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Contraindications and side effects of Clexane

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Discover the Contraindications and side effects of Clexane.

This anticoagulant drug is especially used to prevent blood circulation problems.

A drug against diseases of the blood circulation.

Cardiovascular problems are probably together with dementias and cancer some of those that cause the greatest concern to the majority of the population, given the importance for our survival of the fact that the blood circulates normally through our body and that the heart keeps pumping it in the normal way.

And it is a fact that a large proportion of elderly people suffer from some type of heart or circulatory problem.

However, medical advances have allowed the development of drugs that allow treating some of these types of pathology, such as the well-known Sintrom or the drug that we are going to talk about throughout this article: Clexane.

What is the Clexane?

We call Clexane a type of anticoagulant drug widely used in the medical field, in response to complex cardiovascular problems that endanger the lives of those who suffer from them.

As an anticoagulant, its function is to reduce blood clotting, which although it is generally positive since it helps to stop bleeding in specific cases in which this process occurs to a great extent, can make it difficult for the blood to pass. and even provoke a thrombus.

Thus, thanks to the anticoagulant it is possible to keep the blood circulating in a liquid and fluid way and reduce the risk.

Clexane is a drug whose active ingredient is enoxaparin sodium, being one of the low molecular weight heparins (which are derived from non-fractionated ones) that is obtained from the intestines of the pig.

It is a drug whose main route of administration is intravenous or subdermal, and it is marketed as prepared syringes. It is not applied orally or intramuscularly.

Functions of clexane

Clexane is a drug widely used in various conditions in which it can save lives, either as a treatment or even as prevention of some life-threatening situations, all of which are linked to the cardiovascular system.

One of the main indications is in the treatment of deep vein thrombosis, an alteration in which blood clots plug one of the body’s veins, generally directed to the extremities, and which can generate important consequences (including a possible embolism pulmonary).

Also not only during treatment but also as prevention in high-risk cases or to prevent it from happening again in people who have already suffered it before.

It is also used in the treatment of acute coronary syndromes, including some types of angina pectoris and heart attacks, usually as a previous step or in conjunction with other medications, as well as in the prevention of relapses.

Likewise, it is effective in preventing possible thrombi in cases of respiratory or heart failure, as well as in people in a coma or who must remain in a recumbent position (for example, in a long convalescence) and even to prevent possible clots in the case of patients. who must undergo hemodialysis.

It must be taken into account that Clexane can be used at any age from adulthood, including very old ages if necessary.

However, there are not enough studies carried out with minors that allow us to know if it is a safe drug, being a drug that should only be applied to adults.

Possible side effects of clexane

This drug has proven to be very useful and has saved multiple lives since its discovery, but like all drugs, it is not without risks and side effects.

First of all, and as with the rest of anticoagulants, it should be taken into account that the fact that the blood is prevented from clotting causes bleeding of varying severity to arise from any part of the body.

Simple wounds and blows can bleed or generate internal hematomas of great relevance, and it must be necessary to be very careful in this regard. This is the most common secondary symptom.

Likewise, and derived from it, anemia may also appear due to blood loss. Sometimes these hemorrhages can occur at the intestinal, spinal, or intracranial level, being their much greater danger.

The possibility of appearance as well as edema, erythema, alopecia, dermatitis, or even fever has also been observed.

It has been observed that in some cases the level of potassium in the blood increases excessively or even triple the levels of transaminases and other liver enzymes.

More serious are cases of cutaneous necrosis or vasculitis, liver lesions, or thrombocytopenia that can paradoxically generate thrombosis (something that makes it necessary to periodically do a platelet count of the subject).

Contraindications of clexane

As we have seen, despite being very useful, Clexane can also generate dangerous effects, which can put certain sectors of the population at risk. That is why it has various contraindications.

One of these contraindications can be found in the cases of those who have an allergy or hypersensitivity to this drug as well as to other heparins, as well as to its multiple components.

It is contraindicated in people at high risk of bleeding, including people who are going to undergo surgery or are going to have punctures, people with ulcers, aneurysms, or vascular problems in which the walls of the vessels are more fragile.

Also in people with heparin-induced thrombocytopenia. People with high levels of potassium in the blood should avoid it, and it is not recommended in severe kidney failure (with the possible exception of its use in dialysis), as well as extreme caution in the case of liver failure.

It is also not recommended, or at least great caution and control are required, in diabetic patients due to the adrenal alterations it can cause.

Underweight or obese patients should be monitored, as there is a greater risk of bleeding or thrombi.

The use of Clexane in people taking other drugs should be consulted. Finally, and as we have indicated previously since there are no data in this regard, it is contraindicated in children.

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Benefits of hyaluronic acid for acne

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Discover the benefits of hyaluronic acid for acne.

