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MD Pharmacology NMC syllabus ~5 min read Recent advances last updated on 2026-06-19

Oral Anticoagulants — NOACs, Antiplatelets & Fibrinolytics

Heparins, Warfarin, DOACs, Antiplatelet Drugs, Fibrinolytics & Reversal Agents

Past RGUHS + DNB + MPMSU + MUHS + VNSGU · 49 MPMSUOct '25 MPMSUJan '25 RGUHSJun '24 RGUHSJun '24 MUHSWinter '24 MPMSUJun '23 DNBOct '23 VNSGUJun '23 RGUHSNov '22 RGUHSMay '22 RGUHSJul '21 MPMSUAug '21 DNBDec '21 MUHSSummer '21 RGUHSNov '20 MPMSUJul '20 DNBJun '20 RGUHSNov '19 RGUHSMay '19 MPMSUMay '19 MPMSU2019 MUHSSummer '19 MUHSWinter '19 RGUHSMay '18 RGUHSMay '18 RGUHSMay '18 MPMSUMay '18 MPMSUMay '18 MPMSU2017 MPMSUJun '17 MUHSSummer '17 MUHSSummer '16 VNSGUApr '16 MPMSU2014 DNBDec '14 DNBDec '14 MUHSWinter '14 DNBDec '13 DNBDec '12 RGUHSMay '11 MPMSU2011 MPMSU2011 DNBDec '11 RGUHSOct '10 RGUHSMay '09 RGUHSOct '08 RGUHSApr '08 RGUHSApr '06 MPMSU2004

Introduction

  • Haemostasis is the regulated arrest of blood loss while blood stays fluid in intact vessels — a balance between coagulation and fibrinolysis. Therapeutic antithrombotic drugs tip this balance to prevent or treat pathological thrombosis.
  • Three drug families act on different limbs: anticoagulants (inhibit fibrin formation), antiplatelet drugs (inhibit platelet activation/aggregation) and fibrinolytics/thrombolytics (dissolve formed thrombi).
  • Therapeutic corollary of thrombus type — arterial = platelet-rich "white" thrombi (high shear) → antiplatelets primary; venous = fibrin-rich "red" thrombi (sluggish flow) → anticoagulants primary.
  • Anticoagulants prevent thrombus extension and embolism by slowing fibrin formation — they do not dissolve an existing clot (that is the fibrinolytics' role).
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Oral Anticoagulants Noacs

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