Novel oral anticoagulants after gastric bypass surgery: Caveat emptor
Year: 2013
Type: article
Abstract: The Food and Drug Administration recently approved two new classes of oral anticoagulants: direct thrombin inhibitors, dabigatran etexilate and factor Xa inhibitors, apixaban and rivaroxaban. All these three drugs are for the treatment of nonvalvular atrial fibrillation with rivaroxaban also gaining approval for venous thromboembolism. Absorption of each drug is regulated by P-glycoprotein efflux transporters and is variable. The bioavailability of dabigatran etexilate is 7% with peak effect within two hours after administration. Apixaban has a 50% bioavailability with peak effect occurring 34 hours after administration and rivaroxaban has a bioavailability greater than 80% with peak effect occurring 24 hours after administration.
Institution: University of Rochester
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W1602679549
