[Anticoagulation and platelet inhibition - dosing recommendations at the beginning and the end of treatment]
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Updated: Jun 30, 2026

Preparation and Pathogen Inactivation of Double Dose Buffy Coat Platelet Products using the INTERCEPT Blood System
Published on: December 7, 2012
Boris T Ivandic1, Alexandra Zankl, Hugo A Katus
1Abteilung Innere Medizin III, Medizinische Klinik der Universität Heidelberg. Boris.Ivandic@med.uni-heidelberg.de
Insights
Managing anticoagulant and anti-platelet therapies is crucial for cardiovascular medicine. Understanding drug actions and risks is key, especially with new agents and pharmacogenomic considerations.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Context:
- Anticoagulants and anti-platelet drugs are vital in cardiovascular medicine.
- Managing the initiation, termination, or discontinuation of these therapies is critical.
- Novel anti-thrombotic drugs with diverse mechanisms are emerging.
Purpose:
- To review clinically relevant principles of anti-thrombotic therapy management.
- To discuss the assessment of individual thrombotic and bleeding risks.
- To highlight the importance of pharmacodynamics, pharmacokinetics, and pharmacogenomics for new drugs.
Summary:
- This review covers essential principles for managing anticoagulant and anti-platelet therapies.
- It emphasizes understanding drug mechanisms, pharmacodynamics, and pharmacokinetics.
- Individual thrombotic and bleeding risk assessment, alongside pharmacogenomics, is highlighted for optimizing treatment with novel agents.
Impact:
- Provides guidance for clinicians managing anti-thrombotic therapies.
- Informs the safe and effective use of current and upcoming anti-thrombotic drugs.
- Underscores the growing role of personalized medicine through pharmacogenomics in cardiovascular care.
Abstract:
Anticoagulants and anti-platelet drugs are essential and widely used therapeutic tools in modern cardiovascular medicine. However, the initiation of anti-thrombotic therapies, their termination, or transient discontinuation (e.g. for surgical procedures) are critical steps which have to be managed appropriately. In the near future, several novel irreversibly or reversibly acting anti-thrombotic drugs with direct and indirect mechanisms of action, will be approved. Their prescription will require a deep understanding of their pharmacodynamics and -kinetics. In addition, pharmacogenomic issues will become increasingly important for the optimization of individual therapeutic strategies. This review summarizes clinically relevant principles and discusses them in the light of the assessment of the individual thrombotic and bleeding risks.
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