When should Xarelto be stopped before surgery?

Xarelto, an anticoagulant medication, is typically advised to be stopped at least 24 hours prior to certain surgical procedures. This is because it has a relatively rapid onset and offset of action, allowing for a more predictable management of bleeding risk. Stopping it one day before surgery helps ensure that the drug is mostly cleared from the system, thereby reducing the probability of excessive bleeding during the operation.

In more complex or high-risk surgeries, healthcare providers may choose to extend the cessation period to two or three days to ensure safety, but for most standard procedures and patients without other complications or comorbid conditions, the guidance to stop it one day in advance is generally appropriate. It is important for patients to closely follow their healthcare provider's instructions regarding any specific conditions based on their individual health needs.