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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
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Avatar_dr_f_tn
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.
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Avatar_f_tn
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.  
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Avatar_f_tn
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.
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Avatar_f_tn
Or if you have a tissue valve, and depending on what the issue is, maybe apixiban or dabigitran.
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