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. Author manuscript; available in PMC: 2014 Jun 1.
Published in final edited form as: Curr Treat Options Cardiovasc Med. 2013 Jun;15(3):299–312. doi: 10.1007/s11936-013-0234-9
Standard dosage 5 mg twice daily
2.5 mg twice daily (if any two of the following: age ≥ 80 years, weight ≤ 60 kg, serum creatinine ≥ 1.5 mg/dL)
Contraindications Absolute: Active bleeding, renal impairment (creatinine clearance < 15)
Relative: Elevated bleeding risk, high-risk activities (extreme sports, certain occupations)
Main drug interactions Antifungals, macrolides, rifampin, carbamazepine, phenytoin
Main side effects Bleeding
Special points Factor Xa inhibitor.
Superior safety and efficacy compared with warfarin [32].
No INR monitoring required.
Limited interaction with medication and food.
Can be administered with or without food.
Patients need education regarding bleeding prevention.
No effective method to rapidly reverse anticoagulation effect.
Cost/cost-effectiveness Non-generic (approximate cost $250 per month). Periodic blood draws not required.