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Table 2 Knowledge of OAC

From: Are patients on oral anticoagulation therapy aware of its effects? A cross-sectional study from Karachi, Pakistan

Knowledge questions

Frequency

n (%)

Name of OAC

 Warfarin

147 (71)

 Rivaroxaban

45 (21.7)

 Don’t know the name

15 (7.2)

Why has your doctor prescribed this medicine

 Arrhythmias

14 (6.8)

 Blood thinning

47 (22.7)

 Cardiac issue/chest pain

20 (9.7)

 DVT

15 (7.2)

 MI

39 (18.8)

 Prosthetic valve

26 (12.6)

 Don’t know

26 (12.6)

 Others

20 (9.7)

How does this medicine work in your body

 Lowers BP

16 (7.7)

 Prevents blood from clotting

116 (56.1)

 Lowers heart rate

9 (4.3)

 Don’t know

66 (31.9)

How many times a day do you need to take this medicine

 Once

171 (82.6)

 Twice

22 (10.6)

 Thrice

4 (1.9)

 Don’t know

10 (4.8)

For how long do you need to take this medicine

 3 months

15 (7.2)

 6 months

18 (8.7)

 1 year

19 (9.2)

 Lifelong

89 (43)

 Don’t know

66 (31.9)

Why is it important to take this medicine exactly as the doctor has told you

 Too much of this can cause bleeding

44 (21.3)

 Skipping a dose can cause bleeding

2 (1)

 It interacts with food, so changing the dose/timing can be hazardous

6 (2.9)

 Don’t know

155 (74.9)

Is it important to take this medicine at the same time each day

 Yes

139 (67.1)

 No

31 (15)

 Not sure

37 (17.9)

Is it okay to double the next dose of this medicine if you missed a dose

 Yes

23 (11.1)

 No

134 (64.7)

 Not sure

50 (24.2)

Could missing one dose worsen your condition

 Yes

87 (42)

 No

68 (32.9)

 Not sure

52 (25.1)

Is it appropriate to stop taking this medicine once you feel better

 Yes

46 (22.2)

 No

111 (53.6)

 Not sure

50 (24.2)

Is it safe to take anti-inflammatory meds while on OAC

 Yes

67 (32.4)

 No

41 (19.8)

 Not sure

99 (47.8)

Is it safe to take vitamins, herbal meds without consulting doctor

 Yes

66 (31.9)

 No

64 (30.9)

 Not sure

77 (37.2)

Is it beneficial to take more medicine than prescribed

 Yes

11 (5.3)

 No

126 (60.9)

 Not sure

70 (33.8)

Will drinking too much alcohol increase the risks of this med

 Yes

70 (33.8)

 No

10 (4.8)

 Not sure

127 (61.4)

Would you inform surgeon, dentist, doc about your meds

 Yes

161 (77.8)

 No

19 (9.2)

 Not sure

27 (13)

Is it imp that all healthcare practitioners know about this med

 Yes

161 (77.8)

 No

23 (11.1)

 Not sure

23 (11.1)

Most important side effect of this medicine

 Bleeding

49 (23.7)

 Others

20 (9.7)

 Don’t know

136 (65.7)

Correct side effects identified

 All three

56 (27.1)

 Two correct

22 (10.6)

 One correct

7 (3.4)

 None

5 (2.4)

 Don’t know

117 (56.5)

Side effect identified

 Bleeding gums

72 (19.7)

 Prolonged nosebleeds

50 (13.7)

 Severe bruising

32 (8.8)

 Blood in urine

64 (17.5)

 Insomnia

10 (2.7)

 Loss of apetite

20 (5.5)

 Don’t know

117 (32.1)

How to reduce side effects

 Monitor INR regularly

15 (4.9)

 Monitor

44 (14.4)

 Sleeping on time

21 (6.9)

 Eating less food

14 (4.6)

 Avoid things that could cause cuts/injuries

31 (10.1)

 Proper dosing

53 (17.3)

 Don’t know

128 (41.8)

Best step if you take too much of this medicine

 Skip the next dose

35 (16.9)

 Consult my doctor

110 (53.1)

 Be alert for signs of side effects

15 (7.2)

 Don’t know

47 (22.7)

  1. OAC oral anticoagulants, INR international normalized ratio