Does anyone have experience with using low dose DOACs for thromboprophylaxis for inpatients instead of LMWH when patients refuse?

If patients refuse LMWH with/without capacity - should they be offered the option to have low dose DOACs?

Does any hospitals do this in practice routinely?

 

Hi @Nikitha can I just clarify to avoid misunderstanding, are the acronyms you have used referring to the below:

Low molecular weight heparin (LMWH)

Direct oral anticoagulants (DOACs)

Hi, 

Yes that's correct. 

With DOACs, I was interested in knowing if anywhere uses 10mg rivaroxaban or 2.5mg BD apixaban in patients who refuse prophylactic LMWH 

Thanks 

Nikitha 

See Alex's comment on the chemical thromboprophylaxis thread - they have just started using apixaban 2.5mg BD in this context.

Hi Becs, I'm not getting on very well with this platform. How do I find, for example, the chemical thromboprophylaxis thread you mention above as it's not visible to me in the topics list? Thanks

Hi Simon.

If you go to the Communities section from the homepage and then select "Patient safety in health and care" then "high risk areas"; VSN should be listed there. Other members have had issues accessing so if you find that VSN isn't there as an option then let me know by email ([email protected]).

The "cheat sheet" is attached with screenshots which explain the above, and ways of sharing resources.

Becs

How to use the hub - cheatsheet for VSN members (1).pdf

Hi all

If anyone wants a 1:1 or small group session with the hub team to help you navigate the hub and the VSN community, we'd be happy to set that up. 

If interested, please email [email protected].