DOAC: Cheat Sheet - Atrial Fibrillation, VTE Prophylaxis, VTE and Renal Dosing Renal Dosing: Apixaban (25% renal clearance): If 2 of 3 - weight < 60kg, Creat > 1.5, Age > 80: 2.5 mg bid; dialysis patients 5mg bid Dabigatran (80%): If CrCl 15-30 75 mg bid (most recommend alternative agent if CrCl < 50) Edoxaban (50%): Approved for patients with CrCl < 95 ; 30mg/day if weight < 60kg, CrCl 15-50 Rivaroxaban (33%): VTE: CrCl < 30 do not use. AFib: CrCl 15-50: 15mg - Dr. Tom DeLoughery @Bloodman #DOAC #CheatSheet #Dosing #OralAnticoagulant #Anticoagulation #Hematology #Pharmacology #Apixaban #Rivaroxaban #Dabigatran #Edoxaban #NOAC
