Page 159 - Pharmacology Mnemonics and Short Notes
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               3) Direct oral factor Xa inhibitors


               Members of Drugs  TARA (Rivaroxaban and Apixaban)

               Mechanism

               Bind to factor Xa free and bound to clotting complex

               Uses


               Ten A inhibitors
                       Ten  T  venous thrombosis after Nee (knee) surgery

                       A  atrial fibrillation


               4) Warfarin

               Lipid soluble not given in Pregnancy

               Mechanism


               Vit K Epoxide  activated Vit K under the action of enzyme Vit K
               Reductase

             Activated Vit K involve in the production of clotting Factor 2, 7, 9,

               10 (II, VII, IX and X)

               Warfarin  inhibit Vitamin K Reductase enzyme  result in loss of
               production of these factors and Result in antithrombic activity.

               Reversal of effects


                       Effects of warfarin can be reversed by Vit K  will result in
               synthesis of cofactors in 6 to 24 hours














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   Pharmacology Mnemonics and Short Notes                                              By Muhammad Ramzan Ul Rehman
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