An Update of the Efficacy and Comparative Characteristics of Direct
(New) Oral Anticoagulants (DOACs)

Ozgur       Karcioglu; Sarper       Yilmaz; Göksu       Afacan; Eylem       Ersan; Derya       Abuşka; Sehmus       Zengin; Bilgen       Ozkaya; Mandana       Hosseinzadeh; Selman       Yeniocak
doi:10.2174/1871525719666210914112402
Abstract

Direct (New-generation) Oral Anticoagulants (DOACs) have emerged as effective agents which are used in place of vitamin-K antagonists in treatment and prophylaxis of Venous Thromboembolism (VTE), atrial fibrillation and other thrombotic diseases. Among them, the FIIa- direct thrombin inhibitor dabigatran and FXa inhibitors (rivaroxaban, apixaban, edoxaban) are the most broadly used. Anticoagulant dosing may differ under special considerations. The patients’ physiological reserves, organ functional status and failures should be taken into account in clinical decision-making processes. The advantages and drawbacks of each specific agent should be weighed with special regard to metabolism, pharmacokinetics and pharmacodynamics, along with the efficiency of the agents in different indications. This article aims to review the most recent literature to highlight the usage and efficacy of the agents in different clinical conditions.
Keywords: Direct oral anticoagulants, new oral anticoagulants, anticoagulation, venous thromboembolism, thrombosis, thromboembolic disease.
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Graphical Abstract

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DOI https://dx.doi.org/10.2174/1871525719666210914112402	Print ISSN 1871-5257
Publisher Name Bentham Science Publisher	Online ISSN 1875-6182
Cardiovascular & Hematological Agents in Medicinal Chemistry

An Update of the Efficacy and Comparative Characteristics of Direct (New) Oral Anticoagulants (DOACs)

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