Dentist will need to surgically remove a tooth because it is broken below the gum line. Must I forgo taking Xarelto prior to the procedure? If so, how much stroke risk do I then fall under? I have occasional atrial fib, reason for the prescription. Is there some other method of minimizing possibility of the atrial fib?
Must I stop Xarelto before undergoing dental surgery?
Question posted by Grant II on 20 Jan 2013
Last updated on 6 March 2017
The information on this page reflects personal experiences shared by our community members. It is not reviewed for medical accuracy and should not replace professional medical advice.
Answers
PoisonAlice
21 Jan 2013
That's really something you need to discuss with both your dentist and prescribing physician, as it's a unique situation. Are you going under full general anesthesia? Because that in itself brings up a whole new box of issues.
Inactive
21 Jan 2013
Great answer, I must say!
PoisonAlice
21 Jan 2013
Why thank you Masso! Having the multitude of chronic health problems with the kinds of medications I'm on, there are just certain things you have to talk to your doctors about, surgery being the big one, particularly with the interactions with many common drugs and anesthetics, both general and local, as well as the bleeding issue common with many drugs.
Grant II
21 Jan 2013
I don't yet know the details about anesthesia. Procedure won't be for a month or two, so details are forthcoming. I'm sitting in a line waiting my turn with the VA dental surgeon. He brought up the issue of the Xarelto, a blood thinner, and reminded me to consult my cardiologist to determine whether or not I can temporarily discontinue this medication.
PoisonAlice
21 Jan 2013
I think half of it will have to do with what you're taking it for in the first place. You may be able to discontinue use for the week prior to the procedure (which is the average length of time they ask you to discontinue medications prior to surgical procedures if you're on a medication they want you to discontinue), or you might not be able to totally stop using it, perhaps maybe just cutting your dose, or you might not be able to discontinue it at all, and your oral surgeon will have to work with the issues that arise with that during the procedure, and make sure he has proper emergency equipment on hand just in case something happens during the procedure due to your medication.
Pamela Sabia
19 Feb 2017
Do I need to stop taking xareltob before dental removes all of my top teeth 9 have to be pulled. Having done in hospital.
Pamela Sabia
19 Feb 2017
Do I need to stop taking xareltob before dental removes all of my top teeth 9 have to be pulled. Having done in hospital.
Pamela Sabia
19 Feb 2017
I will be put to sleep
Bj1970
6 March 2017
That's something I'm wondering too. I'm on xarelto 20 mg a day and need a tooth pulled. Not sure if they can even do it. If anyone has had a tooth pulled on xarelto please let me know how it went
Related topics
ischemic stroke, oral and dental conditions, surgery, xarelto
Further information
- Xarelto uses and safety info
- Xarelto prescribing info & package insert (for Health Professionals)
- Side effects of Xarelto (detailed)
Similar questions
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.