Review
BibTex RIS Cite
Year 2024, Volume: 6 Issue: 3, 55 - 58, 31.12.2024
https://doi.org/10.51262/ejtox.1603887

Abstract

References

  • Garcia D, Libby E, Crowther MA. The new oral anticoagulants. Blood, 2010;115(1), 15–20. https://doi. org/10.1182/blood-2009-09-241851
  • Atalan N. Hemostaz. GKD Anest Yoğ Bak Dern Derg, 2013;19(3), 109-112. https://doi.org/10.5222/ GKDAD.2013.109.
  • Acar BA, Akpınar ÇK, Alioğlu Z, Arlıer Z, Arsava EM, Aytaç E, et al. İnme klinik pratiğinde NOAK kullanımı: Türk Beyin Damar Hastalıkları Derneği Uzman Görüşü. Türk Beyin Damar Hastalıkları Dergisi 2020;26(3):190-235. https://doi. org/10.5505/tbdhd.2020.26213
  • Stangier J. Clinical pharmacokinetics and pharmacodynamics of the oral direct thrombin inhibitor dabigatran etexilate. Clinical pharmacokinetics, 2008;47(5), 285–295. https://doi. org/10.2165/00003088-200847050-00001
  • McBride L, Wang J, Ho P, Langsford D. Dabigatran Toxicity in Acute Kidney Injury: Hemodialysis and Idarucizumab Required. Kidney international reports, 2008;4(3), 500–504. https://doi.org/10.1016/j.ekir.2018.11.015 Pollack CV, Reilly PA, van Ryn J, Eikelboom JW, Glund S, Bernstein RA, et al. Idarucizumab for Dabigatran Reversal - Full Cohort Analysis. The New England journal of medicine, 2017;377(5), 431–441. https://doi.org/10.1056/ NEJMoa1707278
  • Miller KM, Brenner MJ. Betrixaban for Extended Venous Thromboembolism Prophylaxis in High-Risk Hospitalized Patients: Putting the APEX Results into Practice. Drugs, 2019;79(3), 291–302. https://doi.org/10.1007/ s40265-019-1059-y
  • Connolly SJ, Sharma M, Cohen AT, Demchuk AM, Członkowska A, Lindgren AG, et al. Andexanet for Factor Xa Inhibitor-Associated Acute Intracerebral Hemorrhage. The New England journal of medicine, 2024;390(19), 1745–1755. https://doi.org/10.1056/NEJMoa2313040
  • Milling TJ, Middeldorp S, Xu L, Koch B, Demchuk A, Eikelboom JW, et al. Final Study Report of Andexanet Alfa for Major Bleeding With Factor Xa Inhibitors. Circulation, 2023;147(13),1026–1038. https://doi. org/10.1161/CIRCULATIONAHA.121.057844
  • Dobesh PP, Fermann GJ, Christoph MJ, Koch B, Lesén E, Chen H, et al. Lower mortality with andexanet alfa vs 4-factor prothrombin complex concentrate for factor Xa inhibitor-related major bleeding in a U.S. hospital-based observational study. Research and practice in thrombosis and haemostasis, 2023;7(6), 102192. https://doi.org/10.1016/j. rpth.2023.102192
  • Neumann MA, Sieg N, Garcia Borrega J, Hüser C, Caspers M, Shimabukuro-Vornhagen A, et al. Überdosierung von direkten oralen Antikoagulanzien [Overdosing of direct oral anticoagulants]. Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2024;10.1007/s00063-024-01154-8. Advance online publication. https://doi.org/10.1007/s00063-024-01154- 8
  • Boissier E, Senage T, Babuty A, Gouin-Thibault I, Rozec B, Roussel JC, et al. Heparin Anti-Xa Activity, a Readily Available Unique Test to Quantify Apixaban, Rivaroxaban, Fondaparinux, and Danaparoid Levels. Anesthesia and analgesia, 2021;132(3), 707–716. https://doi.org/10.1213/ ANE.0000000000005114
  • Bonanno FG. Management of Hemorrhagic Shock: Physiology Approach, Timing and Strategies. Journal of clinical medicine, 2022;12(1),260. https://doi.org/10.3390/ jcm12010260
  • Galvagno SM, Nahmias JT, Young DA. Advanced Trauma Life Support Update 2019: Management and Applications for Adults and Special Populations. Anesthesiology clinics, 2019;37(1),13–32. https://doi.org/10.1016/j. anclin.2018.09.009 Trauma and severe bleeding. Tranexamic acid within one hour to reduce mortality. Prescrire international, 2013;22(140), 189–190.

