Xarelto

[PaulaL1971]

Is there an antidote for Xarelto?

[ShaunMB]

Hi Paula it wouldn't be called an antidote but a reversal agent. As far as I know there isn't one for Xarelto. Last I heard they're either close to having one for Eliquis or they do have one now. I'm currently taking Xarelto and not to concerned about the absence of a reversal agent. There's a lot of other ways that bleeding can be delt with. I'm sure someone with more knowledge on the subject will be along soon. What are your concerns?

[jennydog]

I take Pradaxa and there is an antidote for it called Praxbind? But what are the chances of Praxbind being immediately available?

Did you know that there is no antidote for aspirin?

[Hidden]

Hi Paula, not yet I think, but I suggest you watch Dr Sanjay Gupta’s video on NOAC’s/DOAC’s. He talks about reversal agents and their value in some detail. I think it would put your mind at rest.......

[Hidden in reply to Hidden]

I think the one to watch may be - 'Blood thinners for Afib - which one should I take?'

I take Xarelto and have no worries about the lack of an antidote as I feel the opportunities to benefit from one are very thin. Either we are in too serious a situation for any reversal agent to have time to be given or to be effective or we are going to be snatched back one way or another. The difference between a sudden end and recovery may be slightly better for people who are not on an anticoagulant but perhaps those of us on anticoagulation can worry too much about bleeding in a fatal sort of way.

[Drounding]

I think the risk of stroke far outweighs the risk of an accidental major bleed.

[Hidden in reply to Drounding]

Generally true, but I think it becomes a potential problem for folk who have a history of internal bleeding which can occur for a variety of different reasons. Hence the HAS-BLED test.

[Drounding in reply to Hidden]

Agreed, there's two separate considerations. One, the risk of internal bleeding as you mention and hence the Has-bled test. Two, the risk of a major bleed due to accidental injury.

[Hidden in reply to Drounding]

Yep, hence my use of the term “generally true”. We are both singing out the same hymn book

[cassie46]

I am on Xarelto and have no concerns about a major bleed. They have many ways of dealing with this, If it was a really serious accident we might have a very small percentage chance of problems compared to someone not anticoagulated. My father was on warafin for many years and had quite a few serious bleeds needing hospitalization, he was not once given the vit k antidote, we asked on a few occasions, one was a nose bleed that went on for 24 hours.

Cassie

[Bud5]

No there is not.

[Flyer2820]

Hi PaulaL1971

The doctors told me that there is no antidote or reversal for Xarelto or rivaroxaban as it is also referred to. I shouldn't worry to much about it though as if you were to bleed profusely then you would be given a blood transfusion. The chances of having a stroke far outweigh the option however. There are other anticoagulants such as pradaxa also referred to as dabigatran etexilate which my wife is on which have a reversal as she has been prone to collapse on occasions. I am on Xarelto so it seems they are not bothered about me. I am not in the slightest bit bothered by it. My wife doesn't seem to concerned, maybe she has seen how much I am insured for. Ha ha, a little light heartedness. Doesn't do any harm.

Regards Flyer.