Clinical Guidance for Special Scenarios The study medication should be temporarily discontinued in case of the following situations:an invasive procedure or surgical intervention that is associated with a standard or high risk of bleeding,requirement of any temporary or short-term anticoagulant therapy (including DVT prophylaxis),requirement of administration of a contraindicated medication, anda condition or illness where continuation of the study medication is not in the participant’s best interests.Bridging heparin therapy is not required when the study medication is temporarily stopped for the intended indication of the TRACK trial.Click on the appropriate box below to access specific guidance. Patients requiring an elective invasive procedure or surgical intervention Patients requiring an emergency invasive procedure or surgical intervention Patients requiring neuraxial anaesthesia or analgesia Patients presenting with major bleeding Patients requiring short-term anticoagulation, including VTE prophylaxis Patients presenting with acute coronary syndrome Patients presenting with acute ischaemic stroke Restarting the study medication after an invasive procedure or surgery Restarting the study medication after neuraxial anaesthesia. Patients presenting with overdose of the study medication Missed dose Concurrent use of aspirin Concurrent use of anticoagulation Concurrent use of antiplatelet therapy Concurrent use of strong inhibitors of combined CYP3A4 and P-glycoprotein, strong inducers of CYP3A4 Permanent discontinuation of the study medication Concurrent use of phosphodiesterase inhibitors