Direct oral anticoagulants; a review for the non-specialist

Thrombin inhibitors and direct factor Xa inhibitors represent a major breakthrough in the field of anticoagulation pharmacotherapy. These novel agents have replaced warfarin as the oral anticoagulant of choice in certain indications, as they possess equal or superior efficacy and better safety prof...

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Autor principal: Thilina Gunawardena
Formato: article
Lenguaje:EN
Publicado: PAGEPress Publications 2021
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Acceso en línea:https://doaj.org/article/fe609b572aae45f58e3bad1e170569c7
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spelling oai:doaj.org-article:fe609b572aae45f58e3bad1e170569c72021-11-26T14:38:52ZDirect oral anticoagulants; a review for the non-specialist10.4081/hr.2021.92392038-83222038-8330https://doaj.org/article/fe609b572aae45f58e3bad1e170569c72021-11-01T00:00:00Zhttps://www.pagepress.org/journals/index.php/hr/article/view/9239https://doaj.org/toc/2038-8322https://doaj.org/toc/2038-8330 Thrombin inhibitors and direct factor Xa inhibitors represent a major breakthrough in the field of anticoagulation pharmacotherapy. These novel agents have replaced warfarin as the oral anticoagulant of choice in certain indications, as they possess equal or superior efficacy and better safety profiles. They have a quick onset of action, predictable pharmacokinetic properties and minimal drug and food interactions. So they do not require frequent blood monitoring and dose adjustments as with warfarin. Considering all the advantages, there seems to be a rapid increase in the number of patients who are started on these novel anticoagulants. In this review, we highlight the pharmacology of these direct oral anticoagulants and the evidence-based indications for their use. We aim to provide a clinical overview for the non-specialist who may be called upon to manage a patient who is currently on one of these novel anticoagulants. Thilina GunawardenaPAGEPress PublicationsarticleDOAC; dabigatran; rivaroxaban; apixaban; edoxaban; oral anticoagulantsDiseases of the blood and blood-forming organsRC633-647.5ENHematology Reports, Vol 13, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
topic DOAC; dabigatran; rivaroxaban; apixaban; edoxaban; oral anticoagulants
Diseases of the blood and blood-forming organs
RC633-647.5
spellingShingle DOAC; dabigatran; rivaroxaban; apixaban; edoxaban; oral anticoagulants
Diseases of the blood and blood-forming organs
RC633-647.5
Thilina Gunawardena
Direct oral anticoagulants; a review for the non-specialist
description Thrombin inhibitors and direct factor Xa inhibitors represent a major breakthrough in the field of anticoagulation pharmacotherapy. These novel agents have replaced warfarin as the oral anticoagulant of choice in certain indications, as they possess equal or superior efficacy and better safety profiles. They have a quick onset of action, predictable pharmacokinetic properties and minimal drug and food interactions. So they do not require frequent blood monitoring and dose adjustments as with warfarin. Considering all the advantages, there seems to be a rapid increase in the number of patients who are started on these novel anticoagulants. In this review, we highlight the pharmacology of these direct oral anticoagulants and the evidence-based indications for their use. We aim to provide a clinical overview for the non-specialist who may be called upon to manage a patient who is currently on one of these novel anticoagulants.
format article
author Thilina Gunawardena
author_facet Thilina Gunawardena
author_sort Thilina Gunawardena
title Direct oral anticoagulants; a review for the non-specialist
title_short Direct oral anticoagulants; a review for the non-specialist
title_full Direct oral anticoagulants; a review for the non-specialist
title_fullStr Direct oral anticoagulants; a review for the non-specialist
title_full_unstemmed Direct oral anticoagulants; a review for the non-specialist
title_sort direct oral anticoagulants; a review for the non-specialist
publisher PAGEPress Publications
publishDate 2021
url https://doaj.org/article/fe609b572aae45f58e3bad1e170569c7
work_keys_str_mv AT thilinagunawardena directoralanticoagulantsareviewforthenonspecialist
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