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Direct thrombin (factor IIa) inhibitor (DOAC)

Dabigatran etexilate

Brand names: Pradaxa

Adult dose

Dose: NVAF/VTE: 150mg BD (110mg BD ≥80y, verapamil, bleeding risk); VTE prophylaxis post-orthopaedic: 220mg OD
Route: Oral
Frequency: BD

Clinical pearls

  • NICE NG196 AF / NICE NG158 VTE — DOAC first-line
  • Reversal: idarumab (Praxbind) — specific antidote
  • BSH guidance on DOAC monitoring and perioperative use

Contraindications

  • CrCl <30
  • Active major bleeding
  • Mechanical heart valves
  • Antiphospholipid syndrome (triple-positive)
  • Severe hepatic disease
  • Hypersensitivity

Side effects

  • Bleeding (GI, intracranial)
  • Dyspepsia
  • Hepatic dysfunction

Interactions

  • P-gp inhibitors (verapamil, amiodarone, dronedarone — dose adjust or avoid)
  • P-gp inducers (rifampicin)
  • Antiplatelets/NSAIDs

Monitoring

  • FBC
  • Renal function (baseline + annually; more often if CrCl 30–60)
  • LFTs
  • Bleeding

Reference: BNF; NICE NG196; NICE NG158; BSH; ESC AF guidelines; https://bnf.nice.org.uk/drugs/dabigatran-etexilate/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.