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Deep Vein Thrombosis

Deep vein thrombosis (DVT) occurs when a blood clot forms inside a deep vein, most often in the calf or thigh. The clot can block blood flow and, if it breaks free and travels to the lungs, cause a pulmonary embolism, a medical emergency. Long-haul flights are a recognised risk factor, making DVT awareness particularly relevant for frequent travellers.

Warfarin Tablets

Warfarin

1 · 2 · 5mg

Warfarin 1mg, 2mg and 5mg tablets, used in the management of atrial fibrillation, thromboembolism and deep vein thrombosis. A vitamin K antagonist.

From$0.40/ tabletView

Rivaroxaban Tablets

Rivaroxaban

10mg

Rivaroxaban 10mg tablets, used in the management of deep vein thrombosis, pulmonary embolism and stroke prevention in atrial fibrillation.

From$0.85/ tabletView

Key points

  • The calf or thigh is the usual site for this type of clot, which can obstruct circulation in the affected leg.
  • If a fragment breaks away and reaches the lungs it triggers a pulmonary embolism, a recognised medical emergency.
  • Swelling, warmth and an aching tightness in the leg are common signs, though some clots produce no symptoms at all.
  • Warfarin needs regular blood monitoring, whereas newer agents such as rivaroxaban work at a fixed dose without routine testing.

Recognising a clot in the leg

The affected limb may swell, feel warm, and show a dull ache or tightness that worsens when standing or walking. Skin can look red or take on a bluish tinge. Some DVTs cause no obvious symptoms at all, which is why sudden leg swelling after a period of immobility should always be assessed promptly. If you develop chest pain, rapid breathing, or cough up blood, seek emergency care immediately as these suggest the clot has reached the lungs.

How DVT is managed

Treatment centres on anticoagulants, medicines that prevent the clot from growing and reduce the risk of new ones forming. Warfarin has been the longstanding oral option and requires regular blood monitoring to maintain the correct dose. Newer direct oral anticoagulants such as rivaroxaban offer a fixed dose without routine blood tests and are now widely used as a first-line choice. Both approaches fall under heart and blood pressure management more broadly. Treatment typically continues for three to six months, sometimes longer depending on the underlying cause and clot severity.

Further reading