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CV 3
| Generic | Brand | Pharm Category | Indication | Essential Knowledge |
|---|---|---|---|---|
| Dabigatran (PO) | Pradaxa | Anticoagulant, direct thrombin inhibitor | AF (stroke prevention), VTE | Key Side Effects: bleeding, dyspepsia US Boxed Warnings: premature discontinuation increases risk of thrombotic events Other Notes: swallow whole; dispense/ store in original packaging; discard 4 months after opening |
| Apixaban (PO) | Eliquis | Anticoagulant, factor Xa inhibitor | AF (stroke prevention), VTE | Key Side Effects: bleeding rivaroxaban (PO) Xarelto US Boxed Warnings: premature discontinuation increases risk of thrombotic events |
| Rivaroxaban (PO) | Xarelto | Anticoagulant, factor Xa inhibitor | AF (stroke prevention), VTE | Key Side Effects: bleeding rivaroxaban (PO) Xarelto US Boxed Warnings: premature discontinuation increases risk of thrombotic events |
| Warfarin (PO) | Coumadin, Jantoven | Anticoagulant, vitamin K antagonist | AF (stroke prevention), VTE | Key Side Effects: bleeding US Box Warning: bleeding risk Notes: narrow therapeutic (toxicity may occur at conc close to therapeutic range; monitoring recommended with INR), dose dependent tablet colors; uniform vitamin K intake recommended; many DDI |
| Enoxaparin (SQ) | Lovenox | Anticoagulant, low molecular weight heparin | ACS (Acute Coronary Syndrome), VTE | Key Side Effects: bleeding, hyperkalemia, HIT US Boxed Warnings: increased risk of epidural or spinal hematoma in patient undergoing spinal puncture Notes: do not expel air bubble from syringe prior to injection |
| Heparin (IV, SQ) | --- | Anticoagulant | ACS (Acute Coronary Syndrome), VTE | Key Side Effects: bleeding, hyperkalemia, HIT |
| Clopidogrel (PO) | Plavix | Antiplatelet agent | CAD, stroke | Key Side Effects: bleeding US Boxed Warnings: diminished effectiveness in poor metabolizers |
| Dipyridamole & aspirin (PO) | Aggrenox | Antiplatelet agent | Stroke | Key Side Effects: bleeding, headache |
| Prasugrel (PO) | Effient | Antiplatelet agent | CAD | Key Side Effects: bleeding US Boxed Warnings: bleeding risk Notes: CI in patients with history of stroke |
| Alteplase (intracatheter, IV) | Intracatheter: Cathflo IV: Activase | Fibrinolytic | Intracatheter: catheter clearance IV: STEMI, ischemic stroke, PE (pulmonary embolism) | Key Side Effects: bleeding Notes: CI in patients with severe uncontrolled HTN |