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. 2021 Apr 25;23(10):1612–1676. doi: 10.1093/europace/euab065

Treatment of DVT/PE

Initial therapy Remainder of treatment phase
Apixaban498 10 mg BID, 7 days 5 mg BID, no dose reduction
Dabigatran499 Heparin/LMWH 150 mg BID, no dose reductiona
Edoxaban500 Heparin/LMWH 60 mg QD, same dose reduction as for SPAF (see above)
Rivaroxaban501,502 15 mg BID, 21 days 20 mg QD, no dose reductionb

BID, twice daily; GI, gastrointestinal; LMWH, low molecular weight heparin; QD, once daily; SPAF, stroke prevention in atrial fibrillation.

a

Per SmPC: 110 mg BID if age ≥80 years, concomitant verapamil, increased risk of GI bleeding [based on pharmacokinetic/pharmacodynamic (PK/PD) analyses; not studied in this setting].

b

Per SmPc: 15 mg if risk of bleeding outweighs risk for recurrent DVT and PE (based on PK/PD analyses; not studied in this setting).