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Cardio 3
| Generic | Brand | Pharmacologic Category | Common Indication | Key Side Effects | Boxed Warnings | Other Notes |
|---|---|---|---|---|---|---|
| dabigatran (PO) | Pradaxa | Anticoagulant, direct thrombin inhibitor | AF (stroke prevention), VTE | bleeding, dyspepsia | premature stopping ↑thrombotic events; ↑epidural or spinal hematoma in pt undergoing spinal puncture | swallow whole, dispense and store in original packaging, discard after 4 months |
| apixaban (PO) | Eliquis | Anticoagulant, factor Xa inhibitor | AF (stroke prevention), VTE | bleeding | premature stopping ↑thrombotic events; ↑epidural or spinal hematoma in pt undergoing spinal puncture | --- |
| rivaroxaban (PO) | Xarelto | Anticoagulant, factor Xa inhibitor | AF (stroke prevention), VTE, PAD | bleeding | premature stopping ↑thrombotic events; ↑epidural or spinal hematoma in pt undergoing spinal puncture | --- |
| warfarin (PO) | Coumadin, Jantoven | Anticoagulant, vitamin K antagonist | AF (stroke prevention), VTE | bleeding | bleeding risk | narrow TI; monitoring recommended, dose dependent tablet colors, vit. K intake recommended, many DDIs |
| enoxaparin (SQ) | Lovenox | Anticoagulant, low molecular weight heparin | ACS, VTE | bleeding, hyperkalemia, HIT | ↑epidural or spinal hematoma in pt undergoing spinal puncture | do not expel air bubble from syringe prior to injection |
| heparin (IV, SQ) | --- | Anticoagulant | ACS, VTE | bleeding, hyperkalemia, HIT | --- | --- |
| clopidogrel | Plavix | Antiplatelet agent | CAD, stroke | bleeding | diminished effectiveness in poor metabolizers | --- |
| ticagrelor (PO) | Brilinta | Antiplatelet agent | ACS | bleeding, dyspnea | sometimes fatal bleeding, DNE mg ASA daily due to reduced effectiveness | --- |
| aspirin (PO) | Bayer, Bufferin, Ecotrin | Antiplatelet agent | ACS, stable angina, pain, stroke | dyspnea, heartburn, bleeding | --- | CI w/ allergy, Reye's syndrome in <18; tinnitus w/ OD |
| nitroglycerin (SL) | Nitrostat | Vasodilator | ACS, stable angina | HA, flushing, syncope, dizziness | --- | DNU w/ PDE-5 inhibs, tachyphylaxis; can aggrevate angina by hypertrophic cardiomyopathy |
| alteplase (intracatheter, IV) | Cathflo (intracatheter), Activase (IV) | Fibrinolytic | Catheter clearance (intracatheter), STEMI, ischemic stroke, PE (IV) | bleeding | --- | CI in pts w/ severe uncontrolled HTN |