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Switching To and From Various Anticoagulants - …

22 Thrombophilia and Anticoagulation Clinic, Minneapolis Heart Institute , Abbott Northwestern Hospital. Tel: 612-863-6800 | Reviewed August 2016 Switching To and From Various AnticoagulantsS414386C 281375 0517 2017 ALLINA HEALTH SYSTEM. TM A TRADEMARK OF ALLINA HEALTH SYSTEM. MINNEAPOLIS HEART INSTITUTE AND MHI ARE TRADEMARKS OF MINNEAPOLIS HEART INSTITUTE , RecommendationDOACs*Apixaban1**heparin, bivalirudin, or argatroban infusion Stop apixaban Begin infusion at time when next dose of apixaban is dueLMWH/subcutaneous agents( enoxaparin , fondaparinux, dalteparin) Stop apixaban Begin agent at time when next dose of apixaban is duewarfarin Stop apixaban Start warfarin and consider bridging agent at next apixaban due time Start INR monitoring 2 days after stopping apixaban (INR values drawn sooner may be falsely elevated by apixaban)

26 From To Conversion Recommendation Heparinoids/SC Agents, continued LMWH/ subcutaneous (Enoxaparin, Dalteparin, Fondaparinux) heparin …

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