Skip to main content
. 2022 Aug 16;2(4):395–411. doi: 10.1016/j.jacasi.2022.05.005

Table 2.

ABCD Rule for Dose-Reduction of NOACs

Dabigatran (Either 1 of the Following) Rivaroxaban Apixaban (≥2 of the Following) Edoxaban (≥1 of the Following)
Age (≥80 y) yes yes
Body weight (≤60 kg) yes yes yes
Creatinine or CrCl or eGFR yes (eGFR 30-49 mL/min) yes (eGFR 30-49 mL/min) yes (Creatinine ≥1.5 mg/dL) yes (CrCl 30-50 mL/min)
Drug yes (Potent P-gp inhibitors)

Reduced doses are 110 mg (dabigatran), 15 mg (rivaroxaban), 2.5 mg (apixaban), and 30 mg (edoxaban)

CrCl = creatinine clearance; eGFR = estimated glomerular filtration rate; P-gp = p-glycoprotein.