Chocolate 1

[Chocolat1]

I'm due to have extraction for tooth out and been advised to stop Edoxaban for 2 days prior to procedure.Problem is I'm worried a clot will form in this period and cause problems. Does anyone have experience with this I would be most grateful

[10gingercats]

People do sometimes have to stop their anticoagulants. for a day or twp,even longer .I had a hip replacement and the anticoagulant was stopped by surgeon for a few days .I do not know what the alternative is .It is a fairly common thing to happen so I would not worry too much about it.

[Chocolat1 in reply to 10gingercats]

Thanks

[JOY2THEWORLD49 in reply to 10gingercats]

Hi

A bit different with a General anaesthetic. I stopped 3 days prior 24hr and 2 days after. I've had 3 operations since 2019 since AF diagnosed with stroke.

Never known to stop for a tooth pulled.

cherio JOY

[BobD Volunteer]

Many of us have to accept this temporary change if we want to progress in life. I had to stop my anticoagulant for seven days in order to have a bone marrow biopspy not long ago. I'm still here.

[Chocolat1 in reply to BobD]

Okay much appreciated

[BenHall1]

I stopped warfarin for 6 days prior to knee replacement surgery. No big deal. As soon as I was back in my room I was given a bridging anticoagulant then that evening at normal time I returned to my regular warfarin dose.

[Franks-Nan]

Hello, stopped the edoxaban on the monday, had the tooth out on the Wednesday and was told to start the edoxaban on the Thursday, I'm still here to tell the tale.

[Chocolat1 in reply to Franks-Nan]

Thanks good to hear

[opal11uk]

Ive had to stop mine on several occasions over past 20 years and all was well. Good luck x

[Hammerboy]

Just for context I had a tooth extracted while still continuing taking Edoxaban. The dentist was made aware before the procedure I was on anticoagulants and said he was confident the bleeding wouldn’t be excessive and I had no problems during or after the tooth was removed . I’m sure it depends on the potential difficulty of the individual tooth and X-rays were taken before starting .

[secondtry]

Maybe best to ask for the non-adrenaline anaesthetic.

Re ACs I would probably take some supplement that is supposed to reduce clotting risk. I am sure Dr Google will come up with some suggestions. I have taken Krill oil for 11yrs before starting Edoxaban 4 months ago and have continued with it 🤞🙏.

[oscarfox49]

It depends a lot on your actual risk factors. I know as someone who has suffered a stroke already I would be terrified to be told that and refuse the procedure unless I could find a dentist who would do the work without it being necessary. Having a tooth extracted is hardly a major surgical procedure and although it may be messy (as was a procedure for me with a new crown which required a lot of cutting of the gum) it is not essential for you to do this. I doubt you are going to bleed to death and it sounds more like it is for the convenience of the dentist.

For all those people who say 'I did this and I'm still here', I would like to mention my friend of 74 who had a hip replacement successfully and then died 24 hours later due to his anticoagulants being stopped.

It is all about the personal level of risk and this should be very carefully assessed.

[JOY2THEWORLD49 in reply to oscarfox49]

Hi

I understood that sometimes the anaesthetist puts something in the drip.

cherio JOY

[oscarfox49 in reply to JOY2THEWORLD49]

That won't be anything of the nature of an anticoagulant of course, otherwise there would be no point in stopping them. They don't want the patient to bleed excessively. Blood clots can form quite easily in most post operative situations and for those who already have a tendency to strokes and blood clots due to AF it can be a very risky time. That is why I would not agree myself to stop them just for a simple tooth extraction.

[KelliEAnniE]

hi I had this same issue to deal with recently had to have a colonoscopy which meat coming off apixoban for 3 days I was so worried about coming off it I nearly didn't have colonoscopy however I went through with it and I was fine unfortunately the bowel prep hadn't worked and had to have it done again which meant coming off apixoban second time didn't work so had it done a third time which worked and had polyps removed however have to have another in 3 month to check as one polyp was big so they need to make sure they got it all so by then will have had to come off apixoban 4 times I am not as worried now as I have been fine plus got plenty of reassurance from the lovely people on this site who had had to come off med for various reasons natural to worry though but sure you'll be fine I reasoned that I had probably hadcAF for a while before diagnosed and had not had a bloodclot then gosh I have gone on a bit sorry hope helps you feel better about it best of luck sure you'll be fine

[oscarfox49 in reply to KelliEAnniE]

There is of course a big difference between paroxysmal AF and those who have a permanent heart arrhythmia where the dangers of blood clotting is present all the time..

[KelliEAnniE in reply to oscarfox49]

hi I have permanant AF that is well controlled with meds

[Hickmap]

No need to stop Edoxaban I recently had a double extraction no problem at all, just make dentist aware of you medication.

[GinGal]

Hi There. I recently had dental work done as well and I stopped my Eliquis tablets 3-days prior to the appointment and all went well. You'll be fine.

