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Table 1 Pharmacological options for reversing the effect of the direct-acting oral anticoagulants

From: Management of bleeding in patients treated with direct oral anticoagulants

Inhibitor

Conventional dose

Nonspecific reversal (prohemostatic interventions)

 

 Prothrombin complex concentrates

50 U/kg

 Activated prothrombin complex concentrates

50 U/kg

 Recombinant factor VIIa

90 μg/kg

Specific reversal

 

 Directed at dabigatran

 

 Idarucizumab

5 g

 Directed at rivaroxaban, apixaban, and edoxaban

 

 Andexanet-alfa

600–800 mg

 Ciraparantag

100 mg