Doctor insights on:
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
What anticoagulants can be used safely in pregnancy for a pulmonary embolism in UK? Are there any tablets or are they all injections?
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
Im on new oral anticoagulant rivaroxaban i feel very fatigued is it safe to take a vit supplement while im on this drug?
Yes but . . .: You need to discuss your concerns w/your prescribing doctor. Rivaroxaban is sold here in the states as xarelto (http://www.Drugs.Com/mtm/rivaroxaban.Html). While it isn't affected by vitamin k (unlike warfarin), it's still a good idea to chat w/your family doc to discuss why you're feeling fatigued. You didn't mention why you're taking this drug. Atrial fibrillation can make you tired. So can blee. ...Read more
What anticoagulant is safe in CKD b/c Apixaban cause an increase ins.cr from 1.7 to 2.1are those NOAC nephrotixic compared to warfarin in atrial fib?
Coumadin (warfarin): Does not affect kidney functionGet a more detailed answer ›
A blood abnormality: It is a substance in the blood, usually an antibody, that interferes with the tests that analyze of ability of blood to clot. The most common is an anti-phospholipid antibody, or lupus anticoagulant, which actually makes clotting more likely. There are other antibodies that can make blood not clot (acquired hemophilia, etc.) drugs that prevent clotting are also "circulating" anticoagulants. ...Read more
Clot Stopper: 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 of solidifying the clot. ...Read more
Circulating anticoag: read this: http://www.merckmanuals.com/professional/hematology-and-oncology/coagulation-disorders/coagulation-disorders-caused-by-circulating-anticoagulantsGet a more detailed answer ›
Clotting antibody: The lupus anticoagulant is a phospholipid antibody that can bind to cell membranes to make them sticky and increase the risk of blood clotting. It can occur transiently as the result of infections or medicines, or it can occur as spontaneous auto-antibodies or with autoimmune diseases. It may increase the risk of infertility or recurrent miscarriages. ...Read more
Part of lupus : You produce antibodies that can interact with the process of blood clotting to cause the blood to clot more easily than normal. This is part of the immunologic abnormalities associated with lupus in some affected individuals. ...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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