Table 4.
Dabigatran | Rivaroxaban | Apixaban | Edoxaban | Betrixaban | |
---|---|---|---|---|---|
Drug interaction (inhibitors) | P-gp | Strong CYP3A4+P-gp | Strong CYP3A4+P-gp | P-gp | P-gp |
Plasma concentration | ↑ | ↑ | ↑ | ↑ | ↑ |
Dose adjustment | Reduce or avoid | Avoid | Reduce or avoid | Reduce (VTE) | Avoid: CrCL < 30 mL/min |
Drug interaction (inducers) | P-gp | Strong CYP3A4 or P-gp |
Strong CYP3A4 or P-gp |
P-gp | P-gp |
Plasma concentration | ↓ | ↓ | ↓ | ↓ | ↓ |
Dose adjustment | Avoid | Avoid | Avoid | Avoid with Rifampin | No recommendation |
VTE: venous thromboembolism; CrCL: creatinine clearance; P-gp, P-glycoprotein.