pradaxa

[velodoc]

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Anyone with experience regarding spinal canal interventions on patients taking Pradaxa? How long to hold? 72 hours? What to monitor? INR? PTT?

Thanks.

 

[TheAssMan]

Anyone with experience regarding spinal canal interventions on patients taking Pradaxa? How long to hold? 72 hours? What to monitor? INR? PTT?

Thanks.

From discussing with experts, hold 72 hours at least. Monitor Thrombin Time.

 

[ml2001]

Pradaxa is a new oral prophylaxis medication in the market. I have used it once so far on the rehab floor for prophylaxis so far as the pt didn't like Heparin or Lovenox injections. It is interesting that your patient (assuming he/she is an outpatient) is on this medication at home. How often do you remember sending pts home on DVT prophylaxis unless you are a rehab doc and it is an acute SCI patient?

 

[emd123]

I've seen it used mostly as a coumadin equivalent for A Fib patients. It's more expensive but there's no INR/ProTimes to check.

 

[Aether2000]

The 72 hour is reasonable unless there is renal dysfunction....then it needs to be held 7 days prior to intra-canal procedures.

 

[nctxil]

This is starting to pop up

I've bee advised by Cardiology to wait 5 days. It is not monitored with INR.

The other one that is showing up is Prasugrel (Effient) - anti platelet similar to Plavix - I have been advised 7 days on this

Obvoiusly there is no consensus yet.

 

[Tenesma]

my cardiologists say hold for 48 hours due to short-half-life...

so i double that...

 

[SCIronMike]

I'm giving it 5 days.