In most acne scars there is a loss of skin volume ( atrophy ), which gives the area where they form a depressed or “engraved” appearance.

This atrophy is the product of a  lack of hyaluronic acid and collagen in the dermis, the intermediate part of the skin, responsible for giving the turgidity, volume, and elasticity of healthy skin.

Methods of treatment

There are different  methods to treat atrophic scars, which we could classify into two different groups according to their speed of action:

· Immediate effect.  They are called fillers, biocompatible substances that can be injected into the skin to give volume to areas that have lost it.

Among them, those of hyaluronic acid, polylactic acid, or calcium hydroxyapatite stand out among others. Its turgid effect is immediate, filling cavities, furrows, and atrophic areas of the skin with very natural results. The duration of these materials is limited, so periodically (every  6 – 18 months ) it is common to practice a new session.

· Delayed effect.  It implies that they promote the synthesis of collagen and ground substance of the dermis. It is worth mentioning the fractional lasers  (ablative or non-ablative) and the intermediate and deep peels.

The main advantage of these methods is that their effect is permanent once the optimal point of improvement has been reached, which is not immediate but after practicing several sessions of the procedure.

Hyaluronic acid is indicated in the treatment of atrophic,  depressed, and ice-pick acne scars. There are different densities of hyaluronic acid, designed to treat different forms of atrophy or loss of volume.

For the treatment of moderate or ice pick acne scars, it is useful to use low and intermediate densities; and to recover a large volume in especially atrophic areas, it is possible to use higher densities to cover the maximum repertoire of defects.

The main advantages of using hyaluronic acid lie in its immediate action, its durability, its biocompatibility, and its minimal allergenic potential. This molecule can fill in atrophic scars, providing optimal volume immediately and in the short term, promoting collagen synthesis in the long run.

In this way, the irregularity on the surface of the skin is substantially reduced after the application of hyaluronic acid, improving the overall appearance of the skin in the treated area.

Another positive aspect of using hyaluronic acid is that it usually only requires a  single application session. Likewise, fillers are one of the best tolerated aesthetic procedures since they have a  minimal rate of adverse effects and the pain caused is minimal if a precise technique is followed. Slight erythema  (redness) that lasts 2-4 hours after the procedure is common and can be reduced with the application of cold compresses.

According to studies published by Halachmi et al, the satisfaction rate and results in patients with atrophic acne scars and ice pick treated with hyaluronic acid are excellent.

The only limiting aspect of hyaluronic acid fillers is their duration. This molecule is naturally degraded in the skin, its effect persisting for   6-18 months depending on the density of hyaluronic acid used and the indication for which it has been applied.

Specifically, for acne scars, the duration of hyaluronic acid is the maximum possible, since it is retained within the fibrosis that partitions the scars. It should be remembered that, in the long term, this molecule favors the synthesis of collagen, so that the perceptible effect is progressively more durable as different sessions are carried out.

FREQUENT QUESTIONS

What is the main indication of hyaluronic acid in acne scars?

Its main effect is to fill in depressed scars and regularize the appearance of the skin surface.

When is the effect of hyaluronic acid noticeable?

The effect of hyaluronic acid is immediate and noticeable at the end of its application. Over a week or so, the hyaluronic acid settles in the applied area and the surface where it has been applied progressively becomes even more regular.

How is hyaluronic acid applied?

The procedure is performed in the  Dermatology consultation through microinjections applied under the scars to be treated. An anesthetic cream is usually used before the session and it is very tolerable, with minimal discomfort.

How many hyaluronic acid sessions are needed to treat facial acne scars?

In general, if they are not very deep or extensive,  one is enough.

How is the face after doing the filling session?

The corrective effect of hyaluronic acid is immediate. At the end of the session, most atrophic and depressed scars have recovered all or part of their lost volume. Immediately after the session, it is usual to see some redness in the treated areas and slight swelling, which usually lasts between 2-4 hours.

It is possible, although infrequent, that during the procedure a  minimal punctual hematoma may appear in an injection area, which will disappear spontaneously over a week or so.

Is it a painful procedure?

Filling with hyaluronic acid after application of anesthetic cream is one of the most well-tolerated and appreciated aesthetic procedures, with an excellent satisfaction rate for the patient.

Can fillers be combined with other acne scar treatments?

Yes.  They can be used concomitantly with ablative/non-ablative peels or lasers, or even botulinum toxin if desired. It is recommended, yes, to carry them out in different sessions.

Is the effect of hyaluronic acid definitive?

No.  Although with each session there is a certain accumulation of the effect due to the collagen synthesis promoted by hyaluronic acid, it is advisable to perform a filler every  6-18 months depending on the indication and the area to be treated.

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10 Benefits Of Feijoa Or Pineapple Guava

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