Treating thrombophilia

Treatment may not be needed if you have mild thrombophilia.

If you develop a blood clot, you'll need treatment for the blood clot and treatment to prevent further clots. You may need to take warfarin tablets or have an injection of heparin.

Warfarin and heparin

Warfarin and heparin are anticoagulants (anti-clotting medicine). They interfere with the clotting process and are commonly used to treat or prevent DVT and pulmonary embolisms.

If you need an anticoagulant to prevent a clot, you'll be prescribed warfarin. It will take a few days to work properly.

If you need instant treatment for an existing clot, you'll usually be given a heparin injection (which works straight away), as well as warfarin tablets for the first few days. The injection will either be given in hospital or at home.

A heparin injection may also be given to people with antiphospholipid syndrome , before and after surgery or during pregnancy. Unlike warfarin, heparin is safe to take in pregnancy.

International Normalised Ratio (INR) test

Your doctor will need to adjust your warfarin dose so your blood doesn't clot easily, but isn't too high to put you at risk of bleeding problems.

You'll need to have a regular blood test called the International Normalised Ratio (INR) to measure your blood clotting ability while taking warfarin.

You'll have the INR test less frequently once your ideal dose has been reached (an INR of two to three is usually the aim).

Content supplied by the NHS Website

Medically Reviewed by a doctor on 21 Dec 2018