Stroke Prevention in Atrial Fibrillation

ACCP Stroke Prevention in Atrial Fibrillation

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Table 4. Drugs Class/Agent Oral Anticoagulants Antiplatelet Aspirin Clopidogrel VKAs Warfarin (Coumadin® Jantoven® ) Direct thrombin inhibitor Dabigatran (Pradaxa® PO ) Factor Xa Inhibitor Rivaroxaban (Xarelto® ) Injectables Anticoagulants Heparin (UFH) LMWH Enoxaparin (Lovenox® ) Subcut, (IV) FDA-approved for prophylaxis and treatment of DVT, prophylaxis of ischemic complications of unstable angina and non–Q-wave MI, and treatment of acute STEMI Dalteparin (Fragmin® Subcut ) Full deep venous thrombosis (DVT) treatment doses Tinzaparin (Innohep® ) Subcut FDA-approved for prophylaxis of DVT, prophylaxis of ischemic complications of unstable angina and non–Q-wave MI, and extended treatment of symptomatic venous thromboembolism in patients with cancer FDA-approved for the treatment of acute symptomatic DVT with or without pulmonary embolism when administered in conjunction with warfarin sodium 5 PO with the evening meal CrCl > 50 mL/min: 20 mg once daily CrCl 15-50 mL/min: 15 mg once daily FDA-approved to reduce the risk of stroke and systemic embolism in patients with nonvalvular AF (approved aſter submission of the guidelines) IV Adjust to APTT CrCl > 15 mL/min: 150 mg bid CrCl 15-30 mL/min: 75 mg bid FDA-approved to reduce the risk of stroke and systemic embolism in patients with nonvalvular AF PO , Adjust to INR Route Dose Comments PO PO 75-325 mg once daily 75 mg once daily (Br and)

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