2017
DOI: 10.2174/1389200218666170518165443
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Rivaroxaban - Metabolism, Pharmacologic Properties and Drug Interactions

Abstract: Rivaroxaban may offer benefit in many clinical situations. In comparison with low molecular weight heparin and fondaparinux requiring subcutaneous way of administration, and with vitamin K antagonists (VKAs), which require regular monitoring of international normalized ratio, rivaroxaban is relatively easy to use. However, adjustments of dose are needed in individuals with impaired renal functions.

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Cited by 76 publications
(64 citation statements)
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“…Serum rivaroxaban concentrations increased significantly with a creatinine clearance <50 mL/min. 6,7 We could see that physicians often decided for a reduced dose in patients with eGFR closer to the cut-off value compared with patients receiving doses consistent with the PI. Among patients without a renal indication for dose reduction, the ones who received a reduced dose exhibited worse renal function than those who received a standard dose (mean eGFR 69.1 ± 15.3 mL/min/1.73 m 2 vs 80.5 ± 15.5 mL/min/1.73 m 2 vs) ( Table 2).…”
Section: Predictors Of Rivaroxaban Underdosagementioning
confidence: 99%
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“…Serum rivaroxaban concentrations increased significantly with a creatinine clearance <50 mL/min. 6,7 We could see that physicians often decided for a reduced dose in patients with eGFR closer to the cut-off value compared with patients receiving doses consistent with the PI. Among patients without a renal indication for dose reduction, the ones who received a reduced dose exhibited worse renal function than those who received a standard dose (mean eGFR 69.1 ± 15.3 mL/min/1.73 m 2 vs 80.5 ± 15.5 mL/min/1.73 m 2 vs) ( Table 2).…”
Section: Predictors Of Rivaroxaban Underdosagementioning
confidence: 99%
“…These recommendations were established in accordance with a pharmacokinetic model in which the creatinine clearance measurement showed a heightened rivaroxaban exposure in correlation with decreased renal functions. Serum rivaroxaban concentrations increased significantly with a creatinine clearance <50 mL/min …”
Section: Introductionmentioning
confidence: 99%
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“…-прямой специфический высокоселективный ин-гибитор Ха-фактора -фермента, выступающего в коагуляционном каскаде в качестве ключевой точки тромбообразования. препарат характеризу-ется быстрым началом действия, высокой биодо-ступностью при пероральном приеме и предсказу-емой фармакокинетикой [18]. апиксабан (регистрация в РФ с 2012 г.)…”
Section: таблица 1/unclassified
“…33 In routine clinical practice, DOACs have simplified therapeutic management of VTE. 34 Indeed, DOACs can be given in fixed doses without routine monitoring and present minimal food and drug interaction. 35 The additional advantage of DOACs is a similarly rapid onset of action to LMWH with oral administration and the safety to switch from VKAs.…”
Section: How To Use Doacs?mentioning
confidence: 99%