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Urology  (Expert Forum)
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Alternative to Heparin
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Alternative to Heparin

by sbarts, Dec 27, 2004 12:00AM
I would like to know what alternatives to heparin can used for a patient who takes dialysis two-three times a week. The patient has told me that he clots alot. Therefore, back flush will not be a suitable alternative.

by Kevin Pho, MD, Dec 27, 2004 12:00AM
The main other anticoagulants are Lovenox - which is a low-molecular weight heparin injected subcutaneously.  Normally, renal insufficiency would be a relative contraindication to this, but this can be alleviated if there is regular dialysis anyways.

The other option would be Coumadin - which is an oral anticoagulant.  Periodic blood draws would have to be done to ensure there are proper blood levels of the drug.

You may want to discuss these two options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
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