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I'm Having A Tooth Out Tomorrow A Bit Freaked Out On Blood Thinner Rivoroxaban
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Hi there I am on rivaroxaban 20mg for atrial fibrillation a blood thinner and I really need a tooth out I am going to dental hospital for it I have taken 2mg of lorezapam now I take another 4mg at bedtime and another 4mg 90 minutes before appointment last time I chickened out of getting it done even after taking all pills. So referred to dental hospital I spoke to my GP and she told me to carry on taking rivaroxaban as normal it will be fine so I've reluctantly taken tonight's dose will the dentist be able to control the bleeding? I read on the internet stupid I know that there is no antidote to rivoroxaban but it is very short life 24 hours do you think I will be OK at initial assessment they said they would pack it and may have to put a stitch in it. But I'm still freaked what if I bleed to death. I know it sounds crazy but I am sure I will feel better once all these pills kick in.
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What do you think the dental hospital staff will do if you bleed a lot?
Watch you exsanguinate? I think not.
You're going to a dental HOSPITAL....you will not be the first or last person they see who is taking blood thinners.
They know what to do and will do it.
Stop catastrophising and let the professionals do their jobs.
Your job is to do as you are told and get yourself there tomorrow.
Their job is to get your tooth out and make sure the bleeding has stopped.
I'd say good luck, but I'm sure you won't need it.
If you don't go this will all repeat all over again.
Watch you exsanguinate? I think not.
You're going to a dental HOSPITAL....you will not be the first or last person they see who is taking blood thinners.
They know what to do and will do it.
Stop catastrophising and let the professionals do their jobs.
Your job is to do as you are told and get yourself there tomorrow.
Their job is to get your tooth out and make sure the bleeding has stopped.
I'd say good luck, but I'm sure you won't need it.
If you don't go this will all repeat all over again.
Yes it will be OK
You're in luck my man - I had a cardiac event and was placed on rivoxaban for atrial fibrillation. And then had a hip replacement under a spinal anaesthetic. Miss out two doses for that one.
A few weeks later I had an abscess on my 2nd upper rt molar - which was a bit wobbly anyway. So I reviewed the literature and the bit that affects you is below - for a simple extraction of one tooth the dentist just basically closes his eyes and does it as he would anything else.
http://
" Our guidance suggests that an atraumatic extraction technique, with a limit of 3-4 teeth being extracted at any one visit, supplemented by local haemostatic measures (sutures, haemostat packs and locally applied pressure) at the time of extraction will allow safe treatment for these patients in a general or community dental practice environment. For coumarin drugs standard advice on pre-operative checking of the INR to ensure a level of
You're in luck my man - I had a cardiac event and was placed on rivoxaban for atrial fibrillation. And then had a hip replacement under a spinal anaesthetic. Miss out two doses for that one.
A few weeks later I had an abscess on my 2nd upper rt molar - which was a bit wobbly anyway. So I reviewed the literature and the bit that affects you is below - for a simple extraction of one tooth the dentist just basically closes his eyes and does it as he would anything else.
http://
" Our guidance suggests that an atraumatic extraction technique, with a limit of 3-4 teeth being extracted at any one visit, supplemented by local haemostatic measures (sutures, haemostat packs and locally applied pressure) at the time of extraction will allow safe treatment for these patients in a general or community dental practice environment. For coumarin drugs standard advice on pre-operative checking of the INR to ensure a level of
>>>I'm still freaked what if I bleed to death
Simply stuffing a cotton wool plug into the hole will largely control any bleeding. Clotting might take far longer than usual but it will happen eventually and you'll have only lost a tiny amount of blood. (It will be nowhere to the pint that people happily donate to blood banks, yet alone close to the several pints that you'd need to lose to endanger life).
You're actually probably at an advantage through your medication. Dental hospitals allow dental students to carry out routine extractions but you'll probably get a highly-experienced dental surgeon to do yours. Who would you rather have doing the job - a student doing his first extraction or a consultant dental surgeon? ;-)
Simply stuffing a cotton wool plug into the hole will largely control any bleeding. Clotting might take far longer than usual but it will happen eventually and you'll have only lost a tiny amount of blood. (It will be nowhere to the pint that people happily donate to blood banks, yet alone close to the several pints that you'd need to lose to endanger life).
You're actually probably at an advantage through your medication. Dental hospitals allow dental students to carry out routine extractions but you'll probably get a highly-experienced dental surgeon to do yours. Who would you rather have doing the job - a student doing his first extraction or a consultant dental surgeon? ;-)
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