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Aminocaproic Acid and Tranexamic Acid Fail to Reverse Dabigatran-Induced Coagulopathy

Michael Levine, Margaret Huang, Sean O Henderson, Guy Carmelli, Stephen H Thomas

Am J Ther. Nov/Dec 2016;23(6):e1619-e1622.

PMID: 26241703

Abstract:

In recent years, dabigatran has emerged as a popular alternative to warfarin for treatment of atrial fibrillation. If rapid reversal is required, however, no reversal agent has clearly been established. The primary purpose of this manuscript was to evaluate the efficacy of tranexamic acid and aminocaproic acid as agents to reverse dabigatran-induced coagulopathy. Rats were randomly assigned to 6 groups. Each rat received either dabigatran or oral placebo, followed by saline, tranexamic acid, or aminocaproic acid. An activated clotting test was used to measure the coagulopathy. Neither tranexamic acid nor aminocaproic acid successfully reversed dabigatran-induced coagulopathy. In this rodent model of dabigatran-induced coagulopathy, neither tranexamic acid nor aminocaproic acid were able to reverse the coagulopathy.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP60322-A Aminocaproic acid Aminocaproic acid 60-32-2 Price
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