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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Lung Blood Clots Be Treated With Xarelto Or Coumadin?

My wife was found to have a blood clot in the lungs, as per cat scan. She is in the hospital with heparin sodium I V. We were asked to decide what medication to be given, Xarelto or Coumadin? She has hiatal hERNIA, gastritis, Acid Reflux, IBS-C, Extruding Disk, Hernieted Disk, Anxiety, High Blood Pressure. She has so many medicines already. Thank you for whatever advise you may provide. Jim
Thu, 13 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Your wife is having pulmonary embolism so blood thinner medicines are must for her.
In hospital heparin should be given in injection form, and this should be replaced by oral anti coagulant at home for atleast 1-2 years. Both xeralto and coumadin are oral anti coagulant and should be started.
There is no alternative to this drug in pulmonary embolism. Sostart either of these drugs and regular monitoring with PT report is needed for dose titration.
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Should Lung Blood Clots Be Treated With Xarelto Or Coumadin?

Thanks for your question on HCM. Your wife is having pulmonary embolism so blood thinner medicines are must for her. In hospital heparin should be given in injection form, and this should be replaced by oral anti coagulant at home for atleast 1-2 years. Both xeralto and coumadin are oral anti coagulant and should be started. There is no alternative to this drug in pulmonary embolism. Sostart either of these drugs and regular monitoring with PT report is needed for dose titration.