PT - JOURNAL ARTICLE AU - Fawole, Adewale AU - Daw, Hamed A. AU - Crowther, Mark A. TI - Practical management of bleeding due to the anticoagulants dabigatran, rivaroxaban, and apixaban AID - 10.3949/ccjm.80a.13025 DP - 2013 Jul 01 TA - Cleveland Clinic Journal of Medicine PG - 443--451 VI - 80 IP - 7 4099 - http://www.ccjm.org/content/80/7/443.short 4100 - http://www.ccjm.org/content/80/7/443.full SO - Cleve Clin J Med2013 Jul 01; 80 AB - The new oral anticoagulants dabigatran etexilate (Pradaxa), rivaroxaban (Xarelto), and apixaban (Eliquis) have predictable pharmacokinetic and pharmacodynamic profiles and are alternatives to warfarin. However, many physicians are wary of these drugs, since there is limited evidence on how to manage bleeding in patients taking them, and since no specific antidote is known to reverse their anticoagulant effect. Management requires careful adherence to first principles of bleeding care. Unapproved and untested reversal strategies may be required in patients with life-threatening bleeding.