Table 2.
Anticoagulants | Metabolism and excretion | Plasma half-life | Antidotes |
---|---|---|---|
UFH | Rapid endothelial internalization | 40–90 minutes | Protamine sulfate |
Slow renal clearance | |||
LMWH | Renal excretion | 4 hours | Protamine sulfate (ciraparantaga)) |
VKA | Hepatic metabolism | 40 hours | Oral or IV Vitamin K |
Fresh frozen plasma | |||
Dabigatran | 80% renal, 20% hepatic | 13 hours | Idarucizumab (ciraparantaga)) |
Apixaban | 27% renal, 73% hepatic | 12 hours | Andexanet alfa (ciraparantaga)) |
Edoxaban | 50% renal, 50% hepatic | 10–14 hours | (andexanet alfa, ciraparantaga)) |
Rivaroxaban | 35% renal, 65% hepatic | 5–9 hours | Andexanet alfa (ciraparantaga)) |
a)Under investigation.
Abbreviations: IV, intravenous; LMWH, low-molecular-weight heparin; UFH, unfractionated heparin; VKA, vitamin K antagonist.