Anticoagulants and kidney function testing ... - AF Association

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Anticoagulants and kidney function testing ( May 2019 )

jennydog
jennydog
16 Replies

My GP rang this morning re my Pradaxa ( dabigatran ) medication. Hitherto I have had my kidney function tested annually via a blood sample. Dr Potter tells me that the new instruction is that it should now be tested every 6 months. This apparently refers to all NOACs.

Subsequent thought--------- are they seeing kidney problems due to these new medications hence this extra monitoring?

16 Replies
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jonjub

Coincidence. Saw my gp yesterday and i said that i hadn't had a kidney function blood test, as usual and he said “not necessary”. Now what do i do? Go back and say ‘you're wrong’!

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jennydog
jennydog
in reply to jonjub

I wouldn't be happy with that!

My GP seems to be following recent guidelines. I wonder what NICE is saying ? Is there anything on the instruction leaflet supplied with your anticoagulant?

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BobD
BobDVolunteer
in reply to jonjub

yes

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Buffafly
Buffafly
in reply to jonjub

I saw nurse who said firmly that they didn't do regular blood tests for NOACs so I looked anxious and tentatively mentioned that I had understood from the NICE website? (Doesn't do to contradict if possible, best to act dumb so they can 'correct' you, worked this time) So she looked it up and went 'Well maybe we should do one'. But never had another specifically for that.

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BobD
BobDVolunteer

I thought it always was six monthly. Why not ask the office (AF Association) as they will know.

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wpw62

Thanks for letting us know. My GP tests all my meds annually so I will mention this to him next time I have to go and see him

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jonjub

I ‘think’ i remember being advised in the past that the test was a necessary requirement of being on an anticoagulant - rivaroxaban - and i am pretty certain i have had them in previous years, hence why haven't i had one this year? As you say there is a skill in contradicting a clinician, so i will tactfully ask again, perhaps suggesting i cant remember his response to my earlier request.

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Finvola

My first thought too - the NHS wouldn’t use extra resources for no reason. My GP’s clinic started six monthly testing about a year ago.

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Ladypaula

Funnily enough I had a text message yesterday from my go surgery saying I needed to book a blood test When I rang and asked what the blood test was for the receptionist said it was for my Naoc.I have been on Rivaraxoban since 2017 and never been called in for a blood test for this reason before,but over the last couple of years I have had blood tests for other reasons.

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jennydog
jennydog
in reply to Ladypaula

There's definitely something happening !

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Pacific

Hmm. I’ve only had annual checks for kidney function and at my 6 monthly review the nurse increased my statin from 10 mg to 20 mg, which pleased me as my

LDL has been too high for years. When I phoned up to make an appointment for my June 6 month review the receptionist exclaimed , ah! Kardia vask, you la !

I expect it’s to check my previous cholesterol reading against this higher dosage. (I presume the GPhad left a note on my file for the dose to be increased).

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lallym

I’ve always had 6 monthly tests.

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Newgran

I've been on Rivaroxaban for years and never had a blood test! However, I have had blood in my urine for about 9 months. The local hospital (I felt) nearly killed me inserting stent from bladder to kidney - but the bleeding is back, and I'm now awaiting an appointment at the same hospital! Do they know what they are doing? I do wonder.

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ETFCfan

I’ve been on Rivaroxaban for four years and have had six monthly blood tests. Unfortunately just had to have a repeat test as my recent one showed a decline in kidney function.

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rosyG
rosyG
in reply to ETFCfan

There are two strengths of Apixaban if you get into difficulties.

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ETFCfan
ETFCfan
in reply to rosyG

Thanks Rosy, it has improved a bit again so back on track. Will keep that in mind x

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