Abstract
Direct oral anticoagulants (DOACs)-dabigatran, rivaroxaban, apixaban, and edoxaban-are available alternatives to warfarin for oral anticoagulation. Studies have proven the efficacy of DOACs in stroke prevention in nonvalvular atrial fibrillation, in the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and as prophylaxis against DVT and PE in patients undergoing hip or knee replacement surgery. DOACs have fewer drug interactions than warfarin. Among DOACs, apixaban has a notably low rate of gastrointestinal tract bleeding, whereas dabigatran has demonstrated a significant reduction in the rate of ischemic stroke. This article reviews the data and practices regarding the use of DOACs.
| Original language | English |
|---|---|
| Journal | Consultant |
| Volume | 57 |
| Issue number | 4 |
| State | Published - Apr 2017 |
Keywords
- Apixaban
- Atrial fibrillation
- Dabigatran
- Deep vein thrombosis
- Direct oral anticoagulants
- Edoxaban
- Pulmonary embolism
- Rivaroxaban
- Stroke prevention
- Warfarin
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