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. 2022 May 13;17:e11. doi: 10.15420/ecr.2021.55

Table 3: Current Approved Direct Oral Anticoagulant Regimens for Venous Thromboembolism Prophylaxis after Major Orthopaedic Surgery.

DOACs Indications Recommended Dose Recommended Duration Approved by
Dabigatran VTE prophylaxis after major orthopaedic surgery 150–220 mg once daily THA 28–35 days
TKA (10 days)
ACCP (2012),[15] NICE (2019),[16] ASH (2019),[17] SIGN (2010)[18]
Rivaroxaban VTE prophylaxis after major orthopaedic surgery 10 mg once daily THA 28–35 days
TKA (10–14 days)
ACCP (2012),[15] NICE (2019),[16] ASH (2019),[17] SIGN (2010)[18]
Apixaban VTE prophylaxis after major orthopaedic surgery 2.5 mg twice daily THA 32–38 days
TKA (10–14 days)
ACCP (2012),[15] NICE (2019),[16] ASH (2019)[17]
Edoxaban VTE prophylaxis after major orthopaedic surgery 30 mg once daily Japanese guidelines[75]

ACCP = American College of Chest Physicians; ASH = American Society of Hematology; DOAC = direct oral anticoagulants; NICE = National Institute for Health and Care Excellence; SIGN = Scottish Intercollegiate Guidelines Network; THA = total hip arthroplasty; TKA = total knee arthroplasty; VTE = venous thromboembolism.