Hello Satheesh
Thank you for your question. As you are already on anticoagulant like apixaban after pulmonary embolism
It is very important to be careful for adding any medications
ABOHR PANKAJAKASTHURI BREATH EASY SYRUP
It is basically used for
Cough
Breathing difficulty
Allery
And milk respiratory problems
SAFETY WITH ANTICOAGULANT
Apixaban is a strong anticoagulant
And combining this with any herbal medication should be done carefully
As
Some herbs can increase bleeding risk
Some may alter drug action
Example-
Ginger may increase blood thining effect
Therefore what i suggest is
Use a small dose for short duration
5ml daily after food once is safe
But also monitor for easy bruising or nose or gum bleeding
Better than breatheasy syrup you can switch to some simple home remedies
1.WARM WATER
Drink. Warm. Water
Improves throat health
2.STEAM INHALATION
Daily steam inhalation
Clear airways
3.TULSI TEA
Boil few tulsi leaves
Supports lungs
DIET ADVICE
INCLUDE
warm food
Light diet
Fruits
Vegetables
❌AVOID
Excess oily food
Cold drinks
Smoking
Warm regards,
Dr Snehal Vidhate
YOU ARE TAKING APIXABAN TWICE DAILY AFTER AN UNPROVOKED PULMONARY EMBOLISM THIS IS A SERIOUS CONDITION AND YOUR ANTICOAGULANT MEDICINE MUST BE CONTINUED VERY CAREFULLY WITHOUT ANY INTERFERENCE PANKAJAKASTHURI BREATHEASY SYRUP IS A HERBAL RESPIRATORY FORMULATION USED FOR COUGH ALLERGY AND BREATHING ISSUES IT CONTAINS MULTIPLE HERBS AND EVEN THOUGH THEY ARE NATURAL SOME HERBS CAN HAVE MILD BLOOD THINNING OR CIRCULATION STIMULATING PROPERTIES WHEN COMBINED WITH APIXABAN THERE IS A POSSIBILITY OF INCREASED BLEEDING RISK IN YOUR CASE SAFETY IS FIRST PRIORITY BECAUSE EVEN A SMALL ADDITIONAL EFFECT ON BLOOD THINNING CAN LEAD TO NOSE BLEEDS GUM BLEEDS EASY BRUISING OR INTERNAL BLEEDING SINCE YOU MENTION YOUR RESPIRATORY HEALTH IS GENERALLY GOOD AND ONLY OCCASIONAL ISSUES ARE PRESENT I WOULD NOT ADVISE STARTING ANY MULTI HERBAL SYRUP WITHOUT DISCUSSING WITH YOUR TREATING PHYSICIAN WHO IS MONITORING YOUR ANTICOAGULATION IF YOU NEED MILD RESPIRATORY SUPPORT YOU CAN USE SIMPLE MEASURES LIKE WARM WATER SIPPING STEAM INHALATION OR SMALL QUANTITY OF TULSI INFUSION THESE ARE GENTLER OPTIONS AND LESS LIKELY TO INTERACT ALSO AVOID STRONG HERBS LIKE GUGGULU HIGH DOSE GARLIC HIGH DOSE GINGER OR ANY INTENSE DETOX FORMULATIONS WHILE YOU ARE ON ANTICOAGULANT THERAPY UNLESS SPECIFICALLY CLEARED WITH A HISTORY OF UNPROVOKED PULMONARY EMBOLISM YOUR CONDITION REQUIRES LONG TERM STABILITY AND CAREFUL MONITORING NATURAL MEDICINES CAN BE USED BUT ONLY WITH PROPER GUIDANCE AND CAUTION PLEASE DO NOT START THE SYRUP WITHOUT MEDICAL APPROVAL YOUR SAFETY AND PREVENTION OF ANOTHER EPISODE IS MOST IMPORTANT
Hi… I think better you must consult with your doctor about this
Since you are on Apixaban after pulmonary embolism, please do not start pankajakasturi breath, easy syrup Some herbal ingredients may increase bleeding risk with anticoagulants
HELLO, You’re taking apixaban 2.5 mg twice daily after an unprovoked pulmonary embolism- that’s important, because apixaban is a blood thinner and can interact with certain herbal products REGARDING PANKAJAKASTHURI BREATHEASY SYRUP This is an ayurvedic poly herb formulation typically containing herbs such as -vasaka -tulsi -ginger -long pepper -turmeric -licorice -other herbal extracts SAFETY WITH APIXABAN There is no strong clinical trial data confirming it is safe with apixaban. However, some ingredients raise caution -ginger-> mild blood thinning effect -turmeric-> may increase bleeding risk -tulsi-> possible mild coagulant effect -licorice-> can affect blood pressure and potassium Because you are on apixaban after an unprovoked PE (higher recurrence risk), even small increases in bleeding risk should be taken seriously RISK SUMMARY Combining herbal formulations that have anti platelet or anticoagulant effects with apixaban may -increase risk of nosebleeds -cause easy brusing -increase GI bleeding risk -rarely increase internal bleeding risk Even though your dose (2.5 mg BID) is a lower maintenance dose, interaction risk still exists MY RECCOMENDATIONS -Do not start pankajakasthuri breathes without informing your prescribing doctor -If your respiratory health is gradually good (AS YOU MENTIONED, only occasional issue), it may be safer to –use steam inhalation –use saline nasal spray –use simple honey + warm water unless diabetic –stay hydrated These are safer with anticoagulants Instead of multi herb syrups, consider -plain steam inhalation with ajwain -warm turmeric milk in very small amounts (but avoid high-dose supplements) AVOID -high dose turmeric capsules -ginger extracts -mixed syrups without physician clearance Because you are on apixaban after unprovoked PE, its safer to avoid pankajakasthuri breathes syrup unless physician explicitly approves it DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Its better not to take Pankajakasturi and consult with your doctor. WARM REGARDS DR. ANJALI SEHRAWAT
