What medicine is most effective for blood viscosity

Blood viscosity needs to be treated with medication based on the specific cause. Common improvement drugs include anticoagulants and antithrombotic drugs such as aspirin, clopidogrel, warfarin, etc., combined with lipid-lowering drugs such as atorvastatin or lifestyle interventions for better results. Blood viscosity may be related to factors such as hyperlipidemia, dehydration, and polycythemia, and the cause needs to be determined through blood routine and coagulation function tests.

1. Antiplatelet drugs:

Aspirin reduces the risk of thrombosis by inhibiting platelet aggregation, and is applicable to atherosclerosis related blood viscosity. Clopidogrel can selectively block ADP receptors and is often used in combination with aspirin to treat cardiovascular and cerebrovascular diseases. During medication, bleeding tendency should be monitored, and gastric ulcer patients should use it with caution.

2. Anticoagulants:

Warfarin is suitable for high-risk individuals with blood clots such as atrial fibrillation by inhibiting vitamin K-dependent coagulation factor synthesis. New oral anticoagulants such as rivaroxaban have more stable effects, but the dosage needs to be adjusted according to renal function. During use, it is necessary to regularly check the INR value and avoid taking it with alcohol.

3. Lipid lowering drugs:

Statins such as atorvastatin can lower low-density lipoprotein cholesterol and improve hemorheological indicators. Betrate drugs such as fenofibrate focus on reducing triglycerides, and the combination of the two should be cautious of the risk of rhabdomyolysis. During medication, liver function and creatine kinase should be monitored.

4. Blood thinner:

Hydroxyethyl starch and other plasma substitutes can improve microcirculation in the short term and are suitable for blood concentration caused by dehydration. Traditional Chinese medicine preparations such as sodium tanshinone IIA sulfonate have the effect of promoting blood circulation and removing blood stasis, and attention should be paid to allergic reactions. Intravenous medication requires strict control of indications and infusion speed.

5. Etiological treatment:

For polycythemia vera, hydroxyurea should be used to reduce the number of red blood cells. For secondary blood viscosity, primary diseases such as diabetes and sleep apnea should be treated. Hereditary hypercoagulability requires lifelong anticoagulation, while tumor related blood hyperviscosity requires targeted treatment for tumors. In addition to medication treatment, drinking 1500-2000 milliliters of water daily can reduce blood viscosity. It is recommended to choose plain water or light tea water. Diet should reduce animal fat intake and increase foods that improve microcirculation, such as deep-sea fish, onions, and black fungus. Regularly engage in aerobic exercises such as brisk walking and swimming, 3-5 times a week, for at least 30 minutes each time. Smokers should quit smoking immediately and avoid passive smoking. People over 40 years old are recommended to have their blood rheology and blood lipid indicators tested annually, and those who already have three high diseases need to have a follow-up every three months.