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*Continue NOAC if INR <2 (half dose if on edoxaban), start VKA (loading dose usually used for phenprocoumon). Continue intensive INR sampling for one month, goal: ≥3 consecutive INR values between 2.0 and 3.0. Edoxaban is not approved in India.
INR: international normalized ratio; NOAC: novel oral anticoagulant; VKA: vitamin K antagonists
The figure is adapted from Steffel et al. (2021; EHRA Practical Guide) [13].
