🔁 Reversal Strategies
Anticoagulant | Reversal Agent | Notes |
---|---|---|
Warfarin | Vitamin K + PCC | INR goal < 1.5 |
Dabigatran | Idarucizumab (Praxbind) | Also consider dialysis if unavailable |
Rivaroxaban/Apixaban | 4F-PCC (e.g., Beriplex) ± Andexanet | Limited availability of andexanet |
Heparin (UFH) | Protamine sulfate | LMWH only partially reversible |