Should direct oral anticoagulants be used to treat protein C or S deficiency?

JAAPA

Kiya K. Bennett is an assistant professor in the Department of Pharmacy: Clinical and Administrative Sciences in the University of Oklahoma Health Sciences Center's College of Pharmacy in Oklahoma City, and a clinical pharmacy specialist in internal medicine at the University of Oklahoma Medical Center. At the time this article was written, Nicholas C. Schwier was an associate professor in the Department of Pharmacy: Clinical and Administrative Sciences at the University of Oklahoma and a clinical pharmacy specialist in cardiology at the University of Oklahoma Medical Center. He now is assistant dean of experiential education and a clinical associate professor in the School of Pharmacy and Pharmaceutical Sciences at Binghamton University in Johnson City, N.Y. Dr. Schwier discloses that he has received honoraria from and serves on the speaker's bureau for Kiniksa Pharmaceuticals. The authors have disclosed no other potential conflicts of interest, financial or otherwise.

Published: July 2023

Few studies have evaluated the use of direct oral anticoagulants (DOACs) in patients with major thrombophilias, such as protein C or S deficiency. The data related to use of DOACs in treating protein C or S deficiency are heterogeneous, consisting of various DOACs, inconsistent ranges of dosing, dissimilar patient demographics, and inconsistent clinical endpoints. Vitamin K antagonists and low-molecular-weight heparins are preferred until more robust data are available about using DOACs in patients with protein C or S deficiency.

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http://dx.doi.org/10.1097/01.JAA.0000937288.04720.58DOI Listing

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