Deep vein thrombosis (DVT) – can occur in healthy people if they are immobile for long periods of time, this includes car journeys and ‘e-thrombosis’ caused by sitting still for too long at a desk or computer. Everyone should either try to walk around every couple of hours or exercise the calf and foot muscles; if that is not possible, then simply fidgeting can be beneficial as it gets the circulation moving.
Whether you self-manage or visit the anticoagulation clinic, if you experience any symptoms you must get your INR checked as soon as possible in case you need to increase your dosage of warfarin or inject with heparin.
If you have Hughes/antiphospholipid syndrome and are pregnant, flying is considered safe as it is highly likely that you will be taking 75mg aspirin daily as well as heparin injections. The same guidelines apply as to all passengers taking heparin, but you should be aware that most airlines will only be prepared to carry you up to your 27th week of the pregnancy.
Travelling can be a daunting experience if you have reduced mobility or are disabled, so you must ensure that you inform your booking agent so they can make sure the appropriate assistance and support is available at the airport. If you book online, you should check that the flight provider can also offer you the services you require.
If you are travelling abroad it is wise to take out a travel insurance policy, but is essential you fully disclose your medical conditions to the insurance company, even if they do not ask. Failure to do so could lead to them rejecting a claim.
This page provides a list of useful contacts of companies that offer travel insurance for APS patients
Download and keep our factsheet on how to inject with heparin