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. 2021 Apr 21;9(5):445. doi: 10.3390/biomedicines9050445

Table 3.

Management of DOAC in atrial fibrillation (AF) and venous thromboembolism patients.

Dabigatran Rivaroxaban Apixaban Edoxaban
AF dosage 150 mg twice daily 20 mg once daily 5 mg twice daily 60 mg once daily
Criteria for adjustment CrCL 30–50 mL/min
No recommendation:
CrCL < 30 mL/min or HD
CrCL 15–50 mL/min
No recommendation:
CrCL < 15 mL/min or HD
2 of 3 required:
body weight ≤ 60 kg age ≥ 80 years
SCr ≥ 1.5 mg/dL
CrCL 15–50 mL/min
Avoid use if:
CrCL < 15 mL/min
CrCL > 95 mL/min
No recommendation for HD
Dose adjustment 110 mg twice daily 15 mg once daily 2.5 mg twice daily 30 mg once daily
VTE treatment
Recurrent VTE
VTE prophylaxis
150 mg twice daily
150 mg twice daily
150 mg twice daily
15 mg (21 days) then
20 mg once daily
10 or 20 mg once daily
10 mg once daily
10 mg (7 days) then
5 mg twice daily
2.5 mg twice daily
2.5 mg twice daily
60 mg once daily
Criteria for adjustment CrCL 30–50 mL/min
No recommendation:
CrCL < 30 mL/min
Avoid use if:
CrCL < 30 mL/min
or HD
No recommendation:
CrCL < 25 mL/min
CrCL: 15–50 mL/min
or body weight ≤ 60 kg
Avoid use if:
CrCL < 15 mL/min
Dose adjustment 110 mg twice daily 30 mg once daily

AF: atrial fibrillation; VTE: venous thromboembolism; CrCL: creatinine clearance; HD: hemodialysis; SCr: serum creatinine.