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Epistaxis complicated by rivaroxaban managed with topical tranexamic acid

Published:March 06, 2015DOI:https://doi.org/10.1016/j.ajem.2015.02.049
      The use of topical tranexamic acid has been evaluated in the literature for the management of epistaxis, both uncomplicated and secondary to coagulation disorders. Although it has been proposed to have a role in the treatment of bleeding secondary to target specific oral anticoagulants, there is minimal experience described in the literature related to its utility in the clinical setting. We present the first known case report of epistaxis complicated by outpatient rivaroxaban therapy in an elderly patient that was managed with topical tranexamic acid.
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