Education Blog for Healthcare Professionals

Posts Tagged ‘Dabigatran’

Pradaxa (Dabigatran) – Hospital Guideline

| Pradaxa (dabigatran), Uncategorized | 9 Comments »

The new oral anticoagulant Pradaxa® (Dabigatran) is increasingly being used as an alternative to warfarin.   A number of practical management questions are now encountered by the physician, pharmacist, or other health care professional taking care of the patient on Pradaxa®, such as (a) dosing in renal impairment, (b) conversion of a patient on warfarin to Pradaxa®, (c) discontinuation of Pradaxa® at times of surgery, dental work, colonoscopy, or other procedures, or (d) management of bleeding on Pradaxa®.   These issues may best be addressed in a health care system by the establishment of a structured treatment algorithm/guide/help for the whole hospital or physician practice. As an example, here is the document that Read the rest of this entry »

Pradaxa: Interruption for Colonoscopies, Dental Procedures, Surgery, etc.

| Anticoagulants, Pradaxa (dabigatran), Therapy, Uncategorized | 8 Comments »

When to stop the drug – General comments

The patient on Pradaxa® (Dabigatran) may need interruption of therapy for dental work, a medical procedure such as colonoscopy, or minor or major surgical procedure. As to when exactly to take the last dose of Pradaxa® before the procedure depends on (a) what type of procedure is planned and how much bleeding to expect with it, and (b) whether the patient is at high or low risk for thrombosis if he/she is off anticoagulants for some period of time. Read the rest of this entry »