Table 2.
Oral Anticoagulant | Patient | Initiating Dose/Prescription |
---|---|---|
Warfarin | ≥70 kg | 5 mg once daily×3–5 days; obtain INR |
≤60 kg or age ≥80 y | 2.5 mg once daily×3–5 days; obtain INR | |
Novel oral anticoagulants | ||
Dabigatran | ≥70 kg | 150 mg twice daily×1–2 wk |
≤60 kg or age ≥80 y | 110 mg twice daily×1–2 wk US: 75 mg twice daily×1–2 wk* |
|
Rivaroxaban | ≥70 kg | 20 mg once daily×1–2 wk |
≤60 kg or age ≥80 y | 15 mg once daily×1–2 wk | |
Apixaban | ≥70 kg | 5.0 mg twice daily×1–2 wk |
≤60 kg or age ≥80 y | 2.5 mg twice daily×1–2 wk |
This is the Food and Drug Administration recommended dose, based on modeling studies; however, it has not been prospectively validated. Other countries use 110 mg twice a day as the lower dose.