Enoxaparin guidelines
Common Questions and Answers about Enoxaparin guidelines
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In one study, 50 women with thrombophilia (including 20 factor V Leiden heterozygotes) and recurrent pregnancy loss were treated with enoxaparin throughout 61 subsequent pregnancies. The live birth rate was 75% with enoxaparin prophylaxis, compared to 20% in prior untreated pregnancies [Brenner et al 2000].
It turns out that portal vein and superior mesenteric vein are thrombosed. They put her on enoxaparin and wanted her to rest for 5 days until the next control. She refused to be put on heparin or warfarin because of her history of gastrointestinal bleeding and recent surgery. We've been told thrombectomy would be extremely risky, given her medical history.
I read somewhere enoxaparin only prevents further occlusion of the vein and does not lyse existing clot.
I am 27 weeks pregnancy and have dvt, start to using CLEXANE(ENOXAPARIN) I am really worried is there any harm to my baby
Thanks & Rgards
continue through with warfarin, or to stop the warfarin and bridge in between with enoxaparin or heparin (as snconorm had done).
http://www.circ.ahajournals.org/cgi/content/full/116/22/2531
So continuing through with warfarin seems to be the newer strategy.
What would NOT be done is to stop anticoagulation altogether.
Yes I'm on the generic enoxaparin. I was on it with my first and forth (all 4 pregnancies were miscarriages). Now I'm on it again since 3 1/2 weeks pregnant.
I have been on progesterone suppositories, baby asprin, folic acid, prenatal vitamins and enoxaparin.
There are many people on Thyroid Chat that say that the ACCE guidelines that state subclinical would be TSH over 10 with normal t/3 t/4 or TSH 5-10 with normal t/3 t/4 and goiter or antibody are outdated and todays guidelines say that TSH should be at 1 or at least below 3 EVEN with normal t/3 t/4.
I am trying to get something in writing to show that this decision does not follow within the accepted guidelines for treatment of his form of Hepititis. I believe the Dr. in Az. may have made this decision not realizing he did not have a 12 week blood sample. My son is 43 years old and in otherwise good health. He has not had any symptoms of Hep C nor has he had any side effects from the treatments.
is there anyone who can tell us more about the new ATA guidelines ? according to their research, they are saying the standard treatment for hypo thyroid should be synthroid drugs, that they found none of the others work... well I was on synthroid for two years, it was not converting to t3... I felt horrible... then I asked my Dr. to put me on armour, and WOW it was like somebody turned on a light switch.. my thyroid panel levels all normal, feel like a million bucks....
Hey. Here's CDC's updated testing guidelines stating that the test is conclusive 3-4 weeks sooner than their previous testing guidelines (6-8 weeks)
http://www.cdc.gov/nchhstp/newsroom/docs/2014/HIV-testing-Labs-Flowchart.
A position paper updating the AACE/ATA guidelines for endocrinologists in the treatment of hypothyroidism was released today. Seems not to have considered either the Danish or Italian studies on the benefits of T4/T3 therapy previously published in EJM, and published by NIH here in February. At least they suggest including symptoms in making a diagnosis. Interesting read, highly recommend. Here is the PDF link :
http://aace.metapress.com/content/b67v7mk73g3233n2/fulltext.
Hopefully and almost sure you will be UND at wk 12 but as long as the viral load is under 1000 guidelines say continue on to week 24 at which time you must be UND. If not game over.
Do you think your doctor is freaked out about the low platelets and doesn't feel you'll be able to continue? 19 is very low but I've seen people treat with 20's right through 48 weeks and platelets do bounce around.
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