AC/AP Reversal

Last modified by Hussein Abdallah on 2025/05/26 03:33

Reversal Agents x Drugs

Reversal AgentContents / MechanismDrugs reversedLabs affectedNOTES 
Vitamin K    
FFP tPA (2nd line) #2 option for tPA reversal
4 Factor PCC (K Centra) Xarelto (rivaroxaban)  
Cryoprecipitate

fibrinogen, vWF, fibronectin

Factor 7, AT-III 

tPA FibrinogentPA depletes fibrinogen (contained in cryo)
Protamine    
TXA tPA (2nd line) #2 option for tPA reversal

Mechanism of Common Anticoagulants

Xarelto = Factor 10a inhibitor