... extraction.His Dentist has asked him to find out whether he needs to stop taking the drug.His GP has not given him an answer,nor has he been able to find out from his Consultant' secretary other than being told to stop taking it for 13 days prior to oral surgery. If this is the case,he would not have the protection it offers,can anyone advise?
This is a ridiculous response for a doctor. The half-life of rivaroxaban is 5-9 hours. If you are elderly, greater than 64 y/o, then the half-life is 11-13 hours. I would stop taking the drug no more than three (3) days before the procedure. You need to see a cardiologist or if you can't see the cardiologist then a hematologist. If you want to be safe, I would ask the dentist what clotting agents he has on hand once the extraction is complete. Andexanet, by Portola Pharmaceuticals, has been approved by the FDA to reverse the anticoagulant action of factor Xa inhibitors which includes rivaroxaban.
- Rivaroxaban Information for Consumers
- Rivaroxaban Information for Healthcare Professionals (includes dosage details)
- Side Effects of Rivaroxaban (detailed)
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