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Changing Medication From Warfarin To Apixaban
I have just received notification that I am suitable for changing my anticoagulant to a D.O.A.C. but on searching a number of sites, I note that some say there IS an antidote for reversing a bleed, and others say there is no antidote.
NHS are showing different results to gov.uk, but publication dates vary . I am awaiting a callback from the pharmacist who told me there is no antidote.
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No best answer has yet been selected by Clementino. Once a best answer has been selected, it will be shown here.
For more on marking an answer as the "Best Answer", please visit our FAQ.Speaking from recent personal experience, I am on Edoxaban, I can say I was treated (successfully) to counteract bleeding from a badly torn muscle, but it was done in Resus in A&E under very close monitoring over a period of about 90 minutes.
Obviously with prior knowledge of a procedure, you can stop the daoc in advance, but there is a difficulty in an emergency and it is important you carry a warning card and family etc are aware.
calmic has been watching too much casualty
Warfarin is reversed with vit K ( but then you cant restart it for a few weeks) - Hickman lines, any central vein - mine was internal jugular.
There is currently no reversal agent or antidote for rivaroxaban or apixaban.
I thought I better check. ie you just wait- for smaller procedures such as tooth extraction, "you just do it" - dentist looked a bit shockerd at that
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