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Doctor insights on: Antiphospholipid Antibodies Epidural Placement

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I have mild SLE (no organ involvement), only on Plaquenil (hydroxychloroquine). No antiphospholipid antibodies, high BP or f. history of blood clots. Is birth control safe?

I have mild SLE (no organ involvement), only on Plaquenil (hydroxychloroquine). No antiphospholipid antibodies, high BP or f. history of blood clots. Is birth control safe?

Probably safe: Per Uptodate Oral contraceptives containing low levels of estrogen are probably safe in patients with mild well-controlled SLE. Avoid use in pts with with increased risks of clotting. Patients with anti phospholipid antibodies, nephrotic syndrome, hx of thrombophlebitis, CAD, migraines, smokers. uncontrolled HTN. Of course weigh the risks and benefits with your personal Doctor. ...Read more

Dr. Tiffanie Noonan
2 doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more


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What is the definition or description of: antiphospholipid antibodies?

What is the definition or description of: antiphospholipid antibodies?

Auto-antibodies:: Our immune system is programmed to reject foreign protein, and to accommodate our own. In autoimmune diseases like lupus, the genetic program goes into disarray, and starts fighting our personal protein. One such protein is phospholipid and antiphospholipid antibodies can result in blood clotting (thrombosis), fetal death, and destruction of platelets causing bleeding (antiphospholipid antibody sy. ...Read more

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How come some people produce antiphospholipid antibodies ?

How come some people produce antiphospholipid antibodies ?

Miscarriage: Apa, along with lupus anti-coagulant antibody, are two antibodies that attack the areas in the cell wall of growing tissue, especially the fast-growing placental tissue of an early pregnancy. These are newly-discovered causes for recurrent miscarriage, and are usually treated with Heparin injections and Aspirin during pregnancy. The reason for producing these antibodies is not really known. ...Read more

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Does anyone know about antiphospholipid antibodies or ever heard of it?

Miscarriage: Apa, along with lupus anti-coagulant antibody, are two antibodies that attack the areas in the cell wall of growing tissue, especially the fast-growing placental tissue of an early pregnancy. These are newly-discovered causes for recurrent miscarriage, but also place the patient at higher risk for developing a blood clot, especially with hormone use, later in life. ...Read more

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Is there any natural way to treat antiphospholipid antibodies? I am 50 years old, have been on Coumadin (warfarin) since 44 and do not want to keep taking it.

Is there any natural way to treat antiphospholipid antibodies?  I am 50 years old, have been on Coumadin (warfarin) since 44 and do not want to keep taking it.

No: There are no known effective "natural" treatments for this disorder. Please discuss the issue with your doctor to re-evaluate the treatment as newer "blood thinners" have become available. Do not discontinue Coumadin (warfarin) without consulting your doctor. ...Read more

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Is splenectomy in patient with elevated Antiphospholipid antibodies a high risk procedure?

Is splenectomy in patient with elevated  Antiphospholipid antibodies a high risk procedure?

Relative risk: The procedure carries a higher risk for a person with the antibody, than one without it. However, you should discuss it with your surgeon and the added risk could be mitigated by timely anti-coagulant treatment. You may consult this site for info on this topic. http://www.nhlbi.nih.gov/health/health-topics/topics/aps/ ...Read more

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Adult patients with ITP coexist with elevated antiphospholipid antibodies that have splenectomy,do they need to take heparin or warfarin for life time?

Adult patients with ITP coexist with elevated antiphospholipid antibodies that have splenectomy,do they need to take heparin or warfarin for life time?

Generally : May need anticoagulant. They also may need to be maintained on higher platelet to minimize the adverse effects of anticoagulants. This has to be discussed with the treating hematologist ...Read more

Antibody (Definition)

An antibody is a protein the body's immune system makes to identify potentially harmful substances in the body. Antibodies attach to the substance on a molecular level and mark it so the immune ...Read more