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- Aug 2, 2006
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How long is everyone holding xarelto and apixaban? Starting to see a lot of these. We were asking for 5 days on both, but are getting pushback from PCPs and cards. Literature is still minimal.
It is unusual but I have had INR>1.4 in patients after 5 days. The record was an elderly woman that did not normalize for over 10 days despite having her increase her PO intake of Vit K foods. She started in therapeutic, not toxic, range. That confirmed my belief in checking INR since it can be measured and I don't want to risk the patient having an avoidable complication.BTW, how many people have had unacceptable INR after 5 days?
I wonder if we shouldn't just give everyone a shot of Vit K the day before.
It is unusual but I have had INR>1.4 in patients after 5 days. The record was an elderly woman that did not normalize for over 10 days despite having her increase her PO intake of Vit K foods. She started in therapeutic, not toxic, range. That confirmed my belief in checking INR since it can be measured and I don't want to risk the patient having an avoidable complication.