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. 2019 Aug 6;20(5):770–783. doi: 10.5811/westjem.2018.5.38235

Table 6.

Dosage of nonspecific reversal agents for anti factor Xα anticoagulants (rivaroxaban, apixaban, edoxaban, betrixaban).

Agent Dose Additional Information
4-Factor PCC (Kcentra) 25–50 units/kg Not to exceed 5000 units. Repeat dosing is not recommended. This is generally considered the preferred agent for reversing anti-Xa Inhibitors.
aPCC (FEIBA) 25 units/kg If still clinically significant bleeding, consider re-dosing, but no sooner than 6 hours.

aPCC, activated prothrombin complex concentrate; FEIBA, factor VIII inhibitor bypassing activity; U/kg, units per kilogram.