A 58-year-old with AF and CKD CrCl 28 mL/min asks about DOACs. Which is true?...

Question

A 58-year-old with AF and CKD CrCl 28 mL/min asks about DOACs. Which is true?

Accepted Answer

Apixaban is usable down to CrCl 15 mL/min with appropriate dosing

Answer

All DOACs contraindicated below CrCl 50

Answer

Rivaroxaban preferred in severe CKD over apixaban

Answer

Dabigatran safe at any CrCl

Answer

Use aspirin instead of anticoagulation

us-abim MCQ (SBA): DOACs in CKD