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Dr. Andrew Rynne

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History Of Blood Clot In Brain. Advised Tab Acitrom. Normal PT INR Report. Need Of MRI Scan Again For Discontinuing The Tablets?

Hello Doctor,
I have 1 question on Blood-clot in the Brain.
I had a Blood-clot in my brain last year. After my discharge doctor advised me to continue the tab- ACITROM - 1mg and 2mg simoltaneoulsy and my PT-INR report was also normal i.,e 2.45.
Now I have discontinued the tablet.
My question is should I have a MRI-scan once again to see if the clot still exists or it's ok not to take tablets.
Kindly reply.
Thanks
Sandeep
0000
Tue, 27 Aug 2013
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I need some more details to advise you regarding the need of repeat MRI or the need of using acitrom.

What was the diagnosis? Blood clot is a non specific term. Was it a clot in the veins or arteries? If you can upload the old MRI, it would be useful.

If the clot occurred due to heart problem, such as atrial fibrillation, prosthetic valves, etc, then, acitrom is required lifelong. However, in other cases, such as venous clots (thrombosis), six months of acitrom is enough.

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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History Of Blood Clot In Brain. Advised Tab Acitrom. Normal PT INR Report. Need Of MRI Scan Again For Discontinuing The Tablets?

Hi, Thank you for posting your query. I need some more details to advise you regarding the need of repeat MRI or the need of using acitrom. What was the diagnosis? Blood clot is a non specific term. Was it a clot in the veins or arteries? If you can upload the old MRI, it would be useful. If the clot occurred due to heart problem, such as atrial fibrillation, prosthetic valves, etc, then, acitrom is required lifelong. However, in other cases, such as venous clots (thrombosis), six months of acitrom is enough. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist