What is the recommended waiting period before testing for Protein S deficiency after discontinuing Xarelto (rivaroxaban)?

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From the Research

Waiting Period for Testing Protein S Deficiency after Discontinuing Xarelto (Rivaroxaban)

  • There is no specific waiting period recommended in the provided studies for testing Protein S deficiency after discontinuing Xarelto (rivaroxaban) 1, 2, 3, 4, 5.
  • However, it is essential to note that rivaroxaban can falsely elevate functional protein S activity, which may lead to a missed diagnosis of protein S deficiency if testing relies solely on protein S activity assays 1.
  • Free protein S antigen testing is recommended in patients taking rivaroxaban to exclude hereditary protein S deficiency 1.
  • The provided studies focus on the treatment of patients with protein S deficiency using rivaroxaban and do not provide guidance on the waiting period for testing after discontinuing the medication 2, 3, 4, 5.
  • Clinicians should consider the potential effects of rivaroxaban on protein S activity and antigen levels when interpreting test results and deciding on the timing of testing after discontinuing the medication 1.

References

Research

Non-vitamin K antagonist oral anticoagulants in patients with severe inherited thrombophilia: a series of 33 patients.

Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2017

Research

An exceptional case of severe combined inherited thrombophilia successfully treated with rivaroxaban.

Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2020

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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