Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding

Review presents data on medicines from the new group of cardiovascular drugs, direct oral anticoagulants (DOACs) inhibitors, as antidotes for DOAC when stopping life-threatening bleeding. DOAC therapy is accorded by hemorrhages with lower frequency than therapy by indirect anticoagulants, but really...

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Main Authors: A. B. Sumarokov, L. I. Buryachkovskaya, N. V. Lomakin
Format: Article
Language:English
Published: Столичная издательская компания 2019-01-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1812
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author A. B. Sumarokov
L. I. Buryachkovskaya
N. V. Lomakin
author_facet A. B. Sumarokov
L. I. Buryachkovskaya
N. V. Lomakin
author_sort A. B. Sumarokov
collection DOAJ
description Review presents data on medicines from the new group of cardiovascular drugs, direct oral anticoagulants (DOACs) inhibitors, as antidotes for DOAC when stopping life-threatening bleeding. DOAC therapy is accorded by hemorrhages with lower frequency than therapy by indirect anticoagulants, but really exist. New antidotes for DOACs are idarucizumab, andexanet, ciraparantag. The need in antidotes for DOAC may suddenly appear in spontaneous bleeding, during surgical operation, invasive procedure, due to trauma, in patients with stroke, kidney or liver failure. Data is given on the frequency of the main types of bleeding while taking new oral anticoagulants. Information concerning use of antidotes for DOACs in bleedings as well as use of non-specific therapy are reviewed.
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spelling doaj.art-d0af3859268549e8ab4ee01121ea55012024-04-01T07:43:37ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532019-01-0114694495010.20996/1819-6446-2018-14-6-944-9501561Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening BleedingA. B. Sumarokov0L. I. Buryachkovskaya1N. V. Lomakin2National Medical Research Centre of CardiologyNational Medical Research Centre of CardiologyCentral Clinical Hospital of the Presidential Administration of the Russian FederationReview presents data on medicines from the new group of cardiovascular drugs, direct oral anticoagulants (DOACs) inhibitors, as antidotes for DOAC when stopping life-threatening bleeding. DOAC therapy is accorded by hemorrhages with lower frequency than therapy by indirect anticoagulants, but really exist. New antidotes for DOACs are idarucizumab, andexanet, ciraparantag. The need in antidotes for DOAC may suddenly appear in spontaneous bleeding, during surgical operation, invasive procedure, due to trauma, in patients with stroke, kidney or liver failure. Data is given on the frequency of the main types of bleeding while taking new oral anticoagulants. Information concerning use of antidotes for DOACs in bleedings as well as use of non-specific therapy are reviewed.https://www.rpcardio.online/jour/article/view/1812direct oral anticoagulantsbleedingantidotes
spellingShingle A. B. Sumarokov
L. I. Buryachkovskaya
N. V. Lomakin
Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
Рациональная фармакотерапия в кардиологии
direct oral anticoagulants
bleeding
antidotes
title Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
title_full Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
title_fullStr Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
title_full_unstemmed Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
title_short Specific Antidotes for Direct Oral Anticoagulants in Life-Threatening Bleeding
title_sort specific antidotes for direct oral anticoagulants in life threatening bleeding
topic direct oral anticoagulants
bleeding
antidotes
url https://www.rpcardio.online/jour/article/view/1812
work_keys_str_mv AT absumarokov specificantidotesfordirectoralanticoagulantsinlifethreateningbleeding
AT liburyachkovskaya specificantidotesfordirectoralanticoagulantsinlifethreateningbleeding
AT nvlomakin specificantidotesfordirectoralanticoagulantsinlifethreateningbleeding