A real-world exploration into clinical outcomes of direct oral anticoagulant dosing regimens in morbidly obese patients using data-driven approaches

EM Nwanosike, W Sunter, MA Ansari… - American Journal of …, 2023 - Springer
Introduction The clinical outcomes of direct oral anticoagulant (DOAC) dosage regimens in
morbid obesity are uncertain due to limited clinical evidence. This study seeks to bridge this …

Challenges and Possible Solutions to Direct-Acting Oral Anticoagulants (DOACs) dosing in patients with extreme bodyweight and renal impairment

EM Nwanosike, W Sunter, HA Merchant… - American Journal of …, 2023 - Springer
This article aims to highlight the dosing issues of direct oral anticoagulants (DOACs) in
patients with renal impairment and/or obesity in an attempt to develop solutions employing …

Use of direct oral anticoagulants in morbidly obese patients

K Kido, JC Lee, T Hellwig… - … : The Journal of Human …, 2020 - Wiley Online Library
In 2016, the International Society on Thrombosis and Haemostasis (ISTH) published
guidelines advising caution when using direct oral anticoagulants (DOACs) in patients with …

Dilemmas Related to Direct-Acting Oral Anticoagulant Administration in Patients With Extreme Obesity

BL Erstad, JF Barletta - Annals of Pharmacotherapy, 2023 - journals.sagepub.com
Objective: The objective of the study was to discuss the controversies surrounding the use
and dosing of direct-acting oral anticoagulants (DOACs) in obese patients recognizing the …

A single center retrospective cohort study evaluating use of direct oral anticoagulants (DOACs) in morbidly obese veteran population

T Patil, M Lebrecht - Thrombosis research, 2020 - Elsevier
Abstract Background Direct oral anticoagulants (DOACs) are preferred over warfarin for the
treatment of venous thromboembolism (VTE) as well as atrial fibrillation (AF). The efficacy …

Pharmacokinetics and dosing regimens of direct oral anticoagulants in morbidly obese patients: an updated literature review

Y Zhao, M Guo, D Li, W Xu, C Pan… - Clinical and Applied …, 2023 - journals.sagepub.com
Data on the impact of morbid obesity (body mass index [BMI]≥ 40 kg/m2) on the
pharmacokinetics (PK), pharmacodynamics (PD) of direct oral anticoagulants (DOACs) are …

Direct oral anticoagulants in obesity: an updated literature review

J Sebaaly, D Kelley - Annals of Pharmacotherapy, 2020 - journals.sagepub.com
Objective: To review literature on the use of direct-acting oral anticoagulants (DOACs) in
patients with high body weight (BW) and/or high body mass index (BMI) and to make …

[HTML][HTML] Direct oral anticoagulants and the risk of adverse clinical outcomes among patients with different body weight categories: a large hospital-based study

EM Nwanosike, HA Merchant, W Sunter… - European Journal of …, 2024 - Springer
Objective Through predictable pharmacokinetics—including a convenient fixed-dose
regimen, direct oral anticoagulants (DOACs) are preferred over previous treatments in …

[HTML][HTML] Use of the direct oral anticoagulants in obese patients: guidance from the SSC of the ISTH

K Martin, J Beyer‐Westendorf, BL Davidson… - Journal of Thrombosis …, 2016 - Elsevier
Four direct‐acting oral anticoagulants (DOACs)–the thrombin inhibitor dabigatran, and the
activated factor X (FXa) inhibitors apixaban, edoxaban, and rivaroxaban–are approved in …

Examination of the effectiveness of direct oral anticoagulants in comparison to warfarin in an obese population

RM Watson, CB Smith, EF Crannage… - Journal of Pharmacy …, 2022 - journals.sagepub.com
Background: While commonly prescribed today, direct oral anticoagulants (DOACs) have
historically been avoided in patients with class III obesity or a weight> 120 kg due to limited …