I have been receiving Ibrutinib for 5 months but have just been diagnosed with Atrial Fibrillation. Ibrutinib was prescribed under the Named Patient Scheme following the failure of 4 cycles of FCR, 6 cycles of R-CHOP , 4 cycles of R-Bendamustin and 3 cycles of mega dose steroids all administered over a 2 year period. Ibrutinib was my last chance.
My GP clearly wants to prescribe anti-coagulants to reduce the risk of Stroke and Warfarin would have been his choice but clearly this is not an option if I am to continue with Ibrutinib. He is contacting my consultant for advice.
What other, if any, anti-coagulants are available that would be compatible with Ibrutinib ? Any help or advice would be greatly appreciated.