…making it difficult for the new orals to be added to hospital protocol as a first-line prophylaxsis choice.
Agreed. The one exception may be where the alternative to one of the new oral anticoagulants is warfarin; however, warfarin isn’t widely used in the hospital setting, so this isn’t much of a business opportunity.
In the outpatient setting, on the other hand, the new oral anticoagulants will almost certainly become big-selling drugs, IMO.
I believe what the injectable anti Xa Meds will have in their favor in the hospital setting are that they are not self administered and will be less expensive
i'm confused - no meds in the hospital are self administered in every hospital in which i have worked nurses bring in oral meds and watch the pt take the dose per protocol (one exception is if MD writes order allowing pts to take their own meds)
i also don't think oral Xa will be more expensive than lovenox - in fact should be far less expensive per day