Leech therapy is not for everyone. Concealment of information and the following contraindications from a hirudotherapist may pose a high risk to health and life


The list of commonly established contraindications for hirudotherapy (P. Flecken, A. Michalsen):


  • Haemophilia and anticoagulants (acenocoumarol, marcumar, warfarin, heparin and heparinoids)
  • Anemia
  • Upper gastrointestinal tract post – haemorrhage condition
  • Severe infection
  • Severe internal diseases and immunosuppression
  • Severe allergy
  • Pregnancy
  • Wound healing compplications
  • unconscious patients
  • Mental impairment
  • Keloids
  • Bleeding disorder
  • Deep vein thrombosis
  • Diabetic foot and tissue necrosis
  • Dermatomycoses
  • Skin malignancies
  • Skin tissue loss. ulceration, decubitus
  • Autoimmunological pemphigus