Contraindications & Side Effects of Antithrombotic Therapy in Seniors
Since most of the drugs used during this therapy affect the blood coagulation system, they cannot be used for acute bleeding, as well as for the first six months after a hemorrhagic stroke or internal bleeding. There can be some other contraindications as well some of which include:
- vascular malformations (a combination of an artery and vein “directly”);
- aggravation of peptic ulcer disease;
- severe liver disease;
- malignant hypertension;
- vitamin K deficiency;
- low platelet count in the blood;
If a person takes “warfarin”, you need to cancel therapy before any surgical intervention. If the operation is carried out urgently, it is necessary to inform the anesthesiologist about taking anticoagulants. In this case, measures will be taken, and it will be possible to reduce the risk of massive bleeding. After surgery, you need to ask when you can resume taking anticoagulants. Independent use of anticoagulants in the postoperative period is fraught with internal bleeding.
Side Effects of Antithrombotic Therapy:
Any antithrombotic drugs, but mostly indirect anticoagulants can cause:
- bleeding from the stomach and intestines (vomiting with streaks of blood, blood in the feces, although this may be imperceptible);
- bleeding into the brain substance (especially against the background of arterial hypertension);
- uterine bleeding;
- pulmonary hemorrhage;
- epistaxis – especially when blood pressure rises;
- renal bleeding (dark urine color);
- subcutaneous hemorrhages (bruises);
- allergies (itchy rash, swelling of the face, difficulty breathing);
- gastrointestinal disorders: abdominal pain, nausea, vomiting;
- temporary baldness.
If any of the above complications occur, urgently consult with the doctor who prescribed you antithrombotic drugs. Thus, antithrombotic therapy is necessary for all elderly people, with rare exceptions. Only a doctor can select the drug – taking into account the indications, body weight, the functioning of the kidney, along with a few other factors. This is usually the responsibility of the cardiologist.
Additional Tips for Seniors Taking Antithrombotic Therapy:
- Make sure your vision stays healthy to avoid falls or any major injury;
- When walking, lean on a cane or walker;
- Get out of your bed gradually, in order to avoid a sharp drop in blood pressure;
- Equip your bath as well as toilet with handrails;
- Buy yourself comfortable shoes, ideally with orthopedic insoles;
- Take vitamin D on a regular basis for preventing the onset of osteoporosis.
About Supplemental Coverage: They’re 2019 AARP Medicare supplement Plans by private insurers which cover things like copay as well as coinsurance.