[JillyBeau]

Reduce salt and caffeine and increase water intake whilst off the blood thinner.

[Singwell]

I understand your concern. You're not likely to get a clot unless you're in AF for a longish period if think? Why don't you ask your GP for reassurance. I've only had to stop mine the might before a procedure so I wasn't too worried about it.

[FanOfPatterns]

These comments are useful. Clinical advice on other ways to temporarily reduce risk of clots while off anticoagulants would be helpful.

What I note here it is primarily about the relevant medics being aware. The risks of a clot have to be balanced against the risks of significant bleeding and complications during the procedure. Talking with the medics can help there.

The guidance is there to help make decisions without going into lots of detail.

I hope you get the support you need

[RobertTonkiss]

whenever I’ve had to stop my anticoagulant (for a heart valve replacement not for AF I have to say) for any protracted period of time I’ve been put on heparin or heparin derivative injection i.e Tinzaparin in my case as they are short acting and won’t affect the procedure. If your worried I would suggest you discuss it with your GP who will probably contact your local heamatology clinic for expert advice.

[Sixtychick]

I am on Edoxaban and have had teeth out without stopping it and have not had problems with excessive bleeding. The last tooth I had out, had a curved root and took a bit of getting out, but it was fine. The dentist packed the socket after the tooth was taken out and I had no problems.The dentist knew I was on anti-coagulants.

[Auriculaire]

Your body will not be without any anticoagulant over the two days. Due to the half life of the drug the concentration reduces gradually so for most of the period off you will still have some in your body though not the amount the full dose gives. I had to come off for three days for a colonoscopy 5 weeks ago. When the nurse took the canula out of my hand prior to going home she just put on a small dressing. I started packing(I had spent the night in the clinic) and noticed blood on my bedside table. The dressing was soaked through and blood was dripping down my hand all over the place. This had happened to me before with removal of a canula when I was on Apixaban. Frankly I could not see much difference !

[cpacjac]

hi, there are pros and cons of stopping anti coagulants, i have had extractions without stopping, one was fine no issues the other resulted in a dry socket. When you have a tooth extracted a clot should form which protects the socket and the bone underneath, when the blood does not clot it leaves the socket exposed and can result in a dry socket which is very painful. obviously being on anti coagulants can hinder the clotting process It may not happen but I guess thats why dentist has asked you to stop the anti coagulants. (I am on apixaban) Your choice but despite the dry socket i would probably rather keep taking the ani coagulants.

[RoyMacDonald]

As a stroke survivor I would not stop the Apixaban personally. My dentist has always managed without asking me to stop the Apixaban. I would not be prepared to risk it for more than a few hours personally.

All the best.

Roy

[JOY2THEWORLD49 in reply to RoyMacDonald]

Hi

I am in persistent AF but heart beat under control.

I had a stroke due to undiagnosed thyroid cancer and AF diagmosed.

I've had 3 operations since then in 2019. 3 days 24-hr before amd 2 after.

My 2 tooth extractions with AF were done at the hospital as dentist refused - too close to the sinus both upper.

I do start a quick dose of antibiotics before though..

cherio jOY

[Dodie117]

I had tooth extraction and colonoscopy and did not have to come off anticoagulant for either.

[Snowgirl65]

I had to stop Xarelto for two days when I had a tooth extraction, which got the okay from the EP.

[Rhoded]

I very recently had an extraction and only stopped taking edoxaban for the day of the extraction. Was absolutely fine and very little bleeding 😊

[lovetogarden]

Like others, I understand the worry. Have your spoken with the doctor who prescribed the anticoagulant? I had a tooth extracted last winter, had to get approval from my EP to be off the anticoagulant. Best of luck with the extraction. Not fun, but needs must!

[Brianboru]

It depends upon personal circumstances. I would continue to take them regardless. I accidentally cut my hand once and the bleeding while not excessive did continue a little longer than usual. A plaster contained it but accept it’s not as simple with a tooth. I would take a chance and bring plenty of tissues just in case. The bleeding will stop.

[Mrscjj]

I had a tooth out and I’m on edoxaban . I took my tablet as usual as I take mine in the evening. I have had a hysterectomy 2 years ago and stopped it for 48 hours with no problems.

[Bagrat]

If you think of anticoagulation in terms of a regular dose 365 days a year 2 or 3 days without seems less of a challenge. My last extraction ( a wisdom tooth) I checked twice and was told I need not stop as I was also told the time before, when I took it upon myself to omit my apixaban dose the night before. Confessed to dentist who said good job I did as bleeding difficult to control. This time different dentist who deals with complex extractions. Again I omitted the dose evening before. He said he was pleased that I hadn't kept on taking as advised by practice and would have preferred 2 days without. All was well not even a suture.

[2learn]

Hi, think its more common to have to stop only on day of extraction. Also you should have non adrenalin anaesthetic.

[southkorea]

I have had two back teeth out whilst on blood thinners. It was no problem at all. No need to stop apixiban