I have heard that not all UK GPs will prescribe test strips, but if you want to seek to persuade them post-op not sure if you have seen the National Institute for Care Excellence (or something like that) report they produced in 2014, which recommends self testing as leading to fewer complications from Warfarin management. I did a quick summary to persuade my GP, but ended up not needing it as he was very much in favour of this - and self testing is much cheaper for the NHS too, when compared with the cost of staff and lab tests. See http://bit.ly/NICEreport if useful.oh thanks !
I was looking on the Medisave.UK website
Lab vs Home Test
- Thread starter dick0236
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thanks !
I'll show this paper to my GP...hopefully he'll change his mind
pekster - if you have a mechanical valve, you MUST take Warfarin. The -aban drugs have nothing to do with coagulation, and can't stop a clot from forming on your valve.
If your doctor insists, change doctors - right away. You can't wait if you have to start anticoagulation - it only takes 10 days or so for a dangerous clot to form on a valve.
If your doctor insists, change doctors - right away. You can't wait if you have to start anticoagulation - it only takes 10 days or so for a dangerous clot to form on a valve.
that's what i thought.
i was very surprised that my GP said that to me.
He clearly knows not much about anti-coagulation treatment for ppl with mechanical heart valves
I'll have to try and get him to prescribe me coaguchek test strips too
pellicle
Professional Dingbat, Guru and Merkintologist
Hi
further if you look into I believe that you'll find that with a mechanical valve no other anticoagulants are even allowed in the UK health system. So unless something of seismic proportions has occured in the UK that I don't know about then probably time for them to refresh on the data of the last thirty friggin years (so yes read OMG and Facepalm)
further if you look into I believe that you'll find that with a mechanical valve no other anticoagulants are even allowed in the UK health system. So unless something of seismic proportions has occured in the UK that I don't know about then probably time for them to refresh on the data of the last thirty friggin years (so yes read OMG and Facepalm)
pellicle
Professional Dingbat, Guru and Merkintologist
Dear @pekster11
I was surprised to read @Protimenow's comment so I fished back through this thread to find this.
Dabigatran, Rivaroxaban, Apixaban et all are specifically not approved for heart valve surgery.
I did a quick google and found this document http://www.wales.nhs.uk/sites3/Documents/814/ABUHB_Clinical_0780 AnticoagulationForHeartValveReplacementsMarch2019.pdf
and the goal kicker:
https://www.gov.uk/drug-safety-upda...rt-valve-s-requiring-anti-coagulant-treatment
I would only use that doctor to write the scripts needed and ignore them for any advice which is medical practice post dating the 1950's
I was surprised to read @Protimenow's comment so I fished back through this thread to find this.
Dabigatran, Rivaroxaban, Apixaban et all are specifically not approved for heart valve surgery.
I did a quick google and found this document http://www.wales.nhs.uk/sites3/Documents/814/ABUHB_Clinical_0780 AnticoagulationForHeartValveReplacementsMarch2019.pdf
and the goal kicker:
https://www.gov.uk/drug-safety-upda...rt-valve-s-requiring-anti-coagulant-treatment
I would only use that doctor to write the scripts needed and ignore them for any advice which is medical practice post dating the 1950's
thanks for that Pellicle !
this is what I thought when I spoke to my GP today. I was tbh amazed what he was saying, and after checked the NHS wales website for their guidelines on anti-coagulating for mechanical heart valves. The guidelines confirmed what you said
I will certainly try again to get him to prescribe me test strips (prescriptions are free in Wales), as this will save me some ££
