Table 3. Non-vitamin K antagonist oral anticoagulant.
Dabigatran | Rivaroxaban | Apixaban | Edoxaban | |
Mechanism | Oral direct thrombin inhibitor | Oral direct factor Xa inhibitor | Oral direct factor Xa inhibitor | Oral direct factor Xa inhibitor |
Dose | 150 mg twice daily | 20 mg once daily | 5 mg twice daily | 60 mg once daily |
Dose reduction in selected patients | 110 mg twice daily if > 80 yrs, GFR 30-50, concomitant use of verapamil | Rivaroxaban 15 mg once daily if GFR 30-49 | Apixaban 2.5 mg twice daily if at least 2 of age ≥ 80 years, body weight ≤ 60 kg or serum creatinine level ≥ 1.5 mg/dL (133 µmol/L), or if GFR 15-30. | 30 mg once daily if GFR 15–49 mL/min, weight ≤ 60 kg, concomitant use of verapamil or quinidine or dronedarone |
GFR: glomerular filtrate rate (mL/min per m2).