Dengue fever and blood thinners

[bunnaag]

thousands of people caught dengue fever again this year.Probably many of them were taking blood thinners like aspirin or waferin or both together.Would it be advisable to stop taking them?Aspirin can be stopped for a few days but how about waferin?

[Sheryl]

Actually it is not so common for anyone on these meds to get dengue, simply because people on these meds are usually older and dengue typically affects children or people newly moved into an endemic location. But of course, in some cases people newly move to Thailand at an age where they are on these medications, and occasionally these people get dengue.

the decision to stop or continue warfarin has to be made on a case by case basis in consultation with one's doctor, it is a risk-benefit trade off and varies by individual. May also depend on whether the platlet count has dropped and if so, how much. Note that most cases of dengue -- especially dengue in adult foreigners -- are not of the hemorrhagic type.

[bunnaag]

Actually it is not so common for anyone on these meds to get dengue, simply because people on these meds are usually older and dengue typically affects children or people newly moved into an endemic location. But of course, in some cases people newly move to Thailand at an age where they are on these medications, and occasionally these people get dengue.

the decision to stop or continue warfarin has to be made on a case by case basis in consultation with one's doctor, it is a risk-benefit trade off and varies by individual. May also depend on whether the platlet count has dropped and if so, how much. Note that most cases of dengue -- especially dengue in adult foreigners -- are not of the hemorrhagic type.

I seem to be one of the exceptions I haqd dengue fever the secvond time a few weeks ago the first time about six years ago both times about 8 days in bed both times bad.The second time I

[bunnaag]

Actually it is not so common for anyone on these meds to get dengue, simply because people on these meds are usually older and dengue typically affects children or people newly moved into an endemic location. But of course, in some cases people newly move to Thailand at an age where they are on these medications, and occasionally these people get dengue.

the decision to stop or continue warfarin has to be made on a case by case basis in consultation with one's doctor, it is a risk-benefit trade off and varies by individual. May also depend on whether the platlet count has dropped and if so, how much. Note that most cases of dengue -- especially dengue in adult foreigners -- are not of the hemorrhagic type.

I seem to be one of the exceptions I haqd dengue fever the secvond time a few weeks ago the first time about six years ago both times about 8 days in bed both times bad.The second time I

something went wrong with my laptop.I wanted to say the last time I lost 6kg which was a welcome side effect.But I prefer loosing weight with another method.

[bunnaag]

Actually it is not so common for anyone on these meds to get dengue, simply because people on these meds are usually older and dengue typically affects children or people newly moved into an endemic location. But of course, in some cases people newly move to Thailand at an age where they are on these medications, and occasionally these people get dengue.

the decision to stop or continue warfarin has to be made on a case by case basis in consultation with one's doctor, it is a risk-benefit trade off and varies by individual. May also depend on whether the platlet count has dropped and if so, how much. Note that most cases of dengue -- especially dengue in adult foreigners -- are not of the hemorrhagic type.

I seem to be one of the exceptions I haqd dengue fever the secvond time a few weeks ago the first time about six years ago both times about 8 days in bed both times bad.The second time I

something went wrong with my laptop.I wanted to say the last time I lost 6kg which was a welcome side effect.But I prefer loosing weight with another method.

I wanted to say losing weight.I stop writing for today.

[Sheryl]

Yeah, one thing in dengue's favor, it does drop the pounds off in a flash. I've had it 3 times (never the hemorrhagic form, just "simple" dengue, which as you note is no picnic).

[moe666]

If I caught something 3 times I would be investigating my lifestyle or living conditions. I am not saying this as a put down and am aware of the epidemic of dengue in Thailand but I guess I have been lucky coming here since 1970 and no major issues yet

[Sheryl]

I was working in refugee camps at the time. Came with the territory.

In any event even for those not working in such conditions, dengue is very hard to prevent if you happen to live in or frequent places which have the vector. You can decrease the presence of the vector around your own home through environmental measures but there's nothing you can do about other places such as the local market. It is a day time biting mosquito.

[tfc]

I would avoid any and all blood thinners if I had dengue. I don't know much about warfarin but avoid aspirin and iboprofen. I was on paracetamol at the hospital and they also tried to give me a bunch of other stuff like antibiotics and alprazolam among other things all of which I googled and didn't take.

A friend brought me vitamin k2 which was really helpful as I had the hemorrhagic form.

Then even when I was out of the hospital for a month I gave away all my supplements that had any blood thinning effects (even mild ones) because I'd feel a mild dengue rash coming on when I took them.

[Sheryl]

Warfarin is an anticoagulent and would definitely have to be discontinued in the event of dengue hemorrhagic fever. However only a small minority of cases of dengue develop that codnition. The issue is whether or not to stop it in the case of "simple" dengue, as a precaution. Certainly the elective taking of medications with anticoagulent effects is best avoided by anyone with dengue, but warfarin is prescribed for very specific and usually serious conditions, hence the decision to withold it should be taken in consultation with the doctor who prescribed it.