DM - Cardiology, MD - Internal Medicine, MBBS, Training Course In Emergency Medicine
Spiranolactone/ bisoprolol / apixaban all medicines seems to be started for valid indications.
Spiranolactone may cause alopecia (hair loss) and also insomnia (sleep disturbance)
bisoprolol and apixaban are very very less likely to result in the said adverse effect.
Would like to know from you when was your dvt diagnosed and how long have you took apixaban and at what dose, was any scan done after 3 or 6 month interval to find residual dvt if any, and what was the cause for your dvt to decide duration of apixaban.
Also would advice you few tests:
1) monitor daily bp morning and evening for 7 days
2) ecg and 2 d echo 3) lft, rft
4) fbs/ ppbs/ thyroid profile/ lipid profile based on the said investigation, would like to modify your treatment for hypertension and dvt you can consult me online after 7 days so I could help you with your problem.
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
It seems to be a repeat episode of dermatitis or lymphangitis. An antibiotic, limb elevation, dressing and rest will make it better. It will be prudent to show to a surgeon for diagnosis confirmation and treatment.
MBBS, MS- General Surgery, FIAGES-Advanced Laparoscopy, Assistant professor in surgery, consultant surgeon
General Surgeon, Bangalore
Hello and greetings Ms. lybrate-user
you have been diagnosed as a case of deep vein thrombosis. It occurs because of the blood clots inside the veins of your legs. Hence your doctor has prescribed tab acitrom which is a blood thinner. This tablet prevents clotting of the blood. The clotting and bleeding mechanism have to be in a delicate balance. Excess thinning of blood is also harmful. It may cause bleeding from the nose while passing motions or excess bleeding during your menstrual cycles. Hence the dose of tab acitrom should be very meticulously adjusted.
Hence your doctor has advised for inr testing. This blood test is used to judge the correct dose of acitrom. This is called titration of dose. You may have to get blood tested for 3 to 5 times and then an adequate dose can be achieved.
Kindly do not worry, get yourselves tested every 3 days. During this time continue the medications. Go for review to your doctor with your blood test reports. He will analyse it and titrate the dose of tablet acitrom.
If you have cvi there are 3 modalities for therapy, compression stockings of grade iii are a must for a long duration to avoid any swelling, limb elevation and fluid restriction can be helpful, taking anti coagulants as prophylaxis is indicated, however using aspirin and clopidogrel for cvi is not effective, warfarin was earlier prescribed but with safe anti coagulants like xarelto 15 mg od no need for above medications. Third modality is surgery for which it is better to consult nearby vascular surgeon for future reference.