Dear Doctors,
My daughter is suffering from PAH for the past 6 years and she is on regular medication. The reason for PAH was a blood clot in her right thigh region, which was treated at that time.
Since then, she has been taking Ambrican 5mg and Acetrome 2mg among other medicines. Recently, she had continuous bleeding and was advised to stop Acetrome. This is a conflicting advise from the previous one, wherein the Acetrome is not to be discontinued. Pl. advice, if Acetrome can be discontinued.
Regards more  

Thank you Doctor. It helps. Regards more  
Dr.Nishith Chandra thank you more  
I am taking action continuously from 2007 after omplsnt of pacemakerfor my heart. But my INR reading fluctuates,from less tha 1 to6.5 etc instead of 2to3 recommended.I stop action when no.is high than 3 and take high dosage than 3mg per day when it is less tha2. I am75 years old.This way of taking different dosage Wil it have any adverse effect on the system?Kindly advise doctot more  
Dear Niranjan, Acitrom is a blood thinner given to the patients who have blood clotting tendencies, in their body. In your daughter's case since she had blood clot in thigh and has developed PAH, it is imperative, that she should be on long term blood thinners like Acitrom, to avoid further buildup of clot. The down side of Acitrom is unnecessary bleeding. If there is bleeding, then Acitrom shouldbe temporarily stopped, and restarted only when the bleeding has stopped. We have to balance the risk of clotting vs the risk of bleeding, in patients of clotting, PAH on Acitrom. There is no other way. Warm Regards, Dr Nishith Chandra, MD,DM,FSCAI(USA), Director Interventional Cardiology, Fortis Escorts Heart Institute, New Delhi, I N D I A @NishithChandra drchandra@hotmail.com more  
Check in google,and also,web-md/medical dictionary more  
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