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05 Nov 2006

Pulmonary Embolism
Hi - I am a 50 year-old woman who had PE two years ago as a result of abdominal surgery. I have been advised that when I travel for more than a 3-hour flight, I have to inject myself with Clexane. I understand that there are new special DVT stockings (knee-high) that have been invented in Australia. If I were to wear them, would I still need to inject myself with the same dosage and strength of the Clexane? I am no longer on Warfarin. If I used the DVT stockings as well as taking aspirin, would this be sufficient and if so, what dose of aspirin and for how long before / after a flight should I take it? Thank-you.
Answer 396 views
Expert
HeartDoc

01 Jan 0001

Dear Auge,

Clexane is accepted as the best preventative for this type of travel. You will have to consult your previous surgeon, or contact a travel doctor ( I think Netcare has this service) The average patient may need a single dose of 40mg administered a few houres before the flight, but this varies, so please consult your doctor.

Wearing the special anti-embolism stockings AS WELL as using the clexane is a good idea in your case, with your history of PE. Aspirin will not be of much use, as is works in a different way, but what will help it consume plenty of liquids during the flight and KEEP MOVING AS MUCH AS YOU CAN.

Enjoy your trip.

HeartDoc
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