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. 2023 Sep 12;19(3):298–306. doi: 10.13004/kjnt.2023.19.e42

TABLE 1. Antithrombotic agents and its reversal agents.

Drug Reversal agent Dose
Antiplatelet drugs Aspirin, clopidogrel, cilostizol Platelet >3×109 platelet/L 1 U
Parenteral anticoagulants Heparin Protamine 1 mg IV per 100 U of heparin over last 4 hours (maximum 50 mg)
Enoxaparin Protamine 1 mg IV per 1 mg of LMWH (maximum 50 mg)
Oral anticoagulants Warfarin Vitamin K 1–2 mg IV or PO 2.5–10 mg q 12 hours
FFP Administer until corrected
PCC 25 U/kg IV for INR 2–4, 35 U/kg IV for INR 4–6, 50 U/kg IV for INR >6
Rivaroxaban PCC 50 IU/kg IV
Andexanet alfa 400–800 mg IV bolus, 480–960 mg infusion
Apixaban PCC 50 IU/kg IV
Andexanet alfa 400 mg IV bolus, 480 mg infusion
Edoxaban PCC 50 IU/kg IV
Andexanet alfa 800 mg IV bolus, 960 mg infusion
Dabigatran Idarucizumab 5g IV bolus

FFP: fresh-frozen plasma, PCC: prothrombin complex concentrate, INR: international normalized rat.