WebMay 16, 2024 · Some consensus guidelines discourage using DOACs in patients weighing > 120 kg or with a body mass index > 35-40 kg/m 2, given a sparsity of available data in this population and the concern that fixed dosing in obese patients might lead to decreased drug exposure and lower efficacy. WebThus DOACs should be considered a reasonable alternative to warfarin for treatment of acute VTE in obese patients. To our knowledge, this is the largest clinical study to date showing that patients with obesity can be treated effectively and safely with a DOAC compared with warfarin for acute VTE.
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WebJul 19, 2024 · New ISTH recommendations regarding the use of DOACs for VTE prevention suggest rivaroxoban or apixaban are among appropriate anticoagulant options … WebJun 15, 2016 · Four direct-acting oral anticoagulants (DOACs) – the thrombin inhibitor dabigatran, and the activated factor X (FXa) inhibitors apixaban, edoxaban, and rivaroxaban – are approved in many countries for the treatment of venous thromboembolism (VTE), the prevention of VTE after hip and knee arthroplasty, and ischemic stroke prevention in … the milk manual
Obesity Behavioral Medicine Program - Johns Hopkins Medicine
WebSep 23, 2024 · “This is the first large-scale, real-world study to evaluate a direct oral anticoagulant (DOAC) in morbidly obese patients with VTE, and the first to identify healthcare resource utilization and medical costs in this population,” said Alex C Spyropoulos, professor of Medicine at The Donald and Barbara Zucker School of … WebAs the prevalence of obesity continues to rise, with recent estimates ... 0.70; 0.56–0.89]) in morbidly obese patients. Of note, this study was published in the final stages of peer-review, after the initial planned study period. 6 3.1.2 Rivaroxaban ... Pooled DOAC Similar outcomes11 X Similar outcomes 12-16 Similar outcomes12 WebSince 2016, several studies have been published examining use of DOACs in this patient population. Relevance to patient care and clinical practice: This review thoroughly … the milk mare pony