Reversal agents for cardiovascular medications

Reversal of unfractionated or low-molecular weight heparin overdosage

Protamine reverses the effects of unfractionated heparin but only partially reverses those of LMWH.

Protamine
Protamine sulfate 50mg/5ml solution for injection ampoules

History Notes

27/05/2026

Regional formulary chapter launched.

Reversal of direct oral anticoagulants (DOACs)

Reversal of apixaban or rivaroxaban. Also used for reversal of edoxaban (off-label use).

Andexanet alfa
Andexanet alfa 200mg powder for solution for infusion vials

Reversal of dabigatran.

Idarucizumab
Idarucizumab 2.5g/50ml solution for infusion vials

History Notes

27/05/2026

Regional formulary chapter launched.

Reversal of anticoagulation with warfarin or phenindione
Phytomenadione
Phytomenadione 10mg/1ml solution for injection ampoules
Phytomenadione 2mg/0.2ml solution for injection ampoules

History Notes

27/05/2026

Regional formulary chapter launched.

Reversal of life-threatening digoxin overdosage
Digoxin specific antibody
DigiFab 40mg powder for solution for infusion vials

History Notes

27/05/2026

Regional formulary chapter launched.