Are you taking blood-thinning drugs?

If you are taking blood-thinning medicines and want to be vaccinated, it is important that you consider the following points.

Vaccination during treatment with Waran / Warfarin

  • If you only take Waran, we recommend that you have a PK INR <2.8, PK samples taken within 7 days apply.
  • If you are being treated with Waran in combination with ASA or clopidogrel (double treatment) or a combination of all three of these medicines (triple treatment), we recommend that vaccination be given at PK INR 1.8-2.0. You must have a current PK INR value with you.
  • You should stay at the clinic for about 10 minutes after the given injection and press with a few fingers against the injection site to prevent bleeding.

Vaccination during treatment with Pradaxa, Eliquis, Xarelto or Heparin

  • The syringe should be given as close to the next dose as possible. The blood concentration of the drug is then the lowest and the blood thinning effect the least. Then the risk of bleeding with a “jab” is lowest.
  • We recommend that you sit for 10 minutes for observation after injection.

Pradaxa (dabigatran) or Eliquis (apixaban):

  • After your morning dose (no later than 08.00), it should take at least 6 hours before you can be vaccinated. Evening dose can be taken as usual but not earlier than 2 hours after the “jab”.

Xarelto (rivaroxaban) or low molecular weight heparin:

  • Do you take Xarelto / low molecular weight heparin in the morning
    • vaccination in the morning: DO NOT take the morning dose. Get vaccinated at the clinic. 2 hours after the “jab” you can take your blood-thinning medicine
    • vaccination in the afternoon (note better in the morning): After your morning dose (no later than 08.00) it should take at least 6 hours before you can get vaccinated.
  • Do you take Xarelto / low molecular weight heparin in the evening:
    • Get vaccinated during the day. You can take your evening dose but not earlier than 2 hours after the “jab”.

Source: Vaccination and oral anticoagulants