Anticoagulation ManagementMonitoring and AssessmentPhysiological InsightsDVTultrasoundINRadoxabanapixabandabigatranlow-molecular weight heparinrivaroxabanwarfarin
What are the medical treatments for a DVT?
Deep vein thrombosis (DVT) is a condition where blood clots are formed in the deep veins, usually in the leg. In this video, Dr Jessie Shea explains the treatment options for DVT
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What are the medical treatments for a DVT? Anticoagulation or thinning the blood is the main method of treatment for a DVT. Anticoagulants work by altering certain chemicals in the blood to prevent blood clots from forming so easily. do not dissolve the clot, they just prevent the DBT from getting larger and prevent further clots from breaking off or forming. The body's own healing mechanisms can then work to break up the clot. You may have an injection of an anticoagulant medication called low-molecular weight heparin while waiting for an ultrasound to tell if you have a DBT and during your hospital stay. Once DVT is being diagnosed on discharge there are a number of options. Warfarin has been the usual anticoagulant for many years. The aim is to get the dose of warfarin just right so your blood will not clot too easily but not too much which may cause bleeding problems. You will need regular blood tests called INRs while you take warfarin to check your clotting is in the right range. Rivaroxaban, Apixaban and Adoxaban and and Dabigatran are newer anticoagulant medications called DOACs. You do not have to have regular blood tests to monitor your blood clotting on these. However, there is no antidote as there is with Warfarin to stop yourself from bleeding too easily. These newer tablets are not suitable for everybody.
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