Table 2.
Oral anticoagulant | Mechanism of action | Prodrug | Pharmacokinetic properties | ||
---|---|---|---|---|---|
Metabolism | Dialyzable | Dose adjustment | |||
Warfarin | Vitamin K antagonist | No | Predominantly via cytochrome P450 type 2C9 (CYP2C9) | No | No |
Dabigatran | Direct inhibitor of free thrombin and fibrin‐bound thrombin | Yes | Renal excretion 80% | Yes | Yes |
Rivaroxaban | Free and clot‐bound Xa factor inhibitor, prothrombinase activity inhibitor | No | Renal excretion 66%, 36% as unchanged drug | No | Yes |
Apixaban | Free and clot‐bound Xa factor inhibitor | No | Metabolized in liver via CYP3A4, renal excretion 27% and in feces | Partial | No |
Edoxaban | Free Xa factor and tissue factor inhibitor | No | 10% hydrolyzed by carboxylesterase 1, 50% unchanged upon renal excretion | No | Yes |