DOAC dosing in special situations – Renal impairment, liver disease and obesity

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0.5 mins

Educational Activities (EA)
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.

RP
0.5 mins

Reviewing Performance (RP)
These are activities that require reflection on feedback about your work.

MO
0 mins

Measuring Outcomes (MO)
These are activities that use your work data to ensure quality results.

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Description

In this Healthed lecture, Dr Ronald Castellino explains that inappropriate DOAC dosing is a common problem, leading to either increased risk of stroke or of iatrogenic bleeding. It’s important to recognise which patients require reduced dosage, such as those with impaired renal clearance, as well as those who are likely to be undertreated.

Dr Ronald Castellino will describe the various scenarios in which over- and under-dosing might occur, and what GPs can do to optimise the dosage in view of the specific clinical characteristics of each patient.

Last Updated: 6 Jul, 2022

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Dr Ronald Castelino

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Dr Ronald Castelino

Practising Renal Pharmacist; Senior Lecturer, University of Sydney, Faculty of Medicine and Health, School of Pharmacy

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