Preparing for a Long Haul Flight

[Guest Anna]

Hi, I am from Kansas, I'm 24 and have been on coumadin for almost 4 years. This summer I have an opportunity to go to Italy for a little over 2 months. I've been trying to gather research on long haul flights and what to do to prepare for them to take to my DR. The longest flight I have been on was for about 3 hours. The flight to Italy will take approx. 13 hours of flight time. I also need help with figuring out how I am going to check my INR while in Italy. If anyone has any studies on long haul flights and DVT, or how to prevent DVT while flying could you point me in the right direction. I've searched this sight and some people take shots before/during/after flying, but I was wondering where that info came from. Thank you so much in advance.

Anna

P.S. Taking a boat over is out because of cost. If we can't find a relatively safe way to fly I won't be able to go.

[Zarin]

Hello! If you are on a permanent dose of Coumadin, then you do not need to take injections for your flight. What is your INR and what is the frequency of your blood test right now? I would take the precaution of wearing my pressure stockings during the flight. Also frequent walks up and down the aisles will help. Dirnk plenty of fluids. While in Italy, be careful of the food you eat. Change in the intake of vitamin K rich foods will alter your INR which would mean adjustment of the dosage of Coumadin. If you maintain a regular diet, you will probably be just fine, enjoy your trip.

[Guest Anna]

Thank you Zarin for your advice. I went to the Dr. today and he said during the flight to walk around every hour, wear my hose, and drink lots of water. He is going to research a way for me to check my INR in Italy and get back with me. The easiers way would be a portable INR machine but we will have to see about that. They are approx $1450.00 right now and I don't know if my insurance will cover any of it. Thanks again.

Anna