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Suggest Treatment For Severe Cough When Diagnosed With AFib

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Posted on Fri, 17 Feb 2017
Question: I was diagnosed with AFIB 18 months ago and had cadioversion. At that time I was put on Carvedilol 6.25 mg twice a day; Flecainide acetate 100 mg twice a day and Xarelto Rivoxoban 20 mg once per day. I have not had any episodes since. In the last three months I have developed a rash under the skin which is slowly spreading from the back of my thighs to the front of my legs. I have also a cough which the Doctors think is allergies but now I am wondering if this all is related. In researching, I find all of these meds have about the same side effects. My heart specialist has not agreed in the past to let me get off of any of these meds. Do you have any advice for narrowing down what could be causing this? I have not been able to see my GP as she has been booked.
doctor
Answered by Dr. Rini (26 minutes later)
Brief Answer:
Bleeding is a common side effect of blood thinner!

Detailed Answer:
Hello,
Thanks for choosing HCM.

Xarelto is a blood thinner and bleeding is one of the most common side effect encountered during its use.You should get the following tests done-
PT prothrombin time
INR
APTT
complete blood count
platelet count
If all the following tests are normal your problem is not related to any of the medicines you are on.
Get the tests done as early as possible and if your GP is not available,Upload the test results.
Any decision regarding narrowing down or changing medication can be taken only after the results of tests are available.
Thank you!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Rini (2 hours later)
Thank you for your in depth answer. I have conducted the test mentioned by one of your experts earlier. I can pinch the red spot and it will turn white for a second. This means it is not internal bleeding, but a rash. If this is a rash due to allergies only, do you still recommend the same tests? or do you recommend others? I am going Monday to get tests done. Thank you for your consideration.
doctor
Answered by Dr. Rini (4 hours later)
Brief Answer:
Follow-up Consultation

Detailed Answer:
Hi again,

The tests recommended by me are some of the baseline tests which should be done every three months on a patient on regular blood thinner.

Prevention is better then cure. If it's allergic it's fine but such minor episodes of allergy is not considered as emergency (unless there're severe flare ups of allergy with systemic involvements).

However a bleeding due to blood thinner is considered as emergency and should be ruled out as early as possible.

Yes please go for the tests.
Thanks & regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Rini

Cardiologist

Practicing since :2010

Answered : 140 Questions

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Suggest Treatment For Severe Cough When Diagnosed With AFib

Brief Answer: Bleeding is a common side effect of blood thinner! Detailed Answer: Hello, Thanks for choosing HCM. Xarelto is a blood thinner and bleeding is one of the most common side effect encountered during its use.You should get the following tests done- PT prothrombin time INR APTT complete blood count platelet count If all the following tests are normal your problem is not related to any of the medicines you are on. Get the tests done as early as possible and if your GP is not available,Upload the test results. Any decision regarding narrowing down or changing medication can be taken only after the results of tests are available. Thank you!