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. 2020 Sep 15;9(9):2984. doi: 10.3390/jcm9092984

Table 1.

Characteristics of direct oral anticoagulants [6,7].

Drugs Dabigatran Apixaban Betrixaban Edoxaban Rivaroxaban
Mechanism of action Direct IIa (Thrombin) Inhibitor Factor Xa Inhibitor Factor Xa Inhibitor Factor Xa Inhibitor Factor Xa Inhibitor
Onset of action Within 30 min ~30 min Within 30 min Within 30 min Within 30 min
Duration of action (h) 24–36 At least 24 At least 24 24 24
Baseline elimination half-life in hours 12–17 9–14 19–27 10–14 5–9 (young)/11–13 (elderly)
Dosage
Non-valvular AF 150 mg twice daily 5 mg twice daily ** 60 mg once daily 20 mg once daily with the evening meal
VTE treatment Parenteral anticoagulation for 5–10 days; then dabigatran 150 mg twice daily 10 mg twice daily for one week, then 5 mg twice daily Parenteral anticoagulation for 5–10 days; then edoxaban 60 mg once daily 15 mg twice daily with food for three weeks; then 20 mg once daily with food
VTE prophylaxis 110 mg for the first day, then 220 mg once daily 2.5 mg twice daily 160 mg on the first day, followed by 80 mg once daily, with food 10 mg once daily, with or without food
Best laboratory measurement dTT, ECT Anti-Xa Anti-Xa Anti-Xa Anti-Xa

** Apixaban dose is reduced to 2.5 mg twice daily if two out of three criteria are met (serum creatinine is ≥1.5 mg/dL, age is ≥80 years, or bodyweight is ≤60 kg).