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The pharmacists at the Anticoagulation Clinic are committed to providing quality clinical and educational services that are timely and responsive to the needs of patients, families, other health professionals and the community.
A prescription is needed for a stocking with compression pressure >15 mmHg. (15mm Hg is needed for treatment compression.)
A fit measurement is usually done at the medical supply stores where you purchase your stockings.
It is recommended to take your measurements in the morning before swelling builds in the legs to avoid choosing a stocking size that is too large.
If compression stocking is covered by the insurance, you usually pay ahead and the medical supply store will give you a receipt, which you can mail to your insurance for reimbursement.
If your insurance does not cover the compression stockings or you are unable to obtain a prescription, you can go to http://www.healthylegs.com for the FDA-approved over-the-counter support stockings.
The stockings can be knee-high or thigh-high.
The correctly fitted stockings will not cut off your circulation. They help with the discoloration condition called postphlebitic syndrome and they help to prevent clot formation in your legs, especially if you have a long air flight or are not able ambulate for long periods of time.
The durability of the stockings varies from manufacture to manufacture. Generally, they last for 4-6 months. If possible, have 2 pairs available so you can wear one while the other one is in the wash.
The length of time for compression stockings depends on both the reason for wearing the compression and the amount of compression. Check with your doctor for instructions.
Tips for putting on your support hose
Proper compression stockings and arm sleeves should feel snug at first. It will take a few days to adjust to the pressure.
Compression garments are easier to put on when you first get out of bed, before swelling occurs.
Skin should be dry
Applying a thin layer of cornstarch or powder will help the stockings or sleeve slide over your skin.
Remove any rings and jewelry that can damage your stockings.
Can wear gloves to prevent fingernails from damaging the fabric - they also help provide grip to distribute the fabric more easily.
Avoid rolling, gathering or bunching the fabric, as this will only increase the pressure – like creating a super rubber band.
Apply moisturizer to your legs or arm in the evening rather than just before putting on your stocking or sleeve in the morning.
All patients must be referred by a Stanford doctor.
For blood draw only, contact us for a requisition order good for six months. We request that routine blood draws be done for patients who cannot be seen during the regular Oral Anticoagulation Clinic appointments.
PREPARE FOR YOUR APPOINTMENT
Your initial visit will be a one-hour education session about Warfarin use including side effects, drug and diet interactions, and clinic policies.
AFTER YOUR APPOINTMENT
Have your INR checked if you have not seen us for a long time.
Get updated labels once a month at the registration desk.
Labels given to you at admitting must be attached to your samples/records.
Keep an updated list of medications with you to review at your visits.
Stanford Health Care provides comprehensive services to refer and track patients, as well as the latest information and news for physicians and office staff. For help with all referral needs and questions, visit Referring Physicians.