|
|
Before |
After |
|
Aspirin |
Continue |
Continue |
|
Dipyridamole |
1 day |
6 hours |
|
Clopidogrel et al |
7 days |
No load: immediate Load: 6 hours |
|
Apixaban |
3 days Probably longer if kidney disease |
6 hours |
|
Rivaroxaban |
3 days Probably longer if kidney disease |
6 hours |
|
Dabigatran |
3 days 5 days if kidney disease or old Confirm with TCT (very sensitive) |
6 hours |
|
Prophylactic LMWH |
12 hours (beware ↓CrCl) |
12 hours |
|
Therapeutic LMWH |
1 days (beware ↓CrCl) |
1 day if not high risk 2-3 days if high risk |
|
UFH |
4-6 hours (with aPTT) |
1-2 hours |
|
Warfarin |
INR ≤1.2 |
Immediate |
N.B. utility of Xa in assessing safety for neuraxial blockade is unknown
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