top of page
  • Writer's picturePall Torfi Onundarson

Could the Fiix normalized ratio (Fiix PT) save taxpayer´s money and insurance premiums?

The answer is yes. Because the Fiix-PT improves the effectiveness of warfarin markedly without reducing safety. See the publications list for the arguments behind this statement.

The cost of drugs for heart disease in the UK has increased 9-fold between 2014 to 2020, mainly due to switch from warfarin to DOAC drugs (see ).

The DOACs have similar effectiveness as traditionally monitored warfarin but cause somewhat less intracranial bleeding albeit fortunately rarely. But DOAC treatment is much more expensive, even when clinic visits and monitoring costs of VKAs are included.

As the effectiveness of warfarin is improved using the new monitoring method (Fiix-PT based Fiix-NR), should societies consider changing guidelines back in favor of warfarin over DOACs? Or at least in favor of replacing PT-INR monitoring of VKAs with the more effective monitoring method?

We contend that if PT-INR monitoring og VKAs would be replaced by Fiix-NR, patient outcome and convenience would be improved - and that this would save taxpayer´s money and health insurance premiums. Less thromboembolism, less permanent paralysis, reduced disability. The mony could then be better spent elsewhere (or taxes and premiums reduced).

3 views0 comments

Recent Posts

See All

Two publications from the team in 2019

A new warfarin initiation protocol for safe Fiix dose management. J Thromb Thrombolysis A review article on anticoagulant monitoring: Oral anticoagulant monitoring: Are we on the right track? Int J L


bottom of page