Clexane injection before flying due to PE & DVT - anyone know details
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i thought 2 asprin and you were set?
I'm a physio and have had many clients with DVTs and PEs.
I understand Clexane injections are supposed to be for flights >4 hours for susceptible people....3 injections -> 24 hrs prior to departure, within 2 hours of departure, and 24 hours after departure.
However, my view is there's a lot of lifestyle factors you can do to reduce clot risk:
- lose weight
- don't overeat or eat fatty foods or drink moderate alcohol for several days prior.
- eat more fruit, salad, vegetables, and less animal products, oils, nuts for a week prior, during and after.
- stay moderately active for a month before flights and during the flight.
- don't exercise heavily for 3-5 days before the flight. this can damage the linings of arterioles.
- take aspirin if you are not taking clexane.
- wear compression stockings if legs are down for long periods.
- deep breathe, stretch and walk every 45 mins while awake on the plane and in airport lounges.
- drink a higher level of water. 300-400 mls an hour. plane air dehydrates you. keep your urine lighter than chardonnay. add a little salt and this will help keep your blood volume up rather then pee it out.
- consider a stopover if in transit > 10 hours.
The idea is to keep your blood moving and not allow it to move slowly through veins, which it does when you sit still for long periods with legs down.
I understand Clexane injections are supposed to be for flights >4 hours for susceptible people....3 injections -> 24 hrs prior to departure, within 2 hours of departure, and 24 hours after departure.
However, my view is there's a lot of lifestyle factors you can do to reduce clot risk:
- lose weight
- don't overeat or eat fatty foods or drink moderate alcohol for several days prior.
- eat more fruit, salad, vegetables, and less animal products, oils, nuts for a week prior, during and after.
- stay moderately active for a month before flights and during the flight.
- don't exercise heavily for 3-5 days before the flight. this can damage the linings of arterioles.
- take aspirin if you are not taking clexane.
- wear compression stockings if legs are down for long periods.
- deep breathe, stretch and walk every 45 mins while awake on the plane and in airport lounges.
- drink a higher level of water. 300-400 mls an hour. plane air dehydrates you. keep your urine lighter than chardonnay. add a little salt and this will help keep your blood volume up rather then pee it out.
- consider a stopover if in transit > 10 hours.
The idea is to keep your blood moving and not allow it to move slowly through veins, which it does when you sit still for long periods with legs down.
Linda, are you worried about being off warfuren? (however you spell it?)
Warfarin - Not really, but *****-scared of flying now!!
Often they don't Marg. They are human and they are in small business.
Every day time and energy rationing compromises the comprehensiveness of what a GP can give each patient.
Thank public health care for that.
It's almost impossible to call my doctor to ask a question. I'm only allowed to call in a half hour slot, 2 days a week.
I was also told in hospital from a specialist that some GP's won't give you clexane and say you don't need it and that I would have to keep searching till I found one to treat me as I definately need it.
It would be great if doctors had all the right answers. I was X-rayed at emergency in Bris and they said I had no breaks, when I had two fractures, and then I flew without any treatment which is why I got the clots in the first place. Everyone can make mistakes so I try to seek out as much info as I can!
If you do take Asprin for long flights it's best starting it a few days before flying.
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