I'm afraid that in your case you do have a difficult decision to make.
Since the etiology (cause) of the pulmonary embolus is not known
the chance of recurrence is hard to assess
pharmaceutical companies are working desperately to come up with a coumadin replacment
pradaxa is one such medicine
but even though it theoretically should work to prevent PE, it is only authorized for managment of clotting due to atrial fibrillation
so it might be worth mentioning this to your doctor and getting his opinion on this as an alternative
if you did use it it would be 'off label' use
for your reference here is a good article on PE from the mayo clinic
i imagine that after the PE they searched hard for a recurrence of your previous cancer and did not find it as clots come with cancer, so in this respect not finding a cause is a good thing
I understand completely your desire to be off the warfarin
it is a tricky medicine to say the least
if you did stop you would need to come to terms with the possibility of a recurrence which, worst case, could be fatal
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Thank you very much for your excellent response.
I do not know if they searched for a recurrence of cancer. Will have to find out. Was not aware clots come with cancer.They did say it originated in my left inside lower leg.
My then primary care doctor said it was probably from the Femara. Is that a possibility?
He has since moved to another area, so I am starting with a new primary physician. I did give him my medical files. He stated he has been working with patients of this nature for 28 yrs. However, they knew the cause such as a long airline flight.
My oncologist stated, when he visited me, "it was not from the Femara". Do you have an opinion on that? I have stopped the Femara since the PE.
Is this weak feeling, which started a couple or more weeks ago from the coumadin? If so, can I take any medication/cafein?
My next Dr's appointment is Wed. 24 July.
Thank you for you response and the article from Mayo Clinic.