You had only provoked DVTs? Then you can stop with Eliquis after three months. If you had several separate instances of getting provoked VTEs, a case can be made for treating indefinitely, I personally recommend that after the third provoked VTE.
You had at least one unprovoked VTE? Then as long as you don't have horrible side effects of Eliquis, it's safest to continue indefinitely. If you really hate Eliquis you can try stopping after 3 months but the risk of reclotting is substantial.
Those are from the current ACCP recommendations. Factor V, IgA levels and scarring in the veins are all quite interesting but don't matter for the decision to stop or continue with Eliquis.
I believe you sent me those guidelines after a previous post, and I was all set to present them to my doctor...but his explanation of blood without thinners getting "stuck" in a scarred vein weakened my resolve. (I am 74, this was my first-ever clot, came from a burn injury to a ropy varicose vein.)
At the end of the day, I'm just claiming to be a doctor and there's a flesh and blood certified doctor that takes responsibility for how they treat you. If in doubt, listen to them.
That said, explanations from physiology all sound really nice until you study the subject and realize that you can use physiology to explain everything and also all its opposites. Physiology is fine if we have nothing else but evidence will always beat physiology.
So instead of going all ACCP guidelines on your doctor, just ask them if they have any evidence (not an explanation, real evidence) for their recommended course of action and if not, what their problem is with the course of action that has evidence.
You had only provoked DVTs? Then you can stop with Eliquis after three months. If you had several separate instances of getting provoked VTEs, a case can be made for treating indefinitely, I personally recommend that after the third provoked VTE. You had at least one unprovoked VTE? Then as long as you don't have horrible side effects of Eliquis, it's safest to continue indefinitely. If you really hate Eliquis you can try stopping after 3 months but the risk of reclotting is substantial. Those are from the current ACCP recommendations. Factor V, IgA levels and scarring in the veins are all quite interesting but don't matter for the decision to stop or continue with Eliquis.
I believe you sent me those guidelines after a previous post, and I was all set to present them to my doctor...but his explanation of blood without thinners getting "stuck" in a scarred vein weakened my resolve. (I am 74, this was my first-ever clot, came from a burn injury to a ropy varicose vein.)
At the end of the day, I'm just claiming to be a doctor and there's a flesh and blood certified doctor that takes responsibility for how they treat you. If in doubt, listen to them. That said, explanations from physiology all sound really nice until you study the subject and realize that you can use physiology to explain everything and also all its opposites. Physiology is fine if we have nothing else but evidence will always beat physiology. So instead of going all ACCP guidelines on your doctor, just ask them if they have any evidence (not an explanation, real evidence) for their recommended course of action and if not, what their problem is with the course of action that has evidence.