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. 2019 May 28;42(8):774–782. doi: 10.1002/clc.23196

Table 2.

Pharmacokinetic properties of oral anticoagulants (adapted from Jain et al13 and Lutz et al14)

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