Table 3.
Concomitant drug | Effects on pharmacokinetics | Dose considerations |
---|---|---|
Verapamil |
Increase in AUC0–24: 52.7% Increase in C max: 53.3% Increase in 24-h concentration: 29.1% |
VTE: dose should be halved NVAF: dose should be halved |
Quinidine |
Increase in AUC0–24: 76.7% Increase in C max: 85.4% Increase in 24-h concentration: 11.8% |
VTE: dose should be halved NVAF: dose should be halved |
Dronedarone |
Increase in AUC0–inf: 84.5% Increase in C max: 45.8% Increase in 24-h concentration: 157.6% |
VTE: use is not recommended NVAF: dose should be halved |
Amiodarone |
Increase in AUC0–inf: 39.8% Increase in C max: 66.0% Decrease in 24-h concentration: 25.7% |
No dose adjustment |
Digoxin |
Increase in AUC0–τ: 9.5% Increase in C max: 15.6% Decrease in 24-h concentration: 9.4% |
No dose adjustment |
Atorvastatin |
Increase in AUC0–inf: 1.7% Decrease in C max: 14.2% Increase in 24-h concentration: 7.9% |
No dose adjustment |
Ketoconazole |
Increase in AUC0-inf: 86.7% Increase in C max: 66.9% Increase in 24-h concentration: 26.8% |
VTE: dose should be halved NVAF: concomitant use should be avoided |
Erythromycin |
Increase in AUC0–inf: 87.0% Increase in C max: 63.1% Increase in 24-h concentration: 27.8% |
VTE: dose should be halved NVAF: concomitant use should be avoided |
AUC area under the curve, C max maximum concentration, NVAF non-valvular atrial fibrillation, h hour