A member asked:

A-fib, stroke prophylaxis: arixtra works diff from warfarin, no approval by fda & no studies establishing its effectiveness. how can it be acceptable?

3 doctors weighed in across 2 answers

Arixtra: It is different and it is an anti clotting drug that is effective. Discuss with the doctor why it is being chosen. We do use it when the situation is appropriate.

Answered 9/28/2016

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Dr. Gerald Neuberg answered

Specializes in Cardiology

Agree with you: Arixta is effective in for venous blood clots. It works faster than warfarin but has to be injected, so it is given temporarily. Sometimes it is selected bec of a Heparin allergy. For atrial fibrillation, there are 3 new pills (pradaxa, xarelto, eliquis) that can be used instead of warfarin. They are very attractive because they dont require monthly blood test monitoring.

Answered 6/25/2014

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