New anti- coagulation drugs - Atrial Fibrillati...

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New anti- coagulation drugs

Pattiann08 profile image
13 Replies

I haven't posted recently as I have been stable. GP has said I can change from Warfarin to one of the new drugs. So is there one which is best to have - she has mentioned one that you only take 1 daily. Any advice or help appreciated please

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Pattiann08 profile image
Pattiann08
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13 Replies

This might be interesting....

youtube.com/watch?v=GFPGZF2...

I'm on Apixaban which I have to take twice a day.

BobD profile image
BobDVolunteer

in my area Rivaroxaban is the drug of choice for those not able to maintain a stable INR on warfarin. Each has pluses and minuses.

jennydog profile image
jennydog

My EP prescribed twice daily Pradaxa ( dabigatran ) There is an antidote called Praxbind. I got the impression that Dr Gupta rather favoured dabigatran.

EricW profile image
EricW

EricW

Have used Dabigatran now for 4 years. It is very convenient although you may notice easy bruising. Also you will need to talk to your dentist and pharmacist if you are having any serious dental work done. I was told that unless you are greatly at risk of stroke it is OK to stop your dose for 24 hours.

tony85 profile image
tony85

Nothing wrong with wafarin provided you check your Inr regular. 99% of people with AF use it world wide. It is a proven drug.

CDreamer profile image
CDreamer in reply to tony85

My impression is that many people are now changing to the NOACs which have many advantages over WafarinWafarin, especially if you travel a lot and cannot get INR checked or if you cannot maintain a stable INR.

MarkS profile image
MarkS in reply to CDreamer

I agree NOACs are superior if you cannot keep a stable INR. I would also suggest that a Coaguchek is essential if on warfarin. If you can then keep a stable INR like many do on this site, then warfarin is actually superior to NOACs which cannot be tested. Also travelling becomes easy.

Once there is a blood test for the NOACs (and it is required - blood concentrations vary hugely between people) and there is a reliable antidote which is widely available then I might consider changing. Until that time it's good old reliable warfarin for me!

seasider18 profile image
seasider18 in reply to CDreamer

Neighbours travelling in Europe and Australia have been given details of clinics where they can have their INR checked.

Pattiann08 profile image
Pattiann08

Thank you for your comments. I will be taking Rivaroxiban so am interested in chatting to anyone taking this

NiceNana profile image
NiceNana

The NOAC that I chose was Rivaroxaban, purely because it is once a day. I found that having to take a pill in the afternoon/evening was inconvenient (and I'd often forget), so I now take all my medication with my breakfast.

Watch the video that Koll has posted and decide which you think is for you.

Good luck. Lynn

KipperJohn profile image
KipperJohn

I take Apixaban twice a day - every 12 hours. No problems as far as I'm aware. i carry a patient warning card in my wallet at all times.

Annekw profile image
Annekw

Most people I know in Cumbria are being encouraged to change to NOAC`s I am on Apixaban for 16months now,no problems!

seasider18 profile image
seasider18 in reply to Annekw

I wonder why they are being encouraged when NOAC's even allowing for the cost of INR testing are still cheaper. Especially when the cost conscious NHS mainly prescribe generic drugs.

This week I managed to get my GP to give me a prescription for Nexium rather than the generic I have been getting for years. When I gave the pharmacist my prescription she said that they do not keep it in stock nowadays and would have to order it. The 20mg OTC version they have on the shelf must be in some way different

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