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. 2021 Jan 26;57(2):110. doi: 10.3390/medicina57020110

Table 3.

FDA recommendations of DOACs in liver dysfunction.

Mild Impairment
(Child-Pugh Class A)
Moderate Impairment
(Child-Pugh Class B)
Severe Impairment
(Child-Pugh Class C)
Apixaban No dosage adjustment. Use with caution.
No dosage adjustments provided.
Use is not recommended.
Rivaroxaban No dosage adjustment. Avoid use. Avoid use.
Edoxaban No dosage adjustment. Use is not recommended. Use is not recommended.
Dabigatran No dosage adjustment. Use with caution.
No dosage adjustments provided.
No dosage adjustments provided.