Table 4.
Active principle | Brand name | Dosage and time of administration |
---|---|---|
Dabigatrana (antifactor IIa) |
Pradaxa® |
110 mg 1–4 h after surgery, then 220 mg/day If age > 75 years or creatinine clearance 30–50 ml/min or amiodarone intake, 75 mg 1–4 h after surgery, then 150 mg/day |
Rivaroxabanb (antifactor Xa) |
Xarelto® | 10 mg 6–10 h after surgery, then 10 mg/day |
aDabigatran has proved not to be inferior to low-molecular-weight heparin (LMWH) both in terms of efficacy and safety. As concerns dabigatran, in the literature, there is no information available on patients undergoing regional anaesthesia [11, 12]
bRivaroxaban has shown to have greater efficacy than LMWH, with overlapping safety [13–16]. An analysis performed after publication of rivaroxaban registration study confirmed its safety in patients undergoing neuraxial anesthesia