Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review

Direct oral anticoagulants (not vitamin K antagonists), unlike standard oral anticoagulants (e.g. warfarin), have a predictable manifestation of the anticoagulant effect and the possibility of using a fixed dose without the need for constant monitoring of the anticoagulant effect. The rapid onset an...

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Main Authors: B. A. Tatarsky, N. V. Kazennova, D. A. Napalkov
Format: Article
Language:English
Published: Столичная издательская компания 2019-11-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/2038
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author B. A. Tatarsky
N. V. Kazennova
D. A. Napalkov
author_facet B. A. Tatarsky
N. V. Kazennova
D. A. Napalkov
author_sort B. A. Tatarsky
collection DOAJ
description Direct oral anticoagulants (not vitamin K antagonists), unlike standard oral anticoagulants (e.g. warfarin), have a predictable manifestation of the anticoagulant effect and the possibility of using a fixed dose without the need for constant monitoring of the anticoagulant effect. The rapid onset and cessation of the effect of direct oral anticoagulants, the relatively low likelihood of interaction with food and other drugs compared to warfarin, have expanded the possibilities of anticoagulant therapy.Direct oral anticoagulants, particularly rivaroxaban, are widely used for deep vein thrombosis/pulmonary embolism prevention and treatment, and for stroke prevention in patients with atrial fibrillation. Awareness of side effects is mostly associated with bleeding risks while other problems with the use of this medication attract less physicians’ attention. These side effects mainly include liver damage and some other rare side effects. This article describes a clinical case of rivaroxaban-associated drug-induced liver injury in patient with first diagnosed atrial fibrillation and normal baseline liver enzymes. A literature review focused on this problem is also presented.
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spelling doaj.art-93ad1800cf464914bc4e6a5f614357952024-04-01T07:43:38ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532019-11-011556756801657Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature ReviewB. A. Tatarsky0N. V. Kazennova1D. A. Napalkov2Almazov National Research Medical CenterAlmazov National Research Medical CenterI.M. Sechenov First Moscow State Medical University (Sechenov University)Direct oral anticoagulants (not vitamin K antagonists), unlike standard oral anticoagulants (e.g. warfarin), have a predictable manifestation of the anticoagulant effect and the possibility of using a fixed dose without the need for constant monitoring of the anticoagulant effect. The rapid onset and cessation of the effect of direct oral anticoagulants, the relatively low likelihood of interaction with food and other drugs compared to warfarin, have expanded the possibilities of anticoagulant therapy.Direct oral anticoagulants, particularly rivaroxaban, are widely used for deep vein thrombosis/pulmonary embolism prevention and treatment, and for stroke prevention in patients with atrial fibrillation. Awareness of side effects is mostly associated with bleeding risks while other problems with the use of this medication attract less physicians’ attention. These side effects mainly include liver damage and some other rare side effects. This article describes a clinical case of rivaroxaban-associated drug-induced liver injury in patient with first diagnosed atrial fibrillation and normal baseline liver enzymes. A literature review focused on this problem is also presented.https://www.rpcardio.online/jour/article/view/2038drug hepatotoxicityrivaroxabandabigatranapixabanatrial fibrillationrandomized trials
spellingShingle B. A. Tatarsky
N. V. Kazennova
D. A. Napalkov
Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
Рациональная фармакотерапия в кардиологии
drug hepatotoxicity
rivaroxaban
dabigatran
apixaban
atrial fibrillation
randomized trials
title Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
title_full Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
title_fullStr Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
title_full_unstemmed Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
title_short Rivaroxaban-Associated Hepatotoxicity: a Clinical Case and Literature Review
title_sort rivaroxaban associated hepatotoxicity a clinical case and literature review
topic drug hepatotoxicity
rivaroxaban
dabigatran
apixaban
atrial fibrillation
randomized trials
url https://www.rpcardio.online/jour/article/view/2038
work_keys_str_mv AT batatarsky rivaroxabanassociatedhepatotoxicityaclinicalcaseandliteraturereview
AT nvkazennova rivaroxabanassociatedhepatotoxicityaclinicalcaseandliteraturereview
AT danapalkov rivaroxabanassociatedhepatotoxicityaclinicalcaseandliteraturereview