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Unknown General ccc15746

Anticoagulant not requiring routine coagulation profile monitoring post dosing is:

A
Warfarin
B
Dabigatran etexilate
C
Argatroban
D
Phenprocoumon
High-Yield Explanation
Ref. KDT. Page. 617 Dabigatran: Dabigatran, the main active principle in plasma, is a rapid-acting competitive and reversible direct inhibitor of thrombin. Dabigatran inhibits free thrombin, fibrin-bound thrombin and thrombin-induced platelet aggregation. It may increase INR but this laboratory parameter is relatively insensitive to the activity of dabigatran -  monitoring is not required CYP450 enzymes are not involved in the metabolism of dabigatran thus is not expected to interact with drugs metabolized by CYP isoenzyme Mainly excreted in urine (85%) The most common adverse reactions include dyspepsia or gastritis-like symptoms.

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