{"id":3635,"count":8,"description":"Medicamentele antitrombotice previne \u0219i trateaz\u0103 cheagurile de s\u00e2nge \u2014 tromboembolismul venos (tromboza venoas\u0103 profund\u0103, embolie pulmonar\u0103), prevenirea accidentului vascular cerebral \u00een fibrila\u021bia atrial\u0103, valve cardiace mecanice \u0219i evenimente arteriale precum infarctul miocardic \u0219i accidentul vascular cerebral ischemic. Catalogul MedsBase de Anticoagulante grupeaz\u0103 trei familii farmacologice distincte: antagoni\u0219ti de vitamina K (warfarin), anticoagulante orale directe (DOAC) \u0219i agen\u021bi antiplachetari.\n\n<strong>Antagoni\u0219ti de vitamina K.<\/strong> Warfarin r\u0103m\u00e2ne standardul pentru valve cardiace mecanice \u0219i o op\u021biune valoroas\u0103 \u00een fibrila\u021bia atrial\u0103 \u0219i tromboembolismul venos acolo unde DOAC sunt contraindicate (insuficien\u021b\u0103 renal\u0103 sever\u0103, sindrom antifosfolipidic, boal\u0103 hepatic\u0103 avansat\u0103). Necesit\u0103 monitorizare regulat\u0103 a INR (\u021bint\u0103 2,0\u20133,0 pentru FA \u0219i TVE; 2,5\u20133,5 pentru valve mitrale mecanice) \u0219i gestionare atent\u0103 a vitaminei K din diet\u0103, antibioticelor, AINS, amiodaron\u0103 \u0219i multor al\u021bi interactori. Avem \u00een stoc <a href=\"https:\/\/medsbase.com\/ro\/warf\/\">Warf<\/a> (1, 2, 3, 5 mg) \u0219i <a href=\"https:\/\/medsbase.com\/ro\/waf-5\/\">Waf-5<\/a> (5 mg).\n\n<strong>Anticoagulante orale directe (DOAC).<\/strong> DOAC sunt de prim\u0103 linie pentru prevenirea accidentului vascular cerebral \u00een fibrila\u021bia atrial\u0103 non-valvular\u0103 \u0219i pentru tratamentul TVE la majoritatea pacien\u021bilor, cu avantajele practice ale doz\u0103rii fixe, f\u0103r\u0103 monitorizare rutin\u0103 \u0219i mai pu\u021bine interac\u021biuni alimentare\/medicamente dec\u00e2t warfarin. Rivaroxaban (inhibitor de factor Xa, o dat\u0103 pe zi pentru FA \u0219i 15 mg de dou\u0103 ori pe zi apoi 20 mg o dat\u0103 pe zi pentru TVE) este disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/xarelto-20\/\">Xarelto 20<\/a>. Apixaban (inhibitor de factor Xa, de dou\u0103 ori pe zi, cea mai sc\u0103zut\u0103 rat\u0103 de s\u00e2ngerare major\u0103 \u00een clas\u0103 \u00een studiile comparative pentru FA) este disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/eliquis\/\">Eliquis<\/a>.\n\n<strong>Agen\u021bi antiplachetari.<\/strong> Antiplachetarele previne tromboza arterial\u0103 (post-IM, post-PCI, accident vascular cerebral ischemic, boal\u0103 arterial\u0103 periferic\u0103). Clopidogrel (inhibitor P2Y12) este disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/clodict\/\">Clodict<\/a>. Terapia dual\u0103 cu antiagregante plachetare (aspirin\u0103 + clopidogrel) este regimul standard timp de 6\u201312 luni dup\u0103 stentare coronarian\u0103, urmat de monoterapie cu aspirin\u0103 pe via\u021b\u0103, cu excep\u021bia cazurilor contraindicat.\n\n<strong>Heparin\u0103 (parenteral\u0103).<\/strong> Heparina nefrac\u021bionat\u0103 (Stanhep 25, 5000 UI\/mL) este utilizat\u0103 pentru anticoagularea ini\u021biat\u0103 \u00een spital, bridging perioperator, circuite de dializ\u0103 \u0219i TEV acut. Heparinele cu greutate molecular\u0103 mic\u0103 (enoxaparin\u0103, dalteparin\u0103) sunt utilizate pe scar\u0103 larg\u0103 pentru prevenirea \u0219i tratamentul TEV \u00een regim ambulatoriu, dar sunt listate separat atunci c\u00e2nd sunt disponibile.\n\n<strong>Agenti antiparazitari.<\/strong> Not\u0103: acest catalog con\u021bine \u00een prezent \u0219i o serie de produse din domenii terapeutice \u00eenrudite \u2014 antiparazitarele (Ivecop \/ Vermact ivermectin) sunt cel mai bine g\u0103site \u00een categoria noastr\u0103 de tratament pentru oxiuri, iar mai multe agen\u021bi antihipertensivi (ramipril, olmesartan, losartan, propranolol, metoprolol) sunt listate corect \u00een sec\u021biunea Medicamente pentru Inim\u0103 \u0219i Tensiune Arterial\u0103. Reorganiz\u0103m acest catalog pentru a grupa antitromboticele \u00eentr-un singur loc.\n\n<strong>Cum s\u0103 alegi.<\/strong> Pentru prevenirea accidentului vascular cerebral \u00een fibrila\u021bia atrial\u0103 nevalvular\u0103 \u0219i majoritatea cazurilor de TEV, un DOAC este preferat \u00een locul warfarinei (rate mai sc\u0103zute de hemoragii intracraniene, f\u0103r\u0103 necesitate de monitorizare), cu excep\u021bia cazurilor \u00een care clearance-ul de creatinin\u0103 este sub 25\u201330 mL\/min, pacientul prezint\u0103 sindrom antifosfolipidic triplu pozitiv sau are o valv\u0103 mecanic\u0103 \u2014 \u00een aceste cazuri, warfarina r\u0103m\u00e2ne de prim\u0103 inten\u021bie. Pentru evenimentele arteriale, antiagregantul unic (aspirin\u0103 sau clopidogrel) este preven\u021bia secundar\u0103 implicit\u0103; terapia dual\u0103 cu antiagregante este limitat\u0103 \u00een timp \u0219i dictat\u0103 de indica\u021bie.\n\n<strong>Avertismente critice.<\/strong> All anticoagulants carry bleeding risk; report unusual bruising, gum bleeding, blood in urine or stool, severe headache, or any trauma immediately. Do not combine with NSAIDs (ibuprofen, diclofenac, naproxen) without medical advice \u2014 significant bleed-risk amplification. Major surgery, dental extraction, or invasive procedures need planned interruption (5 days for warfarin, 24\u201348 hours for DOACs depending on renal function and bleed risk). Pregnancy: warfarin is teratogenic; DOACs are not recommended in pregnancy or breastfeeding \u2014 switch to LMWH under haematology guidance.\n\nAll MedsBase Anti-Coagulants ship from <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu livrare discret\u0103 la nivel mondial \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/anti-coagulants\/","name":"Anticoagulante","slug":"anti-coagulants","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3635","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}