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
New anti- coagulation drugs : I haven't... - AF Association
This might be interesting....
I'm on Apixaban which I have to take twice a day.
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.
My EP prescribed twice daily Pradaxa ( dabigatran ) There is an antidote called Praxbind. I got the impression that Dr Gupta rather favoured dabigatran.
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.
Nothing wrong with wafarin provided you check your Inr regular. 99% of people with AF use it world wide. It is a proven drug.
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.
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!
Thank you for your comments. I will be taking Rivaroxiban so am interested in chatting to anyone taking this
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
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.
Most people I know in Cumbria are being encouraged to change to NOAC`s I am on Apixaban for 16months now,no problems!
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