STILL BET CONFUSE ABOUT VISIT TO DENTIST PLEASE

[karim123]

SHALL I STOP Rivaroxaban ON THE DAY OR NOT , PLEASE SOME ANSWERS THANKYOU SO MUCH

[PeterWh]

What does NICE say? I know for warfarin it says don't stop.

I am on warfarin and my dentist told me never to stop ever for dental treatment and that INR could be up to 4.0 so I wouldn't stop if she wasn't there and I had to see someone else. The only exception is major dental reconstruction work in a hospital.

[karim123 in reply to PeterWh]

THANKYOU

[Beancounter Volunteer]

Hi Karim

I would check with the dentist, unless you are having really heavy work done, then the answer is usually no, but you must inform the dentist you are taking an anti-coagulant. Also if you are having any anaesthesia remember please to point out that they should not use adrenaline as it often aggravates AF

Be well

Ian

[karim123 in reply to Beancounter]

THANKYOU

[Perrylees]

I had some work done on a broken tooth and a then had a related a big filling a couple of weeks ago. I didn't stop apixaban - didn't even think about it. Just make sure your dentist knows - mine was quite knowledgable and was totally unconcerned.

I bled a little but nothing untoward and no problems whatsoever afterwards.

I understand that you should ask for a non adrenaline based anaesthetic if you need one - but I didn't do that either because I didnt know!

Hope this helps

Ruth

[CDreamer]

Ensure your dentist has an up to date history of your medical history and a list of your current medications.

Ensure he/she understands the consequences of not using adrenaline based local anaesthetics - there has been several recent posts of posters and dentists who did not and the consequences.

Most people on NOACs seem to be told that it may not be necessary to stop taking them but it is often different for Wafarin so do check with both your GP and your dentist.

[karim123 in reply to CDreamer]

THANKYOU

[jeanjeannie50]

Karim - I would call your dental surgery and ask for advice on this.

Jean

[karim123 in reply to jeanjeannie50]

THANKYOU

[PeterWh in reply to jeanjeannie50]

As I read it her dentist said to stop so presumably they will give the same advice which may be wrong.

Unfortunately quite a few dentists are not up to date and do the wrong thing. Look at what happened to another forum member recently at the dentist due to lack of understanding.

[pirnough6]

My dentist and doctor didn' t know what to do so my doctor sent me to see a specialist dealing with ant-coagulants and he said for a tooth out stop taking for 2 days only. For dental hygenist work etc keep on taking the tablets.

[Finvola in reply to pirnough6]

Gosh Pirnough, I would be worried by that advice but I wonder if the specialist was referring only to Warfarin which leaves the system very slowly over days. The NOAC's have a very short half life, 12 to 14 hours for twice daily doses so 2 days sounds risky to me and I wouldn't agree for a tooth extraction. Just a thought.

[Finvola]

I had a large tooth taken out without any problems and without stopping my Apixaban. The dentist made my appointment for 8.15am, observed me for 15 minutes afterwards to ensure all was OK, then packed the socket with dissolving gauze and stitched it up and I went home happy to take my morning dose of Apixaban at 9.30.

Mine was a referral to a dental consultant on the NHS because of my awkward roots and I would have been unhappy to have had to stop Apixaban. As suggested, look up NICE guidelines and talk again to your dentist. Perhaps even suggest a referral to a consultant dentist with experience of Rivaroxaban patients. Don't forget the adrenaline free injections.

Best wishes

[karim123 in reply to Finvola]

THANKYOU

[pirnough6]

I take rivaroxavan once a day and he only suggested two days for the most serious extractions. Otherwise only one day if it was a strzight forward case and not to stop for fillings etc.

[karim123 in reply to pirnough6]

THANKYOU

[AvrilB in reply to pirnough6]

My GP said to stop taking Rivaroxaban 3 days before dental treatment! This sounds a long time! I was only asking him for future reference, I do not have dental problems at the moment I am pleased to say.

Any comments please..