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380  /  Chapter 27  Thrombosis and antithrombotic therapy







                            ■   Warfarin is the most frequently used oral         ■    Thrombi, if fresh, may be dissolved by


                        anticoagulant, the dose usually aimed to   fi brinolytic agents (e.g. streptokinase) or
                        raise the international normalized ratio   recombinant tissue plasminogen activator.
                        (INR) between 2.0 and 3.0. There are    Antiplatelet drugs  –  aspirin, clopidogrel
                        frequent drug interactions that affect the   and dipyrimadole  –  are used to treat
                        dose.                                   arterial disorders.

                            ■    New anticoagulants include the factor X  a

                        inhibitor, rivaroxaban and factor II
                        (prothrombin) inhibitor, dabigatran.


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