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GPs face drive to prescribe warfarin alternatives under new NICE plans


I'm a pharmacist who works with GPs in a rural area with many v elderly patients. Sending a nurse out merely to take blood for INR from one patient can be a 90 minute operation in many cases repeated fortnightly. In addition many of the elderly aren't good bleeders and also are easily confused by frequent dose adjustments and having several strengths of warfarin tablets. For many of these a NOAC has been a god-send. over the six years of both hospital experience with DVT prophylaxis and community with AF etc., I have only seen one "incident" with a NOAC (non-fatal), whilst in the same period I have seen many warfarin INRs over 5 and at least half a dozen in double figures.

Posted date

10 Dec 2015

Posted time