Difference between revisions of "Dabigatran (Pradaxa)"

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Also known as Pradax or Prazaxa.
 
 
 
==General information==
 
==General information==
 
Class/mechanism: Competitive direct thrombin inhibitor.  Inhibition of thrombin, a serine protease, inhibits the conversion of fibrinogen into fibrin in the coagulation cascade and subsequent development of thrombus.  Dabigatran inhibits free thrombin, clot-bound thrombin, and thrombin-induced platelet aggregation.<ref name="insert">[http://bidocs.boehringer-ingelheim.com/BIWebAccess/ViewServlet.ser?docBase=renetnt&folderPath=/Prescribing%20Information/PIs/Pradaxa/Pradaxa.pdf Dabigatran (Pradaxa) package insert]</ref><ref>[[Media:Dabigatran.pdf | Dabigatran (Pradaxa) package insert (locally hosted backup)]]</ref><ref>[http://www.pradaxa.com Pradaxa manufacturer's website]</ref>
 
Class/mechanism: Competitive direct thrombin inhibitor.  Inhibition of thrombin, a serine protease, inhibits the conversion of fibrinogen into fibrin in the coagulation cascade and subsequent development of thrombus.  Dabigatran inhibits free thrombin, clot-bound thrombin, and thrombin-induced platelet aggregation.<ref name="insert">[http://bidocs.boehringer-ingelheim.com/BIWebAccess/ViewServlet.ser?docBase=renetnt&folderPath=/Prescribing%20Information/PIs/Pradaxa/Pradaxa.pdf Dabigatran (Pradaxa) package insert]</ref><ref>[[Media:Dabigatran.pdf | Dabigatran (Pradaxa) package insert (locally hosted backup)]]</ref><ref>[http://www.pradaxa.com Pradaxa manufacturer's website]</ref>
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==Reversal information==
 
==Reversal information==
Preliminary results from the RE-VERSE-AD trial show that [[Idarucizumab]] can rapidly and completely reverse the effects of dabigatran. This drug is not yet approved.
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[[Idarucizumab (Praxbind)]] can rapidly and completely reverse the effects of dabigatran.
  
 
==Patient drug information==
 
==Patient drug information==
*[http://bidocs.boehringer-ingelheim.com/BIWebAccess/ViewServlet.ser?docBase=renetnt&folderPath=/Prescribing%20Information/PIs/Pradaxa/Pradaxa.pdf#page=11 Dabigatran (Pradaxa) package insert pages 11-15]<ref name="insert"></ref>  
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*[http://bidocs.boehringer-ingelheim.com/BIWebAccess/ViewServlet.ser?docBase=renetnt&folderPath=/Prescribing%20Information/PIs/Pradaxa/Pradaxa.pdf Dabigatran (Pradaxa) package insert]<ref name="insert"></ref>  
 
*[http://www.uptodate.com/contents/dabigatran-patient-drug-information Dabigatran (Pradaxa) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/dabigatran-patient-drug-information Dabigatran (Pradaxa) patient drug information (UpToDate)]</ref>
 
*[http://www.uptodate.com/contents/dabigatran-patient-drug-information Dabigatran (Pradaxa) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/dabigatran-patient-drug-information Dabigatran (Pradaxa) patient drug information (UpToDate)]</ref>
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==Also known as==
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Pradax or Prazaxa.
  
 
==References==
 
==References==

Revision as of 06:12, 19 October 2015

General information

Class/mechanism: Competitive direct thrombin inhibitor. Inhibition of thrombin, a serine protease, inhibits the conversion of fibrinogen into fibrin in the coagulation cascade and subsequent development of thrombus. Dabigatran inhibits free thrombin, clot-bound thrombin, and thrombin-induced platelet aggregation.[1][2][3]
Route: PO
Extravasation: n/a

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Reversal information

Idarucizumab (Praxbind) can rapidly and completely reverse the effects of dabigatran.

Patient drug information

Also known as

Pradax or Prazaxa.

References