Thanks for posting your query
Acitrom is an anticoagulant
and it does not cause pain in the shoulder and knee, cough and cold as its side effects. Its side effect is bleeding from unusual sites if proper monitoring is not done by serial INR estimation. Desirable INR to maintain in acitrom therapy is between 2-3.
However your symptoms may be attributed from some other causes. It may be another thrombosis
in the vein which may lead to minute embolism in the pulmonary artery
. In this situation I advise you to have a chest x-ray PA view for that and if any other risk factors for DVT is not found then kindly exclude hereditary causes of recurrent DVT by mesuring pr c, pr s, factor 5 mutation
, prothrombin gene mutation and anti-phospholipid
antibody detection in your serum and consult your vascular surgeon.