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Ximelagatran
Aka: Ximelagatran
- Background
- No longer available (off market in U.S.) due to hepatotoxicity
- Listed for historical reasons only
- Indications: Non-Valvular Atrial Fibrillation
- Warfarin intolerant
- Patients with high risk of Intracranial Hemorrhage
- Advantages
- As effective as Warfarin with INR 2-3
- Ximelagartan does not require monitoring
- Ximelagartan has fewer bleeding complications
- Disadvantages
- Expensive
- Myocardial Ischemia risk
- Risk of severe liver toxicity
- Dosing
- Studies used fixed dose of 36 mg bid
- References
- Albers (2005) JAMA 293:690-8
- Olsson (2003) Lancet 362:1691-8