Aa
Aa
A
A
A
Close
Avatar universal

HIT

After mt heart valve surgery. I had HIT. Another blood thinner was used it was very expensive but I cany temember the name. Could you list some blood thinners that may be used
4 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Or if you have a tissue valve, and depending on what the issue is, maybe apixiban or dabigitran.
Helpful - 0
Avatar universal
Or maybe you were asking about blood-thinners for some other reason.  Other than for bridging purposes, it's warfarin, Plavix, and/or aspirin.  No heparin, obviously.
Helpful - 0
Avatar universal
I have the same history you do, of valve surgery and post-surgical HIT.  You can take warfarin with a history of HIT.  If you happen to have a mechanical valve, I'm sure you already are taking warfarin.  If you're on warfarin, and you're wondering what to use for bridging, that would be Arixtra (fondaparinux).  Fondaparinux is dispensed in syringes for subcutaneous injection, to be self-administered once a day.  I've used it, and it's easy.  It's covered by most health insurance policies that have a prescription drug benefit, especially since the generic came on the market a couple of years ago.  Besides warfarin and fondaparinux, the only other "blood thinner" that I know of that can be used by someone with a mechanical heart valve and a history of HIT is argotroban, but that is an IV- administered drug.  I was given argotroban in the hospital.  Apixiban and dabigitran are nonapproved for mechanical heart valve patients.  
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

The most common anticoagulation drug prescribed after heart valve surgery is warfarin (Coumadin). The newer blood thinners are apixaban and dabigatran, also known as Pradaxa and are expensive. The main concern is that specific antidotes for bleeding are available for warfarin but not yet developed for the new drugs.

Hope this helped and do keep us posted.
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Disease Community

Top Heart Disease Answerers
159619 tn?1707018272
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.