The compliance

„For a good AC-treatment I must comply with protocols and with what the doctor knows best.“

Compliance and medication adherence

I understand my disease and know how to handle it. Anticoagulation with Vitamin K antagonist gives me safety. And patient self-testing achieves a better quality of life. But there are some pitfalls in the therapy of anticoagulated patients.

Pitfall No. 1 – Autonomy: What does it mean for us AC-patients?

The right way to be autonomous is to be a critically participating patient having a basic trust in the intentions and competences of my doctor. That means for my good AC-treatment I must comply with protocols and with what the doctor knows best.

Pitfall No. 2– The compliance!

Is it reasonable to enter in anticoagulant treatment and then not to be compliant? I think that in AC-therapy compliance is a must to avoid medical incidents.

Compliance with:

  • Intake of anticoagulants regularly
  • Perform regular measurements
  • Follow instructions for self-dosing 
  • Adherence to external control
  • Visit the AC-clinic if necessary
  • Pay attention to the lifestyle

Pitfall No. 3 – The medication adherence

Non-adherence to anticoagulation is a common phenomenon and is associated with adverse clinical outcomes. If we accept our disease and believe in the therapy then we have done a big step towards a stable INR. Therefore trusting relationship between us, as anticoagulated patients, and our doctors is essential. Coagulation self-testing (self-management) could be the key to effective patient compliance and better drug adherence.

Read also my tips for an improved anticoagulation therapy