A member asked:

Are doctors going to start putting people with dvt's on anticoagulants forever?

9 doctors weighed in across 3 answers

No: Only in cases of recurrent dvts and certain diseases that increase risk of clot formation/hypercoagulable status may need lifelong coumadin (warfarin).

Answered 7/12/2012

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No: Patients who develop DVT for a reason (immobility) are usually treated for 3-6 months. Blood clots to the lungs (pulmonary embolism) are usually treated longer (6 months - 1 year). Pt who develop DVT without an obvious need to be evaluated for hypercoaguable states that predispose them to clot. Certain dieases and recurrent dvt's make need lifelong anticoagulation.

Answered 12/9/2016

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No: There is good evidence that for a DVT that is provoked and from a temporary condition (i.e. Surgery and immobility), a short course of anticoagulation is good enough. Typically, the longer a person is on blood thinners, the less their chance of having another clot, but this must be weighed against the increase chance for bleeding. After a second clot, though, sometimes lifelong is better.

Answered 5/23/2015

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