Direct oral anticoagulants as safe, effective as warfarin

[seasider18]

The Recommended at the foot of the article may have differing opinions

healio.com/cardiology/arrhy...

[Hidden]

I haven’t seen any evidence, but my suspicion is that DOACs are safer then Warfarin, but less effective. The studies I have seen have compared DOACs with Warfarin where INR is in range less than 60% of the time, whereas it is relatively easy to achieve over 90% with self monitoring and self dosing.

[BobD Volunteer in reply to Hidden]

Well controlled is the critical phrase, Most people who rely on INRStar programs will fall out of range far too easily as there is no trend recognition protocol involved.

[fibber-me]

Does warfarin offer a higher degree of stroke protection? I would think so because you have a monitoring system in place unlike the newer drugs.

[Thomas45]

For me one DOAC wasn't as safe as Warfarin, and rather than be "bitten" a second time by taking a different DOAC I reverted to Warfarin. The lack of safety was not in relation to anti-coagulation but to a very rare side effect.

[seasider18]

What was the rare side effect ?