Question: In which cases can sintrom anticoagulation be substituted for dabigatran? Is Dabigatran accepted in Europe for this indication? Jesús (Cuenca).
Answer: Dabigatran (Pradaxa) is accepted especially in the prevention of venous thrombosis in trauma surgery. It has already received its approval in the United States (by the FDA) for use in "solitary" atrial fibrillation (which is one with fibrillation alone, with no other reason to need anticoagulation, such as a prosthetic valve), rather than sintrom.