![]() Fab that binds to dabigatran and its acylglucuronide metabolites with higher affinity than the binding affinity of dabigatran to thrombin, neutralizing their anticoagulant effectsįDA approved idarucizumab after preliminary results of the Reversal Effects of Idarucizumab on Active Dabigatran (RE-VERSE AD) study.In patients, the most frequently reported adverse reactions in ≥5% of patients treated with idarucizumab were hypokalemia, delirium, constipation, pyrexia, and pneumonia. ![]() In healthy volunteers, the most frequently reported adverse reactions in ≥5% of subjects treated with idarucizumab was headache.Risks of Serious Adverse Reactions in Patients with Hereditary Fructose Intolerance due to Sorbitol Excipient: Patients with hereditary fructose intolerance may be at risk of adverse reactions.Hypersensitivity reactions: Discontinue administration and evaluate.Re-elevation of Coagulation Parameters: In patients with elevated coagulation parameters and reappearance of clinically relevant bleeding or requiring a second emergency surgery/urgent procedure, an additional 5 g dose of PRAXBIND may be considered.Resume anticoagulant therapy as soon as medically appropriate. Thromboembolic Risk: Reversing dabigatran therapy exposes patients to the thrombotic risk of their underlying disease.Limited evidence for redosing or dosing above 5g.A biologic agent, andexanet alfa functions as a decoy receptor to which factor Xa inhibitors bind in preference to natural factor Xa. Type: Humanized monoclonal antibody fragment, antidote/ anticoagulant reversal Whereas idarucizumab has been approved to reverse a factor IIa inhibitor, andexanet alfa holds promise as a broad-spectrum reversal agent for factor Xa inhibitors and enoxaparin, a LMWH.
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