see also [[Warfarin, DOAC, heparin reversal]], [[Warfarin overdose]]
- [Austin DOAC guideline](x-devonthink-item://6B53FA9A-D69B-415B-92C2-E37047ACC096)
> [!key points]
> - single ingestions of higher than normal doses of apixaban or rivaroxaban usually uncomplicated course in an otherwise well patient
> - they exhibit a ==ceiling effect due to receptor saturation==
> - are *cleared* from circulation reasonably quickly
# Coagulation profile
| parameter | dabigitran <br>(thrombin inhibitor) | rivaroxaban / apixaban<br>(Xa inhibitors) |
| ------------------------------------ | ------------------------------------------------------------------------------------------------------------ | ----------------------------------------- |
| INR | mild ↑ | variable |
| aPTT | prolonged but not ∝ drug concentration<br>aPTT > 90s suggests ↑ drug level | variable |
| thrombin clotting time <br>(TT, TCT) | very sensitive<br>normal values exclude presence of drug<br>exceeds measurement times at high concentrations | not useful at all |
| haemoclot assay | can help derive levels | not useful |
| Factor IIa (thrombin) assay | best ∝ with bleeding risk | not useful |
| Factor Xa assay | not useful | good ∝ with levels |
# management of over anticoagulation
- usually in setting of serious haemorrhage rather than overdose
- best practice unclear
- establish *exact time last dose was given*
- cease agent
consider [[Decontamination#activated charcoal]] if drug taken in previous
- 2 hours for dabigatran
- 6 hr for apixaban
- 8 hr for rivaroxaban
- [[Prothrombinex]]
- at least 70% effective in reversal of rivaroxaban and apixaban
- less effective for dabigatran
- most likely of use if INR is elevated
- [[TXA]]
- [[haemodialysis]] for dabigatrain toxicity (not useful for rivaroxaban or apixaban)
- idraucizumab (praxbind) for dabigatran
- andexanet alfa (Andexxa) for rivaroxaban and dabigatran if life-threatening bleeding
- hydration to help enhance renal clearance of rivaroxaban