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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Switch From Coumadin To Xarelto Cause Bleeding,achy And Sore Gums?

My husband has stage 4 pancreatic cancer with metastic liver cancer. Once recently diagnosed with blood clot in lung. Was taking injections in stomach twice a day. Then prescribed Coumadin. Then week ago was switched from Coumadin to Xarelto due to PT too high. Now he is bleeding from gums, achy & sore and extremely fatigued. Has doctor appointment tomorrow but wondering if I should take him to ER tonite.
Wed, 22 Apr 2015
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You are taking coumadin and your PT is too high. So your bedding is due to that. Coumadin has an antagonist. So if your pt is high then you should take vit k to prevent bleeding. xarelto has no antagonist so it should be stopped if bleeding is not controlled. Consult your doctor and take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Can Switch From Coumadin To Xarelto Cause Bleeding,achy And Sore Gums?

Hi, dear I have gone through your question. I can understand your concern. You are taking coumadin and your PT is too high. So your bedding is due to that. Coumadin has an antagonist. So if your pt is high then you should take vit k to prevent bleeding. xarelto has no antagonist so it should be stopped if bleeding is not controlled. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.