Rivoroxaban: My 78 yr old husband is... - Atrial Fibrillati...

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Rivoroxaban

Peddling profile image
9 Replies

My 78 yr old husband is taking Rivoroxaban. This morning he had a severe nosebleed which took 10 mins or so to staunch. We are seeing a local GP later today. Reading through the blurb it seems that care is needed when prescribing for the elderly. Has anyone had a similar experience whilst on Rivoroxaban had their dosage or medication changed?

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Peddling profile image
Peddling
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Finvola profile image
Finvola

My history may not be of consequence but I was not much younger than your husband at 71 and had been taking Apixaban for some time when I started to have horrendous 3 and 4 hour nosebleeds.

Long story short, my Apixaban was seen by some doctors as the 'problem' but in fact I had developed a super sensitivity to domestic cleaning sprays, especially glass cleaners - and I also acquired a sensitivity to Naseptin antibiotic cream which was prescribed each time I had a bleed. Since I have banned all cleaning sprays from the house and now never use Naseptin, I've had no bad bleeds in 3 years and no shorter bleeds in 2 years.

If your husband is not new to Riveroxaban then it might be worthwhile looking at another irritant cause. I have identified wood smoke from a garden bonfire and heavy cloying perfumes as possible culprits too. Scary things nosebleeds and I hope your husband can get to the bottom of it.

PS, sorry forgot to say that I was told to soldier on and take my Apixaban no matter what.

Peddling profile image
Peddling in reply toFinvola

Thank you Finvola, good call. We are hoping to move and he has had a load of bonfires the past week or so. He has been prescribed naseptin too. He is seeing his own Dr tomorrow as a result of the bleed - pretty drastic way of getting an appointment but it will be good to talk it through.

Peddling profile image
Peddling in reply toPeddling

Just to add, he has been taking Rivoroxaban for three years with no problem.

Finvola profile image
Finvola in reply toPeddling

I would suspect the smoke irritating his nasal passages. I use a saline spray occasionally and when I stopped using Naseptin my GP suggested a small amount of Vaseline. I also used highly diluted TCP on cotton wool just inside my nostrils to recover from the irritation of Naseptin.

Jajarunner profile image
Jajarunner in reply toFinvola

Do you buy a saline e spray or make your own? I have a bleeding disorder which gives me severe nosebleeds (half a pint in one day!) when on apaxiban but they continue without it too. I make my own but just wondered what you use. Thank you

Finvola profile image
Finvola in reply toJajarunner

I use NeilMed NasaMist which is advertised as mild enough to use on children and is preservative free.

Jajarunner profile image
Jajarunner in reply toFinvola

Great, just ordered some. thank you

BobD profile image
BobDVolunteer

I think most people imediately blame anticoagulants needlessly whilst ignoring more common causes as Finvola suggests. The age consideration for reduced dose of Rivaroxaban I believe is 80 allied to low body mass not age alone. By the way, when does one become elderly? It is a state of mind surely.?

Peddling profile image
Peddling in reply toBobD

And body.....surely

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