GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Dabigatran (Pradaxa) - source atrial fibrillation protocol

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

This preserved protocol is for the source non-valvular atrial-fibrillation indication, not all dabigatran indications or formulations. Current interacting-drug restrictions require exact-label review.

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PRADAXA capsules - official adult NVAF renal guidance

Product / population
PRADAXA oral capsules: adult nonvalvular AF only. Separate from pediatric oral pellets and VTE regimens.
Renal method
CrCl (mL/min)
Source revision
Official label updated 2025-06-25; full revision date not separately established
Retrieved
2026-09-10
Local review status
Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Capsule NVAF guidance is not the pellet or VTE regimen

The current capsule label supplies the adult NVAF renal regimen; the retrieved generic-title RX page describes pediatric pellets. VTE and interaction restrictions differ.

What to reconcile: Choose exact formulation and indication before interpreting renal thresholds.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Official

PRADAXA capsules - official adult NVAF renal guidance

Open original reference

National Library of Medicine / manufacturer labeling · PRADAXA oral capsules: adult nonvalvular AF only. Separate from pediatric oral pellets and VTE regimens.

Renal method: CrCl (mL/min)
Source date: Official label updated 2025-06-25; full revision date not separately established
Retrieved: 2026-09-10

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.
Before using this finding

Confirm capsule formulation, adult NVAF indication, interactions and stable renal assessment before choosing a regimen.

Dialysis evidence: No dialysis regimen established in selected content

Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Renal guidance and important limits

Adult nonvalvular atrial fibrillation only: CrCl above 30 mL/min, 150 mg twice daily; 15-30, 75 mg twice daily. No dose recommendation is provided below 15 or on dialysis. With CrCl 30-50 and dronedarone or systemic ketoconazole, reduce to 75 mg twice daily; avoid concomitant P-gp inhibitors at CrCl 15-30. Reassess renal function during therapy; acute renal failure requires discontinuation and consideration of an alternative. This 75 mg NVAF regimen is not a VTE renal dose: the adult VTE sections provide no dose at CrCl 30 or below. Capsules are not substitutable milligram-for-milligram with other dabigatran formulations. Major bleeding and premature-discontinuation/neuraxial boxed warnings remain applicable.

RDM61-official-dabigatran-b383f7d56c-C1 · Source locator: 2.2, 2.4, 5.5 and 7.1

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ba74e3cd-b06f-4145-b284-5fd6b84ff3c9
Retrieved
2026-09-10
Exact label title
PRADAXA capsules - official adult NVAF renal guidance
DailyMed Set ID
ba74e3cd-b06f-4145-b284-5fd6b84ff3c9
Label revision
Official label updated 2025-06-25; full revision date not separately established
Renal-function method
CrCl (mL/min)
Source date/version
Official label updated 2025-06-25; full revision date not separately established
Hash meaning
Local authored summary, not source HTML/XML/PDF bytes
Local summary SHA-256
4040e6c51e6a2931697b72ba2c3dbeccb6bd7f894ed8649f9430d46ac8c571a8

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=dabigatran&s1=RDM61-official-dabigatran-b383f7d56c&h1=84a88831eee000b5e0dec5f23b724f69bbb8b12b2be434fafd09a6afb0763bf5