Contraindications: Leech therapy should not be performed in patients with:
Anticoagulant co-medications (e.g., Marcumar, Warfrin) you must come off this medication for 5 days minimum before you can have this therapy
IF YOU ARE TAKING ASPRIN
Hematological diseases (rare genetic disorders, anemia, conditions related to HIV, sickle cell disease, and complications from chemotherapy or transfusions)
Acute gastric ulcers
Immune deficiency due to AIDS
Severe chronic diseases (advanced-stage cancer, dialysis, etc)
History of poor wound healing (associated, e.g., with poorly controlled diabetes mellitus, obesity, and long-term cortisone treatment)
Known allergy to any of the active substances in leech saliva
Tendency to develop keloids or scarring
I promise to take care of myself after treatment. I will not scratch or itch the bite (as this could lead to infection). Should the bit become infected I will go to the local A&E or GP or minor injuries unit and ask for antibiotics (such as 500mg of ciprofloxacin three times a day for 7 days)
I understand that I must not get intoxicated before or in the days after the treatment as the therapy is blood moving and this can likewise adversly affect my recovery.
The potential side effects are understood by me. To my knowledge, none of the above mentioned contraindications apply.