PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Edoxaban - Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE)

Keywords :
VTE, NOACs, DOACs, non vitamin K oral anticoagulants, deep vein thrombosis, pulmonary embolism, anticoagulant cards, anticoagulant alert cards,mdCalc, Cockcroft-Gault
Brand Names Include :
Lixiana

Traffic Light Status

Status 1 of 1.

Status :
Blue
Important
Formulations :
  • Tablets
Important Information :
Specialist initiation and at least one month supply before transfer to primary care. Reserved for use where apixaban / rivaroxaban are not suitable
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

Additional Documents

Committee Recommendations

Date
Committee Name
Narrative
01 September 2021
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands integrated care system Area Prescribing Committee (APC) have made the following recommendations for the implementation of the NICE guideline - Venous Thromboembolic Diseases: diagnosis, management and thrombophilia testing (NG158):

1. Apixaban, rivaroxaban, edoxaban and dabigatran were assigned a BLUE (no information sheet) traffic light status with:

  • Apixaban or rivaroxoaban for initiation in most patients because they do not require initial treatment with 5 days of LMWH
  • Edoxaban and dabigatran reserved for those few patients who are not clinically suitable for apixaban or rivaroxaban eg those with excellent renal function where dabigatran is the best choice.

2. Specialist to prescribe the first month of treatment
3. Specialist to request transfer of prescribing to primary care using the transfer of prescribing document (see below)
4. The NICE & South West London pathways for VTE diagnosis and management are available below for reference

01 June 2016
Surrey Medicines Commissioners Group
Surrey Medicines Commissioning Group recommend that patients prescribed all types of anticoagulants (warfarin and NOACs) should be given an anticoagulant alert card to carry with them. For patients taking NOACs, the card should be annotated on the reverse in the “Therapeutic range (INR)” box with the words “not applicable” or “not required for this drug”. The cards are available for practices to order through usual NHS stationery supply routes. See an example of the Anticoagulant Alert Card in the document below
02 October 2019
Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

The Surrey & North West Sussex Area Prescribing Committee have agreed a Creatinine Clearance calculator for reference by prescribers. Please see below

Associated BNF Codes

02. Cardiovascular System
02.08.02. Oral anticoagulants
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