cbrsmurf Posted October 20, 2015 Share Posted October 20, 2015 Will warfarin be an antiquated drug in 10 years? Link to comment Share on other sites More sharing options...
cinntsp Posted October 20, 2015 Share Posted October 20, 2015 I can count the number of patients I've started on coumadin this past year on one hand. I'd need a couple extra hands for xarelto and eliquis. Sent from my Nexus 5 using Tapatalk Link to comment Share on other sites More sharing options...
stevencd Posted October 20, 2015 Share Posted October 20, 2015 well, I have to say, maybe the time will tell you at last. Link to comment Share on other sites More sharing options...
Hemmingway Posted October 20, 2015 Share Posted October 20, 2015 Will warfarin be an antiquated drug in 10 years? Possibly. I work mostly with poor people and cost is a driving factor in prescribing. Coumadin is a more cost effective treatment FOR THEM because the drug is cheap and the monitoring is generally covered by some government insurance or program or grant. The cost of the newer anticoagulants is cost prohibitive for many. (Yes I understand all the other associated costs with coumadin use.) I think the answer lies in drug costs and insurance status for everyone in 10 years. Link to comment Share on other sites More sharing options...
winterallsummer Posted October 20, 2015 Share Posted October 20, 2015 With all the programs even the unfunded pt can now often get NOACs. Coumadin still first line for VAF and generally CKD patients. Otherwise yes I think it will mostly be phased out once the novel ACs become more affordable especially. Link to comment Share on other sites More sharing options...
winterallsummer Posted October 20, 2015 Share Posted October 20, 2015 Many ACs are dose adjusted for CKD but advanced CKD often still receive Coumadin first line. Also never tell a trauma surgeon this unless you're in the mood to argue, but IMHO the fact there are no good reversal agents for novel ACs is somewhat a moot point as devestating head bleed outcomes are STILL better with novel agents. Link to comment Share on other sites More sharing options...
Hemmingway Posted October 21, 2015 Share Posted October 21, 2015 I have some patients who get assistance from the drug companies for their meds and it is a blessing for them and me. The ones I can't get meds for tend to be the "betweeners". Those people who are what is often called the working poor.... make too much to get assistance but not enough to afford their meds. There is no perfect answer and I just keep my ear to the ground and leverage every program I can. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.