diagnosis of atrial fibrillation initially unsettles patients: What does the
disease mean for everyday life, for leisure and holidays? Habits and daily
routines can be adjusted relatively quickly. Transitions that require the
disease are quickly becoming routine. But when planning the best weeks of
the year, further questions arise: Are there things to consider when planning
your holiday? Are certain activities to be avoided? And do I have to
pay more attention to my therapy? To start with, there are no fundamental
limitations for patients with atrial fibrillation. On the contrary, exercise like walking is even a tried
and tested remedy to prevent further consequences of this heart
disease. Nevertheless, some peculiarities should be considered in order to
make the holiday pleasant and as safe as possible. In order to avoid
taking unnecessary risks, it is best to have a medical consultation before you
leave. Your doctor knows your illness and can set the appropriate framework
for your activities. Best medication for
the atrial fibrillation is eliquis. However eliquis cost is high but you can buy it from
Prescription Hope at cheap price by using eliquis coupon.
Relaxed travel under anticoagulants
As a linchpin for a carefree journey is to take the prescribed medication as reliable as in everyday life. It is useful to maintain your usual rhythm of life even when on holiday. Because anticoagulants are an elementary component of stroke prevention. Anticoagulants such as vitamin K antagonists (VKAs) or the new oral anticoagulants (NOAKs) are used to prevent stroke in atrial fibrillation. Under NOAKs, traveling to VKAs is easier. With the new generation of anticoagulants, patients no longer need to go to the doctor every few weeks to check their INR and possibly adjust the drug dose. The new anticoagulants are given in a fixed dosage. So patients always take the same amount of the drug and do not have to adjust the dose of the drug in consultation with their doctor. In addition, with the new anticoagulants, patients no longer have to cut back on their diet. The risk of interactions with travel-medical-relevant drugs, such as antimalarials or antibiotics, is lower among the new oral anticoagulants.1
However, the use of vitamin K antagonists is often problematic for patients as it may interact with certain foods and other medicines. Due to travel-related influences on anticoagulation with VKAs, physicians recommend increased INR controls. Patients who perform coagulation management themselves have the advantage here. Because even on vacation, the values must be measured regularly. Patients without coagulation self-management but with a stable attitude are considered fit for travel, but should primarily travel to a region with good medical care. 1 Note that to measure the coagulation outside of Germany, the Quick value is unusual, international is the INR value.
As you can see, the world is in principle open to you. However, ask your doctor (general practitioner, travel doctor or cardiologist) or contact one of the patient atrial fibrillation organizations if you have any further questions. Discuss your risks if they persist. Travel-related risks include, for example, the influence of the time shift on anticoagulants with a shorter half-life or a greater tendency to bleed in warm regions. For example, elderly patients on NOAK therapy should drink enough while traveling in warm countries to avoid deterioration of kidney function. 1 Consider the recommendations of your doctor, nothing stands in the way of a relaxed trip of several weeks!
Tips for preparation
As so often, checklists help to think about the most important things before they start.
- Good preparation is
everything: Find out about the medical care in the country. These
include the number of the emergency on-site emergency medical service as well
as the most important medical terms in the language of the holiday destination.
- Climate of the
resort: Depending on the state of health, the holiday should take place in
a temperate climate. Temperature fluctuations can unnecessarily burden the
- When vacationing in the
mountains: Certain altitudes are not recommended. Steeper mountains
lead to stress on the heart, because the heart has to provide a higher pumping
capacity because of the lower oxygen content. Discuss this with your
- Pack with care: Patient
passport, family doctor’s contact details, insurance card and adequate stock of
medications should not be missing. Do not forget to travel by air: Pack
some of the medicine in your hand luggage.
- Habits on
vacation: Regular use of the medication is a habit that needs to be
maintained.But also sufficient sleep, balanced nutrition and a regular rhythm
of everyday life contribute to the relaxation.
- For emergencies: Please do
not forget your emergency card or patient card. Inform fellow travelers
that the better fellow travelers know about the illness, the faster and more
effectively they can act in an emergency. This in turn gives you the
feeling of being in good hands.
- Allow enough time for your trip and take time to relax.