In this video, Dr Sanjay discusses the best NOAC for Atrial fibrillation. My website is www.yorkcardiology.co.uk and my Facebook page is yorkcardiology@gmail.com
I don't understand why my Cardiologist never mentioned any other NOAC medication when I couldn't afford Eliquis. He just switched me to Warfarin. He never mentioned brain bleeding either! That is very scary. Its so beneficial listening to this Doctor because you're not likely to get this info on a 15 minute slotted Dr.'s appointment. Thank you, Doctor Gupta.
Thank you for explaining all the different N.O.A.C'S. I have seen many Cardiologist's and they just don't have the time to go through them with you. Your video's are great by the way and I love your dog!
Great info, which never came my way when passing through the medical system & being treated for AFib. NOAC differences were something I always wondered about. Thanks Dr. Gupta 👍!
a very helpful expose and clearly set out as all your productions are. I would make the point though that edoxaban has the benefit that it does not have to be taken with or shortly after a meal (as for instance rivaroxaban has to). It can be be taken at any time, and this is quite a benefit if your eating habits tends to be a little random. I would also say that if you need to take another pill or tablet of some kind twice a day, as many older people have to for various reasons, then a twice-a-day NOAC is not really a problem
Thank you, Dr. Gupta!! This video was very helpful. My husband has a new diagnosis of afib and recently started taking Eliquis 5 mg twice daily. He has been quite anxious about the bleeding risk. This eased his mind a bit.
I read somewhere that Eliquis and baby aspirin have equal efficacy against stroke. Baby aspirin for 30 day supply is less than $1, Eliquis for a 30 day supply is $500.00. I took Eliquis for a few months it made me groggy from the time I woke up until I went to bed. TheReaper!
THANK YOU Dr. Gupta. If not for you I wouldn't know anything -- even though I've seen 3 cardiologists so far. And will see the 4th one this week. I don't even know which medicines to take -- i was given four meds at a recent visit to the hospital. one was digoxin. and then when i saw the öutside" cardiologist she said NO do not take digoxin. and also i was rxd losartan -- but not sure if the tablets i got were on the FDA "tainted" list.
Thanks Yusuf for a very helpful overview. Have you any opinion about Xantus? I think without head to head trials it will be along time before we know which NOAC will win out.
Thank you for this. Does all of this still apply in 2023 or do you have new preferences or guidance? Is it fair to say that if you’re happy to take twice-daily tablets, Apixaban is preferable for stroke prevention and minimising bleeding?
Thank yo. I have watched several of your videos - helpful. I have one question I hope you can address. What do you know about warfarin and uric acid build up and causing gout. I have a very health life style, diet. exercise often drink but not excessive and have had several bout of gout. The last 2 times it never really resolved even with prednisone until I stopped taking warfarin. Any input would help
Good video thanks, and I think helpful for many, any chance you could make GPs see it? Most of them have only ever heard of one of the NOACS at best. I notice you did not mention that the twice daily NOACS have effectively a shorter "half life" for those worried about the lack of a reversal agent (except for Dabigitran of course). Do you not think that this should be a factor?
Tbh, I think that the lack of reversal agent shouldn't be a factor in a choice of AC because you can still manage the symptoms of overdose in an A&E department. Many drugs anyway have no specific reversal agent like Dabigitran does with Beriplex so I don't see the significance.... Obviously the reversal agent statements during counselling only exist because of Warfarin being the standard. Finally with regard to Beriplex, I've only ever seen it used when a patient required immediate surgery and had taken a Dabigatran dose recently.
You'd better hope not. Whilst Sanjay prescribes as he pleases at the Nuffield you will find that most NHS cardiologists prescribe the NOAC of choice from their trust. The GPs initiate most NOACs these days as AF is managed in primary care. The GPs decide on which NOAC--- at the moment. As soon as one company drops it price or the licence expires the decision will be based on economical factors. Just thought I would introduce you to the real world.
Aapse ye confirm krna tha k mere face pr infaction hua tha treatment se vo to blkul thek h lakin colour black ho gya blkul uske liye kya kru please reply
I don't understand why my Cardiologist never mentioned any other NOAC medication when I couldn't afford Eliquis. He just switched me to Warfarin. He never mentioned brain bleeding either! That is very scary. Its so beneficial listening to this Doctor because you're not likely to get this info on a 15 minute slotted Dr.'s appointment. Thank you, Doctor Gupta.
