Antiphospholipid Syndrome Support Group
Antiphospholipid syndrome (or antiphospholipid antibody syndrome) is a disorder of coagulation which causes thrombosis in both arteries and veins, as well as recurrent miscarriage. It is due to the autoimmune production of antibodies against cell membrane constituents. A very rare form is the catastrophic antiphospholipid syndrome, in which there is rapid organ...
It can be common for APS patients to also have Lupus. I have primary APS and secondary lupus. My suggestion is that you make an appointment with a rheumatologist who specialized in APS and Lupus/mixed connective tissue disease's. I am not on coumadin but am on Plaquenil, Prednisone, methotextrate & aspirin. Rheumatologist are the ones who will give you the proper medications if you do in fact have lupus and APS.
Melissa
I have Lupus Anticoagulant but not Lupus. I found out I had it in July while pregnant. I have a healthy 10 month old now.
When in the hospital I was tested for LUpus as well which I did not have. There is a (think called ANA) test. If it was negative you do not have lupus. Were you tested for this as well. I am thinking you were.
I take Coumadin 6mg. daily. My INR fluctuated alot in the beginning.
I am interested in hearing your story as I hardly ever meet anyone with just the Lupus anticoagulant.
What do you think caused your clot besides the Lupus Anticoagulant? Were you pregnant or on birth control?
Pam
I also have lupus anticoagulant, but not lupus. I am on warfarin for life too. Like Pamela, I haven't heard of many people having just lupus anticoag. Have your doctors given you any information since they called?
Hope everything turns out well for you :)
I have not had a clot in years now. It takes awhile to get your INR stable but it will happen. I was tested for lupus when I had the first clot but the ANA came back negative. You can have a negative ANA and still have lupus. Talk to your MD about this. Read up on the symptoms of lupus and if you have any of them let your MD know. I suggest the mayo clinic web page it is very good.
I live a full active life. You can too. All you need is to be aware of the precautions you need to take being on anti coagulents. You will need to become versed in what foods have vit. K and let me tell you there are loads of them... You will need to talk about the possibility of bone loss from coumadin over the years with your MD and I suggest that you start an exersice program. It will help keep you feeling good. Watch out for NSADs too just about all of them can change your INR. Ibprofan, Aleve, naproxan just about any over the counter pain relief except tylenol is off limits now. Talk to your phamasist too. They can give you loads of help in what not to do or take or eat. If like me your into fresh veggies you will need to eat the same amount of green stuff everyday to keep your INR from bouncing all over the chart. Find out where the MD wants it. Usually that is between 2 and 3 sometimes 2.5 and 3.5, depending on your doctors advice. Geting it level and keeping it there can be frustrating but it can and will happen. After a bit you will become accustom to the diet and how your body reacts to the coumadin and it will be "normal" to you.
Make a habit of talking every new med. over with your pharmacy. Make them your friends and when they get to know you they will be your best source of imformation. Pick one and stay with them. They have programs now that will track your meds and flag anything not good for you. A really good pharmacy will know you and know when your Rx is due and will help you keep track of everything. I go to CVS. The people there are great and so very helpfull.
Im a bit concerned that you arent taking anything for clotting. Were you actually diagnosed with APS, or did you just have a clotting episode from the birth control pills? If you do have APS, you should at least be taking a 81mg baby aspirin every single day forever. You may even want to check into taking 1mg of folic acid daily. Im only telling you this because I am very knowlegable about this disease and once you have clotted from APS you are much more prone to it. I would hate for something bad to happen to you in the future from not being on something to keep your blood from sticking together. APS never goes away. Its an auto immune disease which can be triggered at any time. Im not trying to scare you but you should really see a rheumatologist or get a second opinion on whether you should be taking aspirin or not.
Melissa
Thanks for your concern, but I do NOT have APS, i only had a clotting episode re: lupus anticoagulant.
Honestly, you dont need to worry about pregnancy because if you go to a Perinatologist which I highly recommend (a high risk OBGYN) they will monitor you very closely AND put you on some sort of blood thinners. I have APS (found out before I tried for a baby) and had a sucessful pregnancy. When you start to consider having a baby, see a perinatologist first. Also, are you aware that APS causes almost the identical symptoms of lupus? You should really see a rheumatologist since you tested positive for the LA again. They (rheumies) are the ones who specialize and treat APS patients. They are much more knowlegable about the auto-immune part of this disease then hematologists are. You can email me if you have any questions. Im pretty knowlegable about APS.