Table 1.
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).