{"id":3860,"date":"2025-03-27T12:43:39","date_gmt":"2025-03-27T12:43:39","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=3860"},"modified":"2025-09-11T10:36:47","modified_gmt":"2025-09-11T09:36:47","slug":"nhse-doac","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/pqs\/25-26\/nhse-doac\/","title":{"rendered":"NHSE DOAC 1st line choices"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" id=\"nhse\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><p class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" data-fontsize=\"32\" data-lineheight=\"41.6px\">NHSE AF DOAC 1st line choices<\/p><\/h2><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3860-1\"><div class=\"fusion-panel panel-default panel-dfd993c27200f5d3c fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_dfd993c27200f5d3c\"><a aria-expanded=\"false\" aria-controls=\"dfd993c27200f5d3c\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3860-1\" data-target=\"#dfd993c27200f5d3c\" href=\"#dfd993c27200f5d3c\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"dfd993c27200f5d3c\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_dfd993c27200f5d3c\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>When initiating a DOAC for a new case of atrial fibrillation, prescribe generic apixaban or generic rivaroxaban.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-0ffc5d81e88bbd58b fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_0ffc5d81e88bbd58b\"><a aria-expanded=\"false\" aria-controls=\"0ffc5d81e88bbd58b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3860-1\" data-target=\"#0ffc5d81e88bbd58b\" href=\"#0ffc5d81e88bbd58b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"0ffc5d81e88bbd58b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_0ffc5d81e88bbd58b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/www.england.nhs.uk\/long-read\/commissioning-recommendations-for-national-procurement-for-doacs\/\" target=\"_blank\" rel=\"noopener\">As per the NHSE Commissioning recommendations for national procurement for direct-acting oral anticoagulant(s) (DOACs) generic apixaban or generic rivaroxaban offers best value treatment for atrial fibrillation.<\/a><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8a5ed7d82245c50ae fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8a5ed7d82245c50ae\"><a aria-expanded=\"false\" aria-controls=\"8a5ed7d82245c50ae\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3860-1\" data-target=\"#8a5ed7d82245c50ae\" href=\"#8a5ed7d82245c50ae\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"8a5ed7d82245c50ae\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8a5ed7d82245c50ae\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Run the SystmOne search provided to identify any patients newly initiated on DOAC therapy for atrial fibrillation and ensure that generic apixaban or rivaroxaban has been issued.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-892bf3a9eff4cc002 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_892bf3a9eff4cc002\"><a aria-expanded=\"false\" aria-controls=\"892bf3a9eff4cc002\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3860-1\" data-target=\"#892bf3a9eff4cc002\" href=\"#892bf3a9eff4cc002\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"892bf3a9eff4cc002\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_892bf3a9eff4cc002\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>SystmOne searches: Dorset SystmOne GPs\/PQS Finance 2526\/F5 Apixaban\/Rivaroxaban in new AF.<\/p>\n<p><a href=\"https:\/\/www.england.nhs.uk\/long-read\/commissioning-recommendations-for-national-procurement-for-doacs\/\" target=\"_blank\" rel=\"noopener\">NHSE Commissioning recommendations for national procurement for direct-acting oral anticoagulant(s) (DOACs)<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":3699,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-3860","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/comments?post=3860"}],"version-history":[{"count":5,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3860\/revisions"}],"predecessor-version":[{"id":4052,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3860\/revisions\/4052"}],"up":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3699"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=3860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}