Table 3.
Pharmacology of commonly used DOACs and warfarin
Dabigatran | Rivaroxaban | Apixaban | Warfarin | |
---|---|---|---|---|
Mechanism of action | Selective thrombin inhibitor | Selective Xa inhibitor | Selective Xa inhibitor | Vitamin K epoxide reductase inhibitor |
Oral bioavailability (%) | 6.5 | 80–100 | 50 | 79–100 |
Half-life (h) | 12–17 | 5–13 | 8–15 | 45 |
Renal elimination (%) | 85 | 66 | 27 | 92 |
Time to maximal inhibition (h) | 0.5–2 | 1–4 | 1–4 | 69 |