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NOAC-CHOOSING BETWEE NOAC & WARFARIN

Haematology

NOAC-CHOOSING BETWEE NOAC & WARFARIN

1. For patients on warfarin whose INR levels are easily maintained within target levels, the clinical benefit of such a change is limited.

2. For patients in whom INR control is difficult, however, alternative strategies, such as home-monitoring of INR or change to a NOAC, should be considered.

3. All NOACs have some degree of renal excretion so for patients with severe renal impairment or labile renal function, warfarin should remain the anticoagulant of choice.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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