Recommended doses for elderly patients | ||||
---|---|---|---|---|
Dabigatran | Rivaroxaban | Apixaban | Endoxaban | |
Commercial presentation | 150 mg 110 mg | 20 mg 15 mg 10 mg | 5 mg 2.5 mg | 30 mg 60 mg |
Dose | 150 mg CrCl > 50 ml/min | 20 mg CrCl > 50 ml/min | 5 mg CrCl > 30 ml/min | 60 mg CrCl > 50 ml/min |
110 mg CrCl between 30 and 50 ml/min | 15 mg CrCl between 30 and 50 ml/min | 2.5 mg CrCl 15-30 ml/min or Two of the following criteria: ≥ 80 years old Weight ≤ 60 kg Creatinine ≥ 1.5 mg | 30 mg CrCl 15-50 ml/min or weight ≤ 60 kg | |
Posology | 2 x day | 1 x day | 2 x day | 1 x day |
Particularities | Dyspepsia is common | Higher risk of GI bleeding than warfarin | ||
Avoid if CrCl < 30 ml/min), recent stroke, and severe active hepatic disease | Avoid if CrCl < 15 ml/min) and severe active hepatic disease | Avoid if CrCl < 15 ml/min) or Creatinine > 2.5 mg and severe active hepatic disease | Avoid if CrCl < 15 ml/min or severe hepatic disease |
CrCl: creatinine clearance; GI: gastrointestinal. Source: European Heart Journal.324