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

Table 4.

Drug interactions.

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.