Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 23 hours ago

Indications

Dabigatran Etexilate Mesylate is a direct thrombin inhibitor. It's used to reduce the risk of stroke and systemic embolism in patients with non-valvular atrial fibrillation. It's also used to treat deep venous thrombosis (DVT) and pulmonary embolism (PE) in patients who have already been treated with a parenteral anticoagulant for 5 to 10 days. Dabiren is a direct thrombin inhibitor too, and it carries the same uses. It can also be used to reduce the risk of DVT and PE coming back in patients who have been treated for them before. And it's used for the prophylaxis of DVT and PE in patients who have had hip replacement surgery.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Dabigatran etexilate mesylate works through its active forms, dabigatran and its acyl glucuronides. These are competitive, direct thrombin inhibitors. Thrombin is a serine protease, and during the coagulation cascade it turns fibrinogen into fibrin. When thrombin is blocked, a thrombus can't develop.

The active moieties act on both free thrombin and clot-bound thrombin. They also inhibit platelet aggregation that is induced by thrombin.

Pregnancy & Breastfeeding

No one has established that Dabigatran Etexilate is safe to use during pregnancy. If you are breastfeeding, it's not recommended while you are being treated with Dabigatran Etexilate.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Reduction in the risk of stroke and systemic embolism in patients with non-valvular atrial fibrillation: for patients with CrCl above 30 mL/min, the dose of Dabigatran Etexilate Mesylate is 150 mg orally, twice daily. For patients with CrCl 15 to 30 mL/min, it is 75 mg orally, twice daily. Treatment of DVT and PE: for patients with CrCl above 30 mL/min, give 150 mg orally, twice daily, after 5 to 10 days of parenteral anticoagulation. Reduction in the risk of recurrence of DVT and PE: for patients with CrCl above 30 mL/min, give 150 mg orally, twice daily, after the previous treatment. Prophylaxis of DVT and PE following hip replacement surgery: for patients with CrCl above 30 mL/min, give 110 mg orally on the first day, then 220 mg once daily. When possible, stop Dabigatran Etexilate Mesylate temporarily before invasive or surgical procedures, and restart it promptly afterwards. Pediatric use: the safety and effectiveness of Dabigatran Etexilate in pediatric patients have not been established. Geriatric use: in the RE-LY study, 82% of the patients were 65 and over, and 40% were 75 and over. The risk of stroke and bleeding rises with age, but the risk-benefit profile is favorable in all age groups.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.