Tooth extraction on apixaban

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1

On anticoagulant 5 mg morning and night.

I have tooth extraction and wondered wether I should stop apixabsn night before extraction?

Dentist says yes. Doctor refers me to Dentist who suggested I check with doctor or pharmacy just in case, pharmacy says check with dentist.

Ahhhhhhhhhh

Could someone give an answer please?

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2

Your dentist has said yes. I am taking 2xApixaban 5mg daily, and my dentist says yes. I can’t advise but your dentist already has.

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S Dentist is not a doctor.

The question is should I STOP taking Apixaban before the extraction?

Is there medical advice?

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I am in agreement with @Dexster on this. The dentist is a trained doctor specialising in dentistry. He/she is as much a a doctor as other specialist doctors and their training includes medication.

In my experience, a dentist will check what medications you are on as well as any allergies etc. when you register and also before any extractions. They will also anaesthetise you with local anaesthetic etc.

If my dentist tells me I should stop taking medication before extraction then I would do as they say as they are the specialist.

@Puthnabit - if you don’t trust your dentist then I am not sure you should be using them.

The above sentence says it all for me.
The dentist says yes :white_check_mark:
Doctor refers to Dentist
Dentist says Yes.

Even though I am not trained as a medical practitioner, I feel in this case I can answer your question as “Yes, you should stop the apixaban 24 hours before or as your Dentist advises”

You’ve asked a question and we (@Dexster and I) have answered it as per our understanding and as I/we would do. For me, this is straightforward - Dentist = Expert in Dentistry and you do as he/she says.

Ultimately, it’s your choice and your decision as to whose advice you should follow.

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If it helps you, I include some reference material from the NHS

Patient information leaflet Apixaban

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The below is from the internet

Yes, dentists are highly trained in medication. Their extensive education requires a deep understanding of pharmacology to safely prescribe, administer, and manage drugs.

What Dentists Are Trained to Do:

  • Prescribe Dental Medicines: They are authorized to prescribe antibiotics, analgesics (painkillers), and sedatives directly related to your oral health.
  • Administer Local Anesthesia: They undergo specific clinical training to administer numbing agents to ensure pain-free treatments.
  • Manage Drug Interactions & Allergies: Dentists review your complete medical history to avoid dangerous interactions with any medications you are already taking
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5

Apixabsn has a half life of about twelve hours, so it would be worth skipping the dose before your dental appointment.

I think there are a few possible reasons for this; mouth full of blood would make it difficult for the dentist to do their job effectively, you’ll be spitting out blood into the dentists sink, and the health and safety risks of infection and exposed blood contaminates all over the place.

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check with your Dentist if the local anesthetic contains adrenaline as well.It is used to stop excessive bleeding.

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