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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pulmonary Embolism In Lower Lobes

Hi doctor, I have been diagnosed of Pulmonary embolism and I am currently on Acitrom - 3 mg everyday for the last 6 months. On recent scan, it is observed that the embolism is still existing in my lungs and have not diluted... at the same time it has not increased as well. It is in the lower lobes of the lungs.. What should I do next.
Thu, 5 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In your case, medical management is the best option.
And acetrom is the drug of choice. But we need to know its effect by PT (prothrombin time) report. For its anticoagulant effect PT INR should be atleast between 2-3.
So if this is not achieved, proper anticoagulant effect is not there. So blood clots will not resolve.
So I advice you to consult pulmonologist and get done PT INR report. If your target INR is low then increase in acitrom dose is needed to achieve proper anticoagulant effect.
Or you should start another anticoagulant drug for better resolving effect.
So consult pulmonologist and discuss all these.
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Suggest Treatment For Pulmonary Embolism In Lower Lobes

Thanks for your question on HCM. I can understand your situation and problem. In your case, medical management is the best option. And acetrom is the drug of choice. But we need to know its effect by PT (prothrombin time) report. For its anticoagulant effect PT INR should be atleast between 2-3. So if this is not achieved, proper anticoagulant effect is not there. So blood clots will not resolve. So I advice you to consult pulmonologist and get done PT INR report. If your target INR is low then increase in acitrom dose is needed to achieve proper anticoagulant effect. Or you should start another anticoagulant drug for better resolving effect. So consult pulmonologist and discuss all these.