
Is It Possible To Stop Xarelto And Warfarin After Successful Cardioversion?

Following answe rto your queries...
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
If your cardioversion will go well you may get completely off anticoagulation therapy (warfarin or xarelto) after three months (from successful cardioversion).
On a total you should stay for 4 months on anticoagulation therapy (1 months before cardioversion procedure and 3 months after successful cardioversion).
If you were my patient I would also recommend Xarelto for anticoagulation, because it has an exact dose and doesn't require INR levels monitoring.
Usually you don't need anticoagulation therapy after ablation therapy, however everything is decided after the procedure.
hope this was of help!
Dr. Shehu


Explained below..
Detailed Answer:
Hi back,
It is true that there is no antidote to cure excessive bleeding from Xarelto; this characteristic differs this drug from other blood thinning medications. That's why it shouldn't be used in patient with a personal history of :
- GERD/gastritis/ulcer
- hemorrhoids
- cerebral hemorrhage, etc.
I usually do not recommend xarelto because these patients are considered to have a high risk for hemorrhage (bleeding).
In such cases, or if you are worried about the risk of any severe bleeding, Warfarin can be used. It's highly recommend to close monitor INR and keep it between 2 and 3. This is the safest strategy, but it require a close monitoring and a good therapy compliance from you.
There is no golden standard in deciding which blood thinning medication is the most appropriate. Everything will be decided depending on specific patient's case.
Hope it answered to your queries!
Dr.Benard

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