Leech Therapy - Contrindications

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