The tables below offer guidance on whether to hold certain common classes of medications prior to surgery. Dabigatran (Pradaxa). 4 hours.
They can be stopped 2-3 days before major surgery and held one day before minor surgery. These can be resumed the day after surgery if there is no bleeding. Pradaxa. Pradaxa (dabigatran) directly inhibits thrombin from activating the clotting cascade. It can be held 2-3 days before major surgery and one day before minor surgery.
Dabigatran (Pradaxa) a. Consider doubling days of cessation prior to ACE Inhibitors and Angiotensin Receptor Blockers (hold one dose before surgery)
Stop DOAC 3-5 days before surgery if GFR 30 ml/min, impaired liver function or using strong CYP3A4 Inhibitor Hold Dabigatran (Pradaxa) for 4 days before
These can be resumed the day after surgery if there is no bleeding. Pradaxa. Pradaxa (dabigatran) directly inhibits thrombin from activating the clotting cascade. It can be held 2-3 days before major surgery and one day before minor surgery. Pradaxa can be resumed the day after surgery if there is no bleeding. Vitamins and herbs
(Pradaxa). Surgery with low/mod risk of bleeding: CrCl 50: discontinue Hold for two serum half-lives prior to surgery (~1.5 hours). Resume when the
Temporarily discontinue PRADAXA before invasive or surgical For pediatric patients, discontinue PRADAXA Capsules 24 hours before an elective surgery
Pradaxa (dabigatran) It is not necessarily surgery but the underlying condition that precipitated the surgery that requires evaluation before donation.
Dabigatran (Pradaxa) ADHD Drugs (non-stimulant) Guanfacine (Intuniv). Do NOT hold prior to surgery. Risk of rebound hypertension if withheld
Comments
you could have made the before surgery part a but more spicier, to reinforce Jess's intentions a bit more explicit.