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Deep Vein Thrombosis: Diagnosis & Treatment Reginald E. Smith ...

Deep Vein Thrombosis: Diagnosis & Treatment Reginald E. Smith ...

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Dabigatran etexilate:<br />

a novel direct thrombin inhibitor<br />

N<br />

N<br />

CH 3<br />

N<br />

N<br />

NH<br />

H 3<br />

C<br />

O<br />

O<br />

O<br />

O<br />

N H 2<br />

N<br />

O CH 3<br />

Half life of 12-17 h<br />

~ 80% renally excreted & 6.5% bioavailability<br />

Predictable and consistent anticoagulant effects<br />

Low potential for drug-drug interactions (Verapamil Increases Effect),<br />

no drug-food interactions<br />

No requirement for routine coagulation monitoring<br />

Rapid onset of action (1-4 hrs)

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