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Deep Vein Thrombois Questions

Res. Sir/ madam, I am having dvt on my left leg since 13 years, I am taking warfarin 5 once daily, but now there is swelling around knee to foot and it becomes violet in color, kindly suggest treatment asap.

Dr.Prafull Arya 88% (515ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Res. Sir/ madam, I am having dvt on my left leg since 13 years, I am taking warfarin 5 once daily, but now there is s...
Long term complications can be varicose veins. So get a doppler done again and show to a surgeon.
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I am taking spironolactone and bisoprolol for high blood pressure since december 2019. I am also on apixiban for a dvt in my right leg. I am a 74 years female. Since being on these meds I have put on a lot of weight, suffered with hair loss and severe knee pain (not arthritis). I also have problems with sleeping. Are there any alternative meds that might help with the side effects I am experiencing. Gp does not seem concerned.

Dr.Sameer Vankar 93% (64ratings)
DM - Cardiology, MD - Internal Medicine, MBBS, Training Course In Emergency Medicine
Cardiologist, Secunderabad
I am taking spironolactone and bisoprolol for high blood pressure since december 2019. I am also on apixiban for a dv...
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.
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I am 53 year take xarelto 20 mg for dvt so how long I have to take this medicine? Any substitute is there as xarelto is very expensive for me.

Dr.Anjanjyoti Sarma 91% (839ratings)
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
I am 53 year take xarelto 20 mg for dvt so how long I have to take this medicine? Any substitute is there as xarelto ...
you can switch over to warfarin 5 mg tab twice daily . minimum duration of therapy is 3 months. you need to check PT and INR regularly to keep it within 2-3. thanx.
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I’m 33 yrs, diagnosed with ijvt, from past 1 month taking warfarin 5 mg and homochek tablet. Should I switch to produce 75? I don’t want to take blood thinners for a life time.

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
IVF Specialist, Meerut
I’m 33 yrs, diagnosed with ijvt, from past 1 month taking warfarin 5 mg and homochek tablet.
Should I switch to produ...
Venous thrombosis should be taken seriously, please never switch medicine without concerned physician advice, regular investigation and proper treatment will help you to recover. Regards.
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Sir due to having vein thrombosis I have been prescribed acitrom 1 mg by the doctor he has advised to take acitrom for 3 days after this get pt/inr test done if the range exceeds 3 stop acitrom if not continue for one week then again get pt/inr and show sir I am confused a little bit how to count one week is one week to be counted after taking acitrom for three days & getting tested or one week includes there days also after which acitrom was stopped & pt/inr got done kindly dilute my confusion thanks a lot.

Dr.Venkatesan 95% (32ratings)
MBBS, MS- General Surgery, FIAGES-Advanced Laparoscopy, Assistant professor in surgery, consultant surgeon
General Surgeon, Bangalore
Sir due to having vein thrombosis I have been prescribed acitrom 1 mg by the doctor he has advised to take acitrom fo...
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.
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I am suffering from chronic venous insufficiency, now al taking clopidogrel with aspirin, is any other medicines available to treat it well?

Dr.Zeeshan Hakim 89% (35ratings)
MBBS, MS - General Surgery
General Surgeon, Varanasi
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.
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Can I do body exercise with a shunt in my veins. I have undergone tips surgery before 2 years. Now taking acitrom medicine.

Dr.Anjanjyoti Sarma 91% (839ratings)
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Can I do body exercise with a shunt in my veins. I have undergone tips surgery before 2 years. Now taking acitrom med...
Yes, you can . infact you should do mild to moderate aerobic exercise regularly to keep body metabolic rate in good shape.
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I have chronic venous disease stage 2 using daflon 500 daily 2 hrurudal cream topical and compression socks using. Is this sufficient or any other treatment. Please suggest me.

Dr.Anjanjyoti Sarma 91% (839ratings)
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
I have chronic venous disease stage 2 using daflon 500 daily 2 hrurudal cream topical and compression socks using. Is...
As you are telling a definite diagnosis , I presume that you have undergone evaluation already. It seems that your treatment is correct. you can continue.
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Hi, I am suffering from pulmonary thromboembolism from last six months. Now am using acitrom 2 mg n 1 mg tablet alternatively. Is there any permanent cure for this disease?

Dr.Prafull Arya 88% (515ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Hi, I am suffering from pulmonary thromboembolism from last six months. Now am using acitrom 2 mg n 1 mg tablet alter...
If you are comfortable, keep taking it till your physician prescribes. Surgery is done only in emergency.
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