Originale
The main aim of therapy is to reduce the chance of blood clotting. This is normally done through anticoagulants or other drugs that thin the blood. Warfarin is the first one tried usually, sometimes aspirin, sometimes Heparin depending on your own symptoms and diagnosis.
Everyone is different and working with a specialist is important to find the right therapy. For me, warfarin reduces the risk of clots, fluoxetine helps with the depression, amitriptyline with the migraines and hydroxychloroquine with the joint pain. Others need different anticoagulants like Heparin/rivoroxiban to thin the blood. Different people react differently to different drugs so a trusted medical specialist is imperative. Finding support from family, friends work colleagues is important to make sure the right treatment has the space and time to work.
New anticoagulants are being developed all the time, with fewer side effects and less need for close monitoring (such as frequent blood tests with warfarin) but they may not be suitable for you. A good specialist is important in finding the right treatment.
Hydroxychloroquine takes weeks to kick in sometimes, for me it was 3-4 months before I noticed a difference.
Warfarin requires caution to be taken with diet and close monitoring from your doctor.