Blood-thinning drugs: what you need to know before you start

07 January 2020, 07:24 | Health 
фото с NeBoley.com.ua

Modern drugs promise a lower risk of bleeding and do not require too frequent control tests.

The reason for the appointment is cardiovascular disease: atrial fibrillation, deep vein thrombosis. They are also taken after a stroke, pulmonary embolism.. Benjamin Diplinger, head of the laboratory of the hospital in Austrian Linz, spoke about the advantages and disadvantages of these drugs, OONachrichten writes.

- Many take the so-called blood thinners: someone for a short period, someone all his life. How do they work?

- Although the term " Instead, they specifically inhibit individual coagulation factors and thus reduce the risk of blood clot formation, i.e. thrombosis.

- Any medications have side effects.. What patients should pay attention to?

- In the case of antiplatelet agents, side effects are not as dangerous as the risk of complications, such as bleeding. Many patients worry that they will not be able to stop the bleeding after minor skin damage.. But in reality, in most cases, it is possible to easily and quickly cope with the problem using local hemostatic measures.

- In what cases should one be on the alert?

- You should always remember the risk of developing internal hidden bleeding - for example, in the gastrointestinal tract or brain. An alarm should be brown urine, black stools, vomiting of blood or unusual headaches - with visual impairment, dizziness, paralysis. In these cases, it is important to consult a doctor immediately..

- What else should be considered when taking such medications?

- In patients taking drugs on a regular basis, the dose should be monitored by determining coagulation rates. In addition, when taking, it is necessary to consider the interaction with other medicines and food.

- There is a new generation of anticoagulants. What are their benefits

- The so-called direct oral anticoagulants are significantly less problematic in terms of interactions.. They are also easier to use.. In most patients, treatment begins with a standard dose. The biggest advantage of this group of drugs is in reducing the incidence of intracerebral hemorrhage.

- It is true that patients taking blood thinners should pay particular attention to their blood pressure.?

- Yes. Regardless of which drug is taken, it is very important to control blood pressure. Very high or constantly fluctuating significantly increases the risk of bleeding.

- What patients need to consider before surgery?

- Firstly, inform the surgeon before the planned intervention about taking the drugs so that the doctor decides whether it is necessary to suspend the appointment. Before minor interventions - dentistry or colonoscopy - this is usually not required. However, in case of major operations, anticoagulants should be abolished..

- You can stop taking anticoagulants yourself?

- Termination and resumption of admission should be carried out under the supervision of a physician. The main rule: never act at your own discretion, without consulting a specialist.

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