Pradaxa - page 2

by Jenni811

8,263 Views | 35 Comments

Has anyone heard of the drug Pradaxa?? It's a new blood thinner medication that is supposedly "better than coumadin." Haven't seen it in our hospital yet, but i'm sure i will in a cardiac unit if it claims to be as good as it... Read More


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    It's pricey- about $250-300 per month, but some medicare plans are now covering it, with a $50 monthly co-pay, which is still a lot of money for many patients. We have been using it some in the past couple of months, with the cardiology practice covering most of the cost, this is because we see some patients who lives hours from any clinic and in the past we have had to avoid coumadin use in the past, making Pradaxa worth the money.
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    I've had about 3 or 4 patients using Pradaxa thus far in the SNF where I work. It does seem to be a great alternative to coumadin since there aren't blood draws and changing of dosing often. The only side effect I've dealt with is GI upset and that was only with one patient. I'm sure it will continue to be a great benefit to the geriatric population r/t decreased error dosing with the weekly changing of doses and the blood draws.
    fiveofpeep likes this.
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    I'm on a Tele floor and suddenly I am seeing it constantly in my AFib patients.
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    I just recently heard about it, and haven't seen any patients on it yet.
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    Quote from DroogieRN
    I'm on a Tele floor and suddenly I am seeing it constantly in my AFib patients.

    Same here.
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    Pradaxa is used selectively in our SNF, since it cannot be crushed or even taken out its capsule. (The potency can increase significantly if taken out of its capsule.) Therefore, we can only use it with patients that are able to swallow the capsule whole. Here's a link to a "Do Not Crush" List..you'll find Pradaxa there.

    http://www.ismp.org/Tools/default.asp
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    I met the pradaxa rep in our area recently. This is per the rep. They are expecting pradaxa to be a blockbuster drug. It is already showing signs of it. The cost does not appear to be a problem in some areas. The patients are willing to pay it if one factors the cost of gas to go get bloodwork. With gas prices bumping up against 4.00 the rural patients cannot drive to get their bloodwork done. Also some insurance companies (again per the rep) are willing to pay it to avoid the expense of lab costs. It will be interesting to see how this plays out.
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    Pradaxa can not be reversed with FFP or anything. If your pt has a head bleed or GIB you can't take them to surgery. No thanks.
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    Quote from gettingbsn2msn
    With gas prices bumping up against 4.00 the rural patients cannot drive to get their bloodwork done.
    I had honestly never thought about this. Did you come up with this or hear it from the drug rep? Now, if the drug rep said it, it is to gain support for his drug. Either way, this is still a true barrier to care.


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