Coumadin vs Clexane

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

Coumadin vs Clexane

Postby Sesj » Wed Nov 11, 2009 12:54 pm

Coumadin vs Clexane

Good evening (it's 20.53 pm here in the Netherlands),

I don't understand why dr. Dakes patients have to take Coumadin and dr. Simka's patients get Clexane.

Does anyone know this?

I'm sorry if I missed it. There are too many pages to read :)
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Postby ErikaSlovakia » Wed Nov 11, 2009 1:23 pm

I can only tell you my part - Poland+Slovakia. It is not expensive here. Clexane does not have any side effects - only bruises and very small pain when I inject it (I just must use the slow way), I do not have to check my INR. Clexane keeps it on the necessary level all the time. Dr. Simka told me this, it is really true, as I trust him because so far he was always right, I did not discuss about it anymore.
Well, I never thought he was wrong.

The US patients tells you better the other side.
Erika
Aug. 7, 09 Doppler Ultras. in Poland, left Jugul. valve problem, RRMS since 1996, now SPMS,
- Nov.3,09: one stent in the left jug. vein in Katowice, Poland, LDN, never on DMDs
- Jan. 19, 11: control venography in Katowice - negative but I feel worse
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Postby radeck » Wed Nov 11, 2009 10:18 pm

I thought that people in the US take Coumadin only because of the power of pharma here and the lack of a version of Clexane that insurance companies would cover? Or are there any actual medical reasons why one would prefer Coumadin?
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Postby vendredi5h » Thu Nov 12, 2009 7:06 pm

From my coumadin-for-life-taker understanding, Clexane as the huge advantage to easily keep the anti-coagulent effect in the wanted range. It's only affected by the weight of someone. So, base on your weight the dosage is simply calculated and constant. There is two disadvantage: you need an injection daily (instead of pills) and it's much more expensive.

Coumadin is very cheap. No injection. Buth its effect depends greatly on what you eat (vitamin K more precisely). So you have too keep your green veg consomption very constant. And even with a lot of attention, it's not easy to keep the effect of coumadin in the desired range.

HTH

Yannick
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Postby CNClear » Thu Nov 12, 2009 9:30 pm

I just looked up Clexane and it appears to be Heparin (in the US)...after reading about it, I think I would find Heparin injections (orally, it isn't absorbed properly) preferable to coumadin...everyone seems to hate being on coumadin...

Anyone got insight on this? :?

Lisa aka, CNClear
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Postby ErikaSlovakia » Fri Nov 13, 2009 1:51 am

vendredi5h wrote:From my coumadin-for-life-taker understanding, Clexane as the huge advantage to easily keep the anti-coagulent effect in the wanted range.
Yannick


I also understood this. I do not have to make any changes in my diet.
I am just looking at the box of 10 injections from Poland. I see there price abou 29,40Euro. The price is in Zloty of course.

In my country - Slovakia, the price is 34,36 Euro but the patient pays only 6,36 Euro because everybody has the health insurance here.
It is 0,4 ml; 40 mg and my weight is 56 kg.

I do not feel any side effects. Just some bruises - but it is often my fault. I am not careful enough.
Erika
Aug. 7, 09 Doppler Ultras. in Poland, left Jugul. valve problem, RRMS since 1996, now SPMS,
- Nov.3,09: one stent in the left jug. vein in Katowice, Poland, LDN, never on DMDs
- Jan. 19, 11: control venography in Katowice - negative but I feel worse
ErikaSlovakia
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Posts: 1123
Joined: Wed Jul 29, 2009 3:00 pm
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