Prevent thrombus coming off again.

 Two years ago thrombus come off on right hand, ache hand  felt till elbow. Am visited hospital and surgery endured, removed thrombus. Cardiologist adviced use for all time Rivaroxaban /Xarelto/ on 15 mng, am drinking his two years, but he is very expensive, my pressure is on 140/80, 140/70 with arruthmia, maybe specialist woul comment about not expensive remedy against thrombus forming in vessels. 

Dear Nina answers doctor a first category, vessel surgeries Chiz a data situation in you calling thromboembolia of arteries right top extremities, and tied with a constant form arrhythmia ciliated , and when heart beating a not evenly, in eyelet of left appendages forming thrombus. When thrombus coming off, a thromboembolia happening, and in your case a thrombus with blood current entered in arteries of right top extremities and begun an acute ishemia extremities.

 Doctors are saved your hand, doing surgery as thromboectomia as timely removing thrombus. If they are not kept up, thus soft tissues are dead , and necrosis formed, and  you can lose extremity.

 And prevent same situations are prescribing anti coagulants , or antagonists vitamin K -Varfarine , or Xarelto , and yes, for expensive cost, prescribing on month. And his analogize Apixaban, and from these groups is Eliquize, and they are comfortable, that not needing blood controlling on coagulation.

 Varfarine is low cost, but in his use you must often control for coagulogram  is stat for blood coagulation, and about this you are sent it to me, and stats must be from 2-3, an also with diet keeping, which offered to you with instruction to the remedy. And from ration you must avoid green vegetables, as salads, greens, avoiding caffeine, and thus Varfarine is very hard, thus you must be keeping discipline, as with keeping coagulation blood ,   and not get out for diapazone a therapy effect/2-3/. If less 2 stat, thus you are in risk for repeating embolia, if more ,than 3,thus risk for bleeding increasing, which are hard stopping. And its catastrophe for your life-saving, thus keeping these stats and diet. And expensive remedies are not needing in controlling stats for blood coagulation and meal regime changing. Also, these stats controlling in selecting remedy dose, till a leading goal s stats, as for 3 times/week doing blood test from vein on coagulogram , and three times/week doing test is hard. Thus  in leading right stats on 2.1-2.6 you can check for one times/ month  blood test. But its always needing. All of my patients as adult are worry about process, and doing tests at laboratories, and thus controlling blood coagulation with needing dosages selecting as Varfarine is better to buy new anticoagulants. Or other idea, receive device which controlling coagulation, at home his using ,like diabetics use a glucometer, its true comfortable, but expensive, unfortunately.