Hemophilia: Therapy

General measures

  • Individuals with hemophilia should obtain an identification card and carry it with them at all times
  • Injections should be administered intravenously and/or subcutaneously
  • Very careful hemostasis should always be performed after injuries/surgeries

The following agents should be avoided:

  • Antiplatelet agents (TAH) [There is no claim to completeness!]
    • Abciximab
    • Acetylsalicylic acid (ASA)
    • Combination of acetylsalicylic acid and dipyridamole.
    • Clopidogrel
    • Eptifibatide
    • Ilomedin (prostacyclin analogue): prostacyclin is the most potent endogenous platelet aggregation inhibitor (drugs that inhibit platelet clumping (platelet aggregation)).
    • Prasugrel
    • Ticagrelor
    • Ticlopidine
    • Tirofiban
  • Non-steroidal anti-inflammatory drugs (NSAIDs; anti-inflammatory drugs not derived from sterols) such as ibuprofen.
  • Oral anticoagulants (anticoagulants) such as phenprocoumon (coumarin derivative).
  • Hirudine
  • Heparins, heparinoids

The following analgesics (pain relievers) may be used:

  • Tilidine/naloxone
  • Buprenorphine
  • Paracetamol
  • Diclofenac

Conventional non-surgical therapy methods

Vaccinations

The vaccinations recommended by the STIKO should be given. However, these should not be administered intramuscularly without factor substitution.

Sports Medicine

  • Endurance training (cardio training) and strength training (muscle training).
  • The trained muscles protect the joints.
  • High risk sports (ie not suitable for hemophilia):
    • Team sports with a lot of physical contact, regular impacts on the legs and high risk of falls/injuries, such as basketball, (ice) field hockey, soccer, soccer, handball,
  • Medium risk sports (suitable with precautions):
    • Individual sports (such as inline skating, cycling, golf, dancing,tennis sailing) where the risk of injury can be minimized by precautions, such as a helmet.
  • Recommended sports:
    • Sports where falls or impacts do not usually occur (e.g. swimming, table tennis).
  • Preparation of a fitness or training plan with suitable sports disciplines based on a medical check (health check or athlete check).
  • Detailed information on sports medicine you will receive from us.

Physical therapy (including physiotherapy)