Tooth extraction on blood thinners

Also which tooth is coming out...

I was told stop 1 day before for edoxaban extraction.
I take mine in the morning.
It will also depend when you routinely take it (because of half-life).

Hello, I recently asked my chemist about this, and he advised speaking to your dentist themselves.
I know it's generally a three day break from taking my medication for certain procedures, but the chemist said the dentist knows what's needed in each case.
Best of luck.

My husband takes edoxoban and has previously had an extraction and carried on taking it. In December he had another extraction and carried on with the medication. All seemed fine until 4 days later when he woke up to find it bleeding. We tried the gauze pads which our dentist had provided to bite on should this happen. It didn't work so we then saw a pharmacist who was no help. With it being a Saturday and no doctors open we had no choice but go to A&E. After 8 hours and trying various things it finally stopped bleeding. If it hadn't we had been warned that as there was no one available to stitch it with it being the weekend my husband would have had to go to a hospital another 30 miles away. You can be sure that if he has an extraction in future he will stop his medication 2 days before.

Our dentist keeps all that information on file.

I spoke to the Warfarin clinic about this very thing a couple of weeks ago. They said I would have to stop taking my Warfarin three days before I went to the dentist, but I should ring the dentist beforehand to discuss it with them. Good luck! 💐

Don't forget some thinners/anticoagulants have a longer half life than others.

Funnily enough I was at the dentist this morning discussing the same problem. I'm on Rivaroxaban and have a molar that needs to come out. After looking at the X ray she said keep taking it as she doesn't expect any problems.

Agree that you should check with your dentist. Apixaban and related medications have a predictable effect on blood clotting, so the risk for severe bleeds is low and you don't need a lot of bloodwork, BUT the effects of the medication are not generally reversible. Your dentist can tell you when you stop them prior to surgery for this reason, and when you can resume them safely afterwards.

DH on rivaroxaban took his daily pill at breakfast time and had tooth extracted at 2pm same day. No excessive bleeding. Gum is healing well, but the injection site is still painful. Have the paracetamol ready.

My dentist said stop 1 day before.
Mine is a different anticoagulant.
I have to stop 2 days before for a hip operation.

Thank you both

I have had this done on several occasions. Dental and \GP advice is to just stop taking the Apixaban two days before the procedure and re-start as normal the next day. It will be fine. Check with medical professionals first, though. All situations are different.

Strangely enough Jaxjacky, we’ve been to the emergency dentist this morning, as my OH had excruciating toothache and the side of his face was extremely swollen. He, too, is on blood thinners, and the blood loss was minimal, following the extraction. He takes one tablet at midnight and the extraction took place 10 hours later, so he can resume his medication tonight. Obviously, you’ll need to discuss your concern with your dental surgeon. I’m sure all will be well.