What lifestyle modifications should I advise patients with acquired coagulopathy to minimize bleeding risks?

Lifestyle modifications for patients with acquired coagulopathy to minimize bleeding risks include:

• Avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs), including COX-2 inhibitors, as these increase bleeding risk, especially during acute bleeding phases.
• Limit or avoid alcohol consumption, as alcohol can affect anticoagulation control and increase bleeding risk.
• Maintain good communication with healthcare providers about all medications, including over-the-counter drugs and supplements, to avoid interactions that may increase bleeding risk.
• Carry and consistently use an anticoagulant alert card to inform healthcare professionals of their anticoagulation status in emergencies.
• Be cautious with activities that increase the risk of trauma or injury, such as contact sports, to reduce bleeding risk.
• Ensure regular monitoring and review of anticoagulation therapy, including adherence, diet, and lifestyle factors, to maintain optimal control and minimize bleeding complications.
• Discuss dental and surgical procedures with healthcare providers beforehand to manage anticoagulation appropriately and reduce bleeding risk.

These recommendations are based on NICE guidelines emphasizing medication review, patient education, and risk minimization strategies in anticoagulated patients or those with bleeding disorders NICE NG158,NICE CG141,NICE NG196.