DOAC

E861729

DOAC (direct oral anticoagulant) is a class of blood-thinning medications that directly inhibit specific clotting factors to prevent and treat thromboembolic events.

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Statements (49)

Predicate Object
instanceOf anticoagulant drug
class of medication
abbreviationOf direct oral anticoagulant
alternativeTo warfarin NERFINISHED
benefitComparedToWarfarin fewer drug interactions (agent-dependent)
fewer food interactions
fixed dosing
no routine INR monitoring
clinicalGuidelineUse recommended first-line for non-valvular atrial fibrillation in many guidelines
comparedTo vitamin K antagonist
contraindicatedIn mechanical heart valves
severe renal impairment
drugInteractionWith strong CYP3A4 inhibitors
strong P-glycoprotein inhibitors
elimination renal excretion (varies by agent)
fullName direct oral anticoagulant
hasAdverseEffect bleeding
gastrointestinal bleeding
intracranial hemorrhage
hasMechanismOfAction direct inhibition of specific coagulation factors
hasPharmacologicalEffect anticoagulation
hasReversalAgent andexanet alfa NERFINISHED
idarucizumab
hasReversalStrategy prothrombin complex concentrate GENERATED
hasSubclass direct thrombin inhibitor
factor Xa inhibitor
includesDrug apixaban NERFINISHED
betrixaban NERFINISHED
dabigatran NERFINISHED
edoxaban NERFINISHED
rivaroxaban NERFINISHED
metabolism hepatic metabolism (varies by agent)
monitoringRequirement no routine coagulation monitoring required in most patients
onsetOfAction rapid
requiresDoseAdjustmentIn hepatic impairment
renal impairment
riskComparedToWarfarin higher cost
limited use in severe renal dysfunction
routeOfAdministration oral
targets coagulation factor IIa
coagulation factor Xa
usedFor prevention of recurrent deep vein thrombosis
prevention of recurrent pulmonary embolism
prevention of stroke in non-valvular atrial fibrillation
prevention of thromboembolic events
treatment of deep vein thrombosis
treatment of pulmonary embolism
treatment of thromboembolic events
venous thromboembolism prophylaxis after orthopedic surgery

Referenced by (1)

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