Apixaban
SJH Emergency Medicine
What's new / Latest updates
Created 2023-11-06. Note undated protocol sheet, however noted by AS and DD is current.
Updated 2024-04-26. Add PE to ambulatory apixaban indication.
Important: Indications and Dose
Indications:
See attached protocol
Dose:
See attached protocol
Notes:
See the apixaban prescribing guidance and counselling sheet.
As of November 2023, the preferred therapeutic option for suspected DVT who are being ambulated to SDEC for doppler USS is apixaban. This also applies for suspected PE who are being discharged for ambulatory CTPA.
The inclusion/exclusion criteria for apixaban is on the second page of the guideline in the 'Can patient be treated with Apixaban' box. There is no benefit in stopping antiplatelets for this short a period. If apixaban is not suitable, dalteparin can be considered.
At SJH ED the Apixaban TTO boxes will be 5mg tablets with 14 tablets in the box. They are labelled appropriately with '2 tablets twice daily'. This means that the pack will only last for 3 ½ days but this should be easily enough, even over the weekend.