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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Among Heparin And Warfarin Is Best Alternative For Aspirin?

Hi, I had a small cyst in my left side armpit and had it removed 2 weeks ago. It turned out to be a breat tissue but it was not cancerous. After the surgery, however, I've had severe pain and swelling in my whole left arm and my breast surgeon doctor said it's from the blood clots. She told me to to take Aspirin but I have bad allergy to Aspirin and I need to take alternative medication. Which one would you recommend: Heparin or Warfarin? If I have to take Heparin, how long (or how many days) should I take it? Also, I am wondering if the person who has severe allergic reaction (swelling, fever, redness, itchiness, rash, etc.) to Aspirin also has the same allergic reaction to Heparin or Warfarin? Are these three the same kind of medicine? Thank you for your time...
Mon, 17 Nov 2014
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Ayurveda Specialist 's  Response
**
1. While on Aspirin one has to specifically keep a check on platelet count and bleeding time since Aspirin decreases platelet resulting in prolonged BT [bleeding time.
2. While shifting to Heparin/Warfarin one has to be under constant medical supervision which is guided by INR [international normalised ratio], and PT [Prothrombin time] since prolonged increase can risk bleeding/hemorrhage.
3. All three are different in respect that while aspirin is given in oral form, heparin and warfarin are best suited via injectable route
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Internal Medicine Specialist Dr. Rahul Rathee's  Response
Hello...heparin n warfarin r old drugs,there r better new options available...take TABLET CLOPIDOGREL 75mg once daily
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Which Among Heparin And Warfarin Is Best Alternative For Aspirin?

** 1. While on Aspirin one has to specifically keep a check on platelet count and bleeding time since Aspirin decreases platelet resulting in prolonged BT [bleeding time. 2. While shifting to Heparin/Warfarin one has to be under constant medical supervision which is guided by INR [international normalised ratio], and PT [Prothrombin time] since prolonged increase can risk bleeding/hemorrhage. 3. All three are different in respect that while aspirin is given in oral form, heparin and warfarin are best suited via injectable route