whether dabigatran (Pradaxa) can be used instead of heparins (Lovenox, etc) for warfarin bridge therapy

We're getting questions about whether dabigatran (Pradaxa) can be used instead of heparins (Lovenox, etc) for warfarin bridge therapy.

Patients are "bridged" with injectable heparins when warfarin is started...or if it's temporarily stopped for surgery.

Now some prescribers are interested in using dabigatran instead because it's easier and may cost less. And dabigatran usually reaches therapeutic levels within a few hours after the first dose.

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