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Safe Anticoagulants Pregnancy
Agents which slow ;/or break down blood clot formation in up to 3 different ways (they do not decrease blood viscosity; thickness.) (1) some inhibit platelet function (e.g. Aspirin, clopidogrel, etc.). (2) others interfere with some of the clot forming proteins (warfarin, dabigatran, rivaroxaban, etc.), (3) others stimulate the blood clot destruction ...Read more
If you are on anticoagulants during pregnancy how do they prevent major bleeding during delivery? Wouldnt u bleed to death if your blood is thinned?
Not coumadin (warfarin): I presume you're NOT taking coumadin/warfarin which is absolutely contraindicated during pregnancy. I presume you must be on a low molecular weight heparin? It should be stopped as soon as labor begins. It will wear off in 8-12 hours and and can be reversed if necessary. ...Read more
Lupus and pregnanacy: Sle or lupus is less likely to cause serious problems in pregnanacy if the disease is well controlled before conception, especially if you are cared for by both a rheumatologist and "high risk" ob. Also presence of lupus anticoagulant can be managed suceesfully. ...Read moreSee 1 more doctor answer
I tested weakly positive for lupus anticoagulant. I have been on baby aspirin for 2months now, can I have a successful pregnancy on that alone?
See details: A low positive test is not clinically significant so no preventative therapy is needed. There is no evidence that low dose ASA has any value in this situation. ...Read more
I have been having recurrent miscarriages.I tested weakly positive for lupus anticoagulant. Can I have a successful pregnancy on baby aspirin?
Does the new oral anticoagulants cause increase in s,creatinine compared to warfarin which one of them is safe in CKD (s.cr.1.7)?
Eliquis best agent: Renal failure effects xaralto more than eliquis and has less gi bleeding ...Read more
Is it usually safe to let a perianal haematoma run its (painful) course without surgical intervention ? Topical anticoagulant ??
Yes: this clotted hemorrhoid (that's what it sounds like) or perianal hematoma will slowly resolve. Suggest you try Sitz Baths with hot water (not "burning" but as hot as you can tolerate it) may help the pain and "speed" the resolution of the clot (resorption)! Hope this helps and BTW topical anticoagulants are useless in this condition! Hope this helps Dr Z ...Read more
Which anticoagulant regime is kidney safe (s.cr2,BUN23)for paroxysmal afib(Apixaban 2.5bd,Xalerto 15onceor warfarine) cause im afraid of nephrotixic?
Warfarin: is the safest...most renal specialists agree that Xalreto is well tolerated! Hope this helps Dr Z ...Read more
Is Apixaban 2.5 mg twice daily safe to be used for paroxysmal Afib in 72 yr hypertensive male with ( s.creatinine1.7)?what is the safest anticoagulant
NothingPerfectlySafe: Always about weighing pros vs. cons, & always lots of guesswork. Best strategy: get SBP low normal (<120 mmHg) by dealing with human issues driving the ?BP +/- ACEI agents & carvedilol (amlodipine only if/when needed). This ?es stroke rates & progression of renal failure. A. Fib always ?es stroke rates, anticoag ?es this partially. Apixaban best newer agent at 5 mg bid, but 2.5 bid less effective. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Anticoagulants are any of a variety of drugs which decrease the body's ability to make or sustain blood clots. They fall, generally, into two categories. Drugs like Aspirin and clopidogrel (plavix) prevent platelets from forming the initial stages of a clot. Drugs like warfarin (coumadin) and dabigatran (pradaxa) block the later process ...Read more
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