorder in which the proteins that control blood clotting become over active (disseminated intravascular coagulation). Disseminated intravascular coagulationDisseminated intravascular coagulation (DIC) is a serious disorder in which the proteins that control blood clotting become overactive.Read Article Now Book Mark Article Liver disease. Low level of vitamin K. Vitamin KVitamin K is a fat-soluble vitamin. Your body stores vitamin K in the liver and other body tissues, including the brain, heart, pancreas, and bone....Read Article Now Book Mark Article If you are taking warfarin to prevent clots, your provider will most likely choose to keep your INR between 2.0 and 3.0: Depending on why you are taking the blood thinner, the desired level may be different. Even when your INR stays between 2.0 and 3.0, you are more likely to have bleeding problems. INR results higher than 3.0 may put you at even higher risk for bleeding. INR results lower than 2.0 may put you at risk for developing a blood clot. A PT result that is too high or too low in someone who is taking warfarin (Coumadin) may be due to:The wrong dose of medicine Drinking alcohol Taking certain over-the-counter (OTC) medicines, vitamins, supplements, cold medicines, antibiotics, or other medicines Eating food that changes the way the blood-thinning medicine works in your body Your provider will teach you about taking warfarin (Coumadin) the proper way.WarfarinWarfarin is a medicine that makes your blood less likely to form clots. It is important that you take warfarin exactly as you have been told. Chang...Read Article Now Book Mark Article Risks There is little risk involved with having your blood taken. Veins and arteries vary in size from one person to another, and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.Other risks associated with having blood drawn are slight, but may include:Fainting or feeling lightheaded Hematoma (blood accumulating under the skin) Multiple punctures to locate veins Infection (a slight risk any time the skin is broken)This test is often done on people who may have bleeding problems. Their risk of bleeding is slightly higher than for people without bleeding problems.Open ReferencesReferencesChernecky CC, Berger BJ. Prothrombin time (PT) and international normalized ratio (INR) - blood. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. St Louis, MO: Elsevier Saunders; 2013:930-935.Lee GM, Ortel TL. Antithrombotic therapy. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 43.Schafer AI. Approach to the patient with bleeding and thrombosis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 162.AllVideoImagesTog Tests for Prothrombin time (PT) Prothrombin time (PT)Factor II (prothrombin) assayRelated Information Bile duct obstruction(Condition)Cirrhosis(Condition)Hepatitis(Condition)Malabsorption(Condition)Vitamin K(Nutrition)Deep vein thrombosis - discharge(Discharge)Cirrhosis(In-Depth)Hepatitis(In-Depth)Vitamins and Phytonutrients(In-Depth) Review Date: 1/19/2021 Reviewed By: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. 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