Has anyone had to go off of Xarelto and use shots of Lovenox for a minor biopsy type procedure? What was the timing between stopping Xarelto and doing the Lovenox shots before biopsy? After biopsy, what was the timing of switching back to Xarelto? Thanks much!
XARELTO should be stopped at least 24 hours before the procedure to reduce the risk of bleeding. In deciding whether a procedure should be delayed until 24 hours after the last dose of XARELTO, the increased risk of bleeding should be weighed against the urgency of intervention. XARELTO should be restarted after the surgical or other procedures as soon as adequate hemostasis has been established, noting that the time to onset of therapeutic effect is short. There is no need to use Lovenox.
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