If pt unwilling/unable to have frequent INR monitoring, offer dabigatran, rivaroxaban, or apixaban [B]:

By vgreene, 21 May, 2015

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Dabigatran 150 mg bid if CrCl >30 or 75 mg bid if CrCl 15-305

Rivaroxaban 20 mg daily if CrCl ≥50 or 15 mg daily if CrCl 30-495

Apixaban 5 mg bid if SCr 1.5 and

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If pt unwilling/unable to have frequent INR monitoring, offer dabigatran, rivaroxaban, or apixaban [B]:

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