My Cardiologist is not nearly as handsome either!
Thank you for explaining all the different N.O.A.C'S. I have seen many Cardiologist's and they just don't have the time to go through them with you. Your video's are great by the way and I love your dog!
Just seeing the sweet little pup makes me better.
Great video on explaining the different NOACs available :)
Great info, which never came my way when passing through the medical system & being treated for AFib. NOAC differences were something I always wondered about. Thanks Dr. Gupta 👍!
The advantage of twice-daily preparations is if there is too much bleeding, you can cut out the 2nd dos temporarily.
a very helpful expose and clearly set out as all your productions are. I would make the point though that edoxaban has the benefit that it does not have to be taken with or shortly after a meal (as for instance rivaroxaban has to). It can be be taken at any time, and this is quite a benefit if your eating habits tends to be a little random. I would also say that if you need to take another pill or tablet of some kind twice a day, as many older people have to for various reasons, then a twice-a-day NOAC is not really a problem
Thank you, Dr. Gupta!! This video was very helpful. My husband has a new diagnosis of afib and recently started taking Eliquis 5 mg twice daily. He has been quite anxious about the bleeding risk. This eased his mind a bit.
I read somewhere that Eliquis and baby aspirin have equal efficacy against stroke. Baby aspirin for 30 day supply is less than $1, Eliquis for a 30 day supply is $500.00. I took Eliquis for a few months it made me groggy from the time I woke up until I went to bed. TheReaper!
THANK YOU Dr. Gupta. If not for you I wouldn't know anything -- even though I've seen 3 cardiologists so far. And will see the 4th one this week. I don't even know which medicines to take -- i was given four meds at a recent visit to the hospital. one was digoxin. and then when i saw the öutside" cardiologist she said NO do not take digoxin. and also i was rxd losartan -- but not sure if the tablets i got were on the FDA "tainted" list.
Thanks Yusuf for a very helpful overview. Have you any opinion about Xantus? I think without head to head trials it will be along time before we know which NOAC will win out.
Thank you for this. Does all of this still apply in 2023 or do you have new preferences or guidance?
Is it fair to say that if you’re happy to take twice-daily tablets, Apixaban is preferable for stroke prevention and minimising bleeding?
Thank yo. I have watched several of your videos - helpful. I have one question I hope you can address. What do you know about warfarin and uric acid build up and causing gout. I have a very health life style, diet. exercise often drink but not excessive and have had several bout of gout. The last 2 times it never really resolved even with prednisone until I stopped taking warfarin. Any input would help
Interesting..
Thank you Soo much.
Good video thanks, and I think helpful for many, any chance you could make GPs see it? Most of them have only ever heard of one of the NOACS at best.
I notice you did not mention that the twice daily NOACS have effectively a shorter "half life" for those worried about the lack of a reversal agent (except for Dabigitran of course). Do you not think that this should be a factor?
Tbh, I think that the lack of reversal agent shouldn't be a factor in a choice of AC because you can still manage the symptoms of overdose in an A&E department. Many drugs anyway have no specific reversal agent like Dabigitran does with Beriplex so I don't see the significance.... Obviously the reversal agent statements during counselling only exist because of Warfarin being the standard. Finally with regard to Beriplex, I've only ever seen it used when a patient required immediate surgery and had taken a Dabigatran dose recently.
You'd better hope not. Whilst Sanjay prescribes as he pleases at the Nuffield you will find that most NHS cardiologists prescribe the NOAC of choice from their trust. The GPs initiate most NOACs these days as AF is managed in primary care. The GPs decide on which NOAC--- at the moment. As soon as one company drops it price or the licence expires the decision will be based on economical factors. Just thought I would introduce you to the real world.
Noac ka jo shop aata h vo keesa h
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Aapse ye confirm krna tha k mere face pr infaction hua tha treatment se vo to blkul thek h lakin colour black ho gya blkul uske liye kya kru please reply
Why are you running a FIVE YEAR OLD tape on A-Fib blood thinners???
maybe because the information is still valid and people get new diagnosis of afib every day?
"Most of them have only heard of one NOAC at best". What a sad and ignorant comment.