Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have a blood clot in my right leg. Have been going to the VA but they cannot prescribe anything but warrafin which I have a bad reaction to. Blood pressure increases to ~ 180 and blurred vision. All the local Drs I call tell me to go to emergency room, but I have already been to emergency room twice at the VA. How can I get a prescription for an anti coagulant other than Warafin? Currently I am taking asprine, flax seed oil, niacin, i.e. herbal blood thinners. I took Luvanox shots for one week, then warrafin for 3 weeks. swelling in leg is reduced, but not back to normal. INR on 5 mgs warrifin s 1.1, kidney function 1.4 . It would seem to me I need a anticoagulant metabolized by liver, but VA can t get through the red tape . I have no insurance, can t afford several thousand dollars at emergency room.
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. INR should be maintained at a higher rate.2. If you are having reacting to warfarin, better to go for heparin or other new anticoagulants like Rastaban, i Chat Doctor. 3. Being mobile is the most important thing to avoid blood clot in leg or deep vein thrombosis. Meet your doctor to get a prescription for heparin. Hope it helps. Any further queries, happy to help again.