New oral anti-coagulants
There are currently 3 new oral anti-coagulant drugs or NOACs. There drugs are licenced for the treatment of atrial fibrillation.
There are pros and cons with regards to their use:
Pros: Simple dosing regimen (once or twice a day, fixed dose)
No interaction with foods or alcohol
Limited number of interactions with other medications
Rapid onset of anti-coagulant action
No need for monitoring with blood tests
Reduced risk of intracranial haemorrhage
More effective than warfarin in reducing stroke risk (dabigatran)
Reduced all cause mortality (apixaban)
Cons: Cost (approximately £1.50 - 2.00 per tablet)
Lack of experience with patients who bleed whilst taking the medication
Lack of anti-coagulant effect if doses are missed
There are pros and cons with regards to their use:
Pros: Simple dosing regimen (once or twice a day, fixed dose)
No interaction with foods or alcohol
Limited number of interactions with other medications
Rapid onset of anti-coagulant action
No need for monitoring with blood tests
Reduced risk of intracranial haemorrhage
More effective than warfarin in reducing stroke risk (dabigatran)
Reduced all cause mortality (apixaban)
Cons: Cost (approximately £1.50 - 2.00 per tablet)
Lack of experience with patients who bleed whilst taking the medication
Lack of anti-coagulant effect if doses are missed