Bleeding Risks with New Blood Thinners: What You Need to Know

Published: Aug 24, 2024

Blood thinners are lifesavers, preventing dangerous clots. But they come with a trade-off: an increased risk of bleeding. Understanding this risk is crucial for anyone taking these medications.

The Bleeding Basics

All blood thinners, including newer direct oral anticoagulants (DOACs), increase the risk of bleeding. This can range from minor bruising to more serious internal bleeding. The good news? DOACs generally have a lower risk of the most dangerous type of bleeding - in the brain - compared to older drugs like warfarin.

Who's at Higher Risk?

Certain factors can increase your bleeding risk on blood thinners. These include being over 75, having kidney problems, a history of stomach ulcers, or taking other medications that affect blood clotting (like aspirin). It's crucial to discuss all your medical conditions and medications with your doctor when considering blood thinners.

Understanding the increased risk of bleeding associated with the use of blood thinners, including newer direct oral anticoagulants (DOACs).

Signs to Watch For

While on blood thinners, it's important to be aware of bleeding signs. These can include unusual bruising, nosebleeds that won't stop, blood in urine or stools, or severe headaches. If you experience these symptoms, contact your healthcare provider immediately. Remember, prompt attention to bleeding can prevent more serious complications.

Frequently Asked Questions

Are DOACs safer than warfarin for bleeding? +

Generally yes, especially for brain bleeding.

Can I still take pain relievers with DOACs? +

Some are safe, but always check with your doctor.

What if I need surgery while on a DOAC? +

Your doctor will guide you on when to stop the medication.

Is there a reversal agent for DOAC-related bleeding? +

Yes, for some DOACs, but they're used only in emergencies.

Key Takeaways

While bleeding risks exist with blood thinners, for many patients, the benefits of preventing clots outweigh these risks.

Concerned about bleeding risks with blood thinners? Discuss your specific situation with Doctronic to understand your risk factors and how to minimize them.

References

Chai-Adisaksopha C, Hillis C, Isayama T, et al. Mortality outcomes in patients receiving direct oral anticoagulants: a systematic review and meta-analysis of randomized controlled trials. J Thromb Haemost 2015; 13:2012.

Desai J, Kolb JM, Weitz JI, Aisenberg J. Gastrointestinal bleeding with the new oral anticoagulants--defining the issues and the management strategies. Thromb Haemost 2013; 110:205.

Always discuss health information with your healthcare provider.