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Appropriate Care Guide

Venous thromboembolism — treating with the right anticoagulant and duration Published on 28 May 2018

This Appropriate Care Guide (ACG) gives guidance on selecting an appropriate anticoagulant, minimum treatment duration, and when to extend therapy.

A supplementary guide on switching between anticoagulants is included.

Download the PDF below to access the full ACG.

Key Messages
1. Unless contraindicated, treat patients with warfarin or a non-vitamin K antagonist oral anticoagulant if they have proximal deep vein thrombosis or pulmonary embolism.
2. Use warfarin if creatinine clearance (measured with the Cockcroft-Gault formula) is less than 30 mL/min.
3. If patient has active cancer, use low molecular weight heparin.
4. Continue anticoagulation for at least three months. Consider extended treatment if recurrence risk is high.
5. Review patients on extended treatment at least once a year.

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Related Links

Technology Guidance - Drug   NOACs for the treatment and secondary prevention of venous thromboembolism

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