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Doctor insights on: Safe Anticoagulants Pregnancy

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Is it safe to take anticoagulants in pregnancy?

Is it safe to take anticoagulants in pregnancy?

Yes: Anticoagulants carry a risk of bleeding. Usually there is a very good reason for taking anticoagulants in pregnancy. ...Read more

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Dr. Boris Aronzon
504 doctors shared insights

Blood Thinners (Definition)

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


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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?

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

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Is it sle or lupus anticoagulant that causes pregnancy problems?

Is it sle or lupus anticoagulant that causes pregnancy problems?

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 more

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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?

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

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What anticoagulants can be used safely in pregnancy for a pulmonary embolism in UK? Are there any tablets or are they all injections?

Pregnancy Anticoag: Heparin by injection is the recommended management. Warfarin is contraindicated during pregnancy. Other options are outlined on this website: http://www.uptodate.com/contents/use-of-anticoagulants-during-pregnancy-and-postpartum ...Read more

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I have been having recurrent miscarriages.I tested weakly positive for lupus anticoagulant. Can I have a successful pregnancy on baby aspirin?

No: Low dose Aspirin is not an effective therapy for this issue. You need to be on subcutaneous heparin. See a rheumatologist or hematologist for appropriate treatment. ...Read more

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Is it usually safe to let a perianal haematoma run its (painful) course without surgical intervention ? Topical anticoagulant ??

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

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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

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

Dr. Krishna Kumar
4 doctors shared insights

Pregnancy (Definition)

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


Anticoagulant (Definition)

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