An Overview of New Oral Anticoagulant Toxicity

Year 2024, Volume: 6 Issue: 3, 55 - 58, 31.12.2024
https://doi.org/10.51262/ejtox.1603887

Abstract

Extended life expectancy, changes in dietary habits, and a sedentary lifestyle have contributed to an increased risk of stroke and myocardial infarction. Atherosclerosis and thrombosis are the underlying causes of stroke and myocardial infarction. Anticoagulants have a significant role in both the prevention and treatment of these conditions. The difficulty of monitoring warfarin derivatives, which have been in use until recently, and their narrow therapeutic range paved the way for the development and use of new oral anticoagulants. Rivaroxaban, Apixaban, Edoxaban, and Betrixaban are Factor Xa inhibitors, while Dabigatran is a Thrombin (FIIa) inhibitor, and together they comprise the new oral anticoagulants. It is crucial to manage any accidental or intentional overdose with these new oral anticoagulants. The present review focuses on the characteristics of novel anticoagulants and their toxicological management.

References

  • Garcia D, Libby E, Crowther MA. The new oral anticoagulants. Blood, 2010;115(1), 15–20. https://doi. org/10.1182/blood-2009-09-241851
  • Atalan N. Hemostaz. GKD Anest Yoğ Bak Dern Derg, 2013;19(3), 109-112. https://doi.org/10.5222/ GKDAD.2013.109.
  • Acar BA, Akpınar ÇK, Alioğlu Z, Arlıer Z, Arsava EM, Aytaç E, et al. İnme klinik pratiğinde NOAK kullanımı: Türk Beyin Damar Hastalıkları Derneği Uzman Görüşü. Türk Beyin Damar Hastalıkları Dergisi 2020;26(3):190-235. https://doi. org/10.5505/tbdhd.2020.26213
  • Stangier J. Clinical pharmacokinetics and pharmacodynamics of the oral direct thrombin inhibitor dabigatran etexilate. Clinical pharmacokinetics, 2008;47(5), 285–295. https://doi. org/10.2165/00003088-200847050-00001
  • McBride L, Wang J, Ho P, Langsford D. Dabigatran Toxicity in Acute Kidney Injury: Hemodialysis and Idarucizumab Required. Kidney international reports, 2008;4(3), 500–504. https://doi.org/10.1016/j.ekir.2018.11.015 Pollack CV, Reilly PA, van Ryn J, Eikelboom JW, Glund S, Bernstein RA, et al. Idarucizumab for Dabigatran Reversal - Full Cohort Analysis. The New England journal of medicine, 2017;377(5), 431–441. https://doi.org/10.1056/ NEJMoa1707278
  • Miller KM, Brenner MJ. Betrixaban for Extended Venous Thromboembolism Prophylaxis in High-Risk Hospitalized Patients: Putting the APEX Results into Practice. Drugs, 2019;79(3), 291–302. https://doi.org/10.1007/ s40265-019-1059-y
  • Connolly SJ, Sharma M, Cohen AT, Demchuk AM, Członkowska A, Lindgren AG, et al. Andexanet for Factor Xa Inhibitor-Associated Acute Intracerebral Hemorrhage. The New England journal of medicine, 2024;390(19), 1745–1755. https://doi.org/10.1056/NEJMoa2313040
  • Milling TJ, Middeldorp S, Xu L, Koch B, Demchuk A, Eikelboom JW, et al. Final Study Report of Andexanet Alfa for Major Bleeding With Factor Xa Inhibitors. Circulation, 2023;147(13),1026–1038. https://doi. org/10.1161/CIRCULATIONAHA.121.057844
  • Dobesh PP, Fermann GJ, Christoph MJ, Koch B, Lesén E, Chen H, et al. Lower mortality with andexanet alfa vs 4-factor prothrombin complex concentrate for factor Xa inhibitor-related major bleeding in a U.S. hospital-based observational study. Research and practice in thrombosis and haemostasis, 2023;7(6), 102192. https://doi.org/10.1016/j. rpth.2023.102192
  • Neumann MA, Sieg N, Garcia Borrega J, Hüser C, Caspers M, Shimabukuro-Vornhagen A, et al. Überdosierung von direkten oralen Antikoagulanzien [Overdosing of direct oral anticoagulants]. Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2024;10.1007/s00063-024-01154-8. Advance online publication. https://doi.org/10.1007/s00063-024-01154- 8
  • Boissier E, Senage T, Babuty A, Gouin-Thibault I, Rozec B, Roussel JC, et al. Heparin Anti-Xa Activity, a Readily Available Unique Test to Quantify Apixaban, Rivaroxaban, Fondaparinux, and Danaparoid Levels. Anesthesia and analgesia, 2021;132(3), 707–716. https://doi.org/10.1213/ ANE.0000000000005114
  • Bonanno FG. Management of Hemorrhagic Shock: Physiology Approach, Timing and Strategies. Journal of clinical medicine, 2022;12(1),260. https://doi.org/10.3390/ jcm12010260
  • Galvagno SM, Nahmias JT, Young DA. Advanced Trauma Life Support Update 2019: Management and Applications for Adults and Special Populations. Anesthesiology clinics, 2019;37(1),13–32. https://doi.org/10.1016/j. anclin.2018.09.009 Trauma and severe bleeding. Tranexamic acid within one hour to reduce mortality. Prescrire international, 2013;22(140), 189–190.
There are 13 citations in total.

