APS, Clexane Injections and Flying Long-Haul

[1818hst]

All, taking two long haul flights tomorrow for work (total travel time w/conections 20 hours). INR is finally at 2.7 (struggled for a month and a half to get it up from 1.8 - nerve wracking). Docs say no need for a Clexane injection while flying (40 mg). I'm still very nervous about it; anyone have advice for me? Shall I inject while flying as a preventive measure or is my anxiety getting the better of me? Appreciate your patience.

[Hidden]

Send me an email to the charity address: [e-mail] and I will email you the new guidelines for travel which will be appearing on the new website when it's launched later this year.

[annie330]

Hi sorry I don't have any answers, earlier this year I wanted to go to Thailand for my cousins wedding and I asked my consultant and apparently they had a meeting about it and spoke to other consultants and came back that they didn't want me to travel. I do have other issues not just APS. Hope you can get some answers.

Kate if you don't mind I am going to email you as I would like to get the guidelines too if that's ok.

[daisyd]

Hi am going on a long haul flight on Sunday, I phoned the clinic today to see if I could be started on Clexane, buy the Nurses have said no, I am not suggesting anyone else do this but I have some left over Clexane and will inject myself with it if my inr goes less than 2, luckily I have a coagucheck machine.

It will be interesting to see how much my inr drops.

Please remove this if it is not suitable for here, but I know my body more than they do.

Kate I would also like to know,

Karen

[daisyd]

Ps I forgot this bit I have the anticoagulant clinic,s email address to inform them of my inr and will tell them if I have needed Clexane

On a letter I have from st Thomas it says if my inr is subtherapeutic I will need to be covered by Clexane 4hrs before the flight, doesn't mention how much though

Why do things have to be so difficult

Karen

[daisyd]

Thank you, it is

I will tell everyone when I get back if my inr goes up the creek

Xxx

[jean48]

I just took a 6 hour flight. My Rheumy said to walk around a little and I should be okay. He also said no alcohol while flying.

Jean

[Barnet]

Have undertaken a number of long haul flights and was advised to firstly obtain an INR reading the day before departure and if it has fallen below 2 then to inject with clexane. I also have a test whilst i am abroad just prior to the return journey and repeat the injection if necessary. Paul G

[Jade]

Sorry I can't help as I have never done a long haul flight. However Prof Hughes prescribed fragmin for me to self inject should my INR go out of range which in my case is 3-4. So I personally would use fragmin if my INR was down on flight day.

[k7pbx]

I fly 2 - 12hour trips each week. Monday and Friday without a problem. I do carry Lovinox injections with me if I feel "foggy."

Have not had a problem yet. However this is just what has happened with me, not what will happen with anyone else.

[Salty]

I have read on this website that Prof Hughes advises taking heparin in addition to warfarin before a flight greater than a certain number of hours, ?6.

[1818hst]

All, you're fabulous - each and everyone of you. My INR the day of my flight (Cape Town to Bangkok) was 2.7 so I was told I didn't have to inject. Jet lag has made my head "foggy" and today I had another anxiety attack. Still standing, APS and all...