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10.1007/s11239-021-02561-w

http://scihub22266oqcxt.onion/10.1007/s11239-021-02561-w
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34498156!8425464!34498156
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suck abstract from ncbi


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pmid34498156      J+Thromb+Thrombolysis 2022 ; 53 (2): 346-351
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  • Direct oral anticoagulant plasma levels in hospitalized COVID-19 patients treated with dexamethasone #MMPMID34498156
  • Potere N; Candeloro M; Porreca E; Marinari S; Federici C; Auciello R; Di Nisio M
  • J Thromb Thrombolysis 2022[Feb]; 53 (2): 346-351 PMID34498156show ga
  • Direct oral anticoagulants (DOACs) are not recommended in COVID-19 patients receiving dexamethasone because of potential drug-drug and drug-disease interactions affecting anticoagulant concentration and activity. To evaluate short- and long-term pharmacokinetic interactions, serial through and peak DOAC plasma levels were prospectively measured during and after dexamethasone therapy, as well as during the acute phase and after recovery from COVID-19 in hospitalized, non-critically ill patients undergoing treatment with DOACs. Thirty-three (18 males, mean age 79 years) consecutive patients received DOACs (17 apixaban, 12 rivaroxaban, 4 edoxaban) for atrial fibrillation (n = 22), venous thromboembolism (n = 10), and acute myocardial infarction (n = 1). Twenty-six patients also received dexamethasone at a dose of 6 mg once daily for a median of 14 days. Trough DOAC levels on dexamethasone were within and below expected reference ranges respectively in 87.5 and 8.3% of patients, with no statistically significant differences at 48-72 h and 14-21 days after dexamethasone discontinuation. Peak DOAC levels on dexamethasone were within expected reference ranges in 58.3% of patients, and below ranges in 33.3%, of whom over two thirds had low values also off dexamethasone. No significant differences in DOAC levels were found during hospitalization and after resolution of COVID-19. Overall, 28 patients were discharged alive, and none experienced thrombotic or bleeding events. In this study, dexamethasone administration or acute COVID-19 seemed not to affect DOAC levels in hospitalized, non-critically ill COVID-19 patients.
  • |*Anticoagulants/therapeutic use[MESH]
  • |*Atrial Fibrillation/drug therapy[MESH]
  • |*COVID-19 Drug Treatment[MESH]
  • |*Dexamethasone/therapeutic use[MESH]
  • |Administration, Oral[MESH]
  • |Aged[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pyridones/therapeutic use[MESH]
  • |Rivaroxaban/therapeutic use[MESH]


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