I have early stage kidney disease, Hbp, And A-FIB. Heart study being done through csth in groin followed by pacemaker implant. I take 20mgs of xeralto at 10 pm at night... how long beforesurgery do I stop takng Xaerlto?
This is something that you should be discussing with your cardiologist. Why has this discussion not happened? (S)he does know that you are on Xarelto, correct?
The manufacturer states the following: "If anticoagulation must be discontinued to reduce the risk of bleeding with surgical or other procedures, Xarelto should be stopped at least 24 hours before the procedure to reduce the risk of bleeding [see Warnings and Precautions (5.2)]. 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 [see Warnings and Precautions (5.1)]. If oral medication cannot be taken during or after surgical intervention, consider administering a parenteral anticoagulant."
Something for you to keep in mind is that "the terminal elimination half-life of Xarelto (rivaroxaban) is 5 to 9 hours in healthy subjects aged 20 to 45 years.
You need to have a conversation with your cardiologist, ASAP.
- Xarelto Information for Consumers
- Xarelto Information for Healthcare Professionals (includes dosage details)
- Side Effects of Xarelto (detailed)
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