Anticoagulants with the Required Monitoring and Possible Reversal Drugs.
Vitamin K antagonists:
Drug: Warfarin
Laboratory tests: PT, INR
Reversal Agents: Fresh frozen plasma (FFP) and prothrombin complex concentrate (PCC) , vitamin K
Heparins:
Drug: Unfractionated heparin (UFH)
Laboratory tests: activated partial thromboplastin time (aPTT)
Reversal Agents: Protamine
Drug: Low-molecular-weight heparin (LMWH)
Laboratory tests: None required, but anti–factor Xa assay can monitor levels
Reversal Agents: Partially reversed by protamine.
Pentasaccharide:
Drug: Fondaparinux
Laboratory tests: None required, but anti–factor Xa assay can monitor levels
Reversal Agents: None
Drug: Dabigatran
Laboratory tests: None required
Reversal Agents: Idarucizumab, dialysis may remove drug.
Factor Xa inhibitors:
Drug: Rivaroxaban, apixaban
Laboratory tests: None required
Reversal Agents: None