Details

Primary Language English
Subjects Toxicology, Pharmacology and Pharmaceutical Sciences (Other), Emergency Medicine
Journal Section Review Articles
Authors

Kamuran Çelik 0000-0003-4763-0352

Funda Elumar 0000-0002-1640-5673

Publication Date December 31, 2024
Submission Date December 18, 2024
Acceptance Date December 23, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

APA Çelik, K., & Elumar, F. (2024). An Overview of New Oral Anticoagulant Toxicity. Eurasian Journal of Toxicology, 6(3), 55-58. https://doi.org/10.51262/ejtox.1603887
AMA Çelik K, Elumar F. An Overview of New Oral Anticoagulant Toxicity. Eurasian J Tox. December 2024;6(3):55-58. doi:10.51262/ejtox.1603887
Chicago Çelik, Kamuran, and Funda Elumar. “An Overview of New Oral Anticoagulant Toxicity”. Eurasian Journal of Toxicology 6, no. 3 (December 2024): 55-58. https://doi.org/10.51262/ejtox.1603887.
EndNote Çelik K, Elumar F (December 1, 2024) An Overview of New Oral Anticoagulant Toxicity. Eurasian Journal of Toxicology 6 3 55–58.
IEEE K. Çelik and F. Elumar, “An Overview of New Oral Anticoagulant Toxicity”, Eurasian J Tox, vol. 6, no. 3, pp. 55–58, 2024, doi: 10.51262/ejtox.1603887.
ISNAD Çelik, Kamuran - Elumar, Funda. “An Overview of New Oral Anticoagulant Toxicity”. Eurasian Journal of Toxicology 6/3 (December 2024), 55-58. https://doi.org/10.51262/ejtox.1603887.
JAMA Çelik K, Elumar F. An Overview of New Oral Anticoagulant Toxicity. Eurasian J Tox. 2024;6:55–58.
MLA Çelik, Kamuran and Funda Elumar. “An Overview of New Oral Anticoagulant Toxicity”. Eurasian Journal of Toxicology, vol. 6, no. 3, 2024, pp. 55-58, doi:10.51262/ejtox.1603887.
Vancouver Çelik K, Elumar F. An Overview of New Oral Anticoagulant Toxicity. Eurasian J Tox. 2024;6(3):55-8.

Dizinler ve Platformlar

14707   14765   15059  20298 23132