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Clinic of Orthopaedic Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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stimulates bone formation by activating osteoblasts. PTH (1-84) has shown the same effect and has been used as an osteoporotic treatment as well. 5 This suggests a positive influence on bone healing, and teriparatide has been used off-label for treatment
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, and risk of thrombosis may complicate their use. Further, these reversal agents are not approved for all DOACs ( 48 ). Prothrombin complex concentrate (PCC) and activated prothrombin complex concentrate (APCC) have also been used off-label for DOAC
Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK
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NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, UK
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, there have been no studies directly comparing the use of DOAC antidotes to PCC and APCC ( 55 ). Such agents have therefore been typically used in an off-label fashion prior to the invention of the direct antidotes and currently when such antidotes are