GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Apixaban - adult oral tablets

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.

The handbook's GFR-based 2.5 mg twice-daily AF rows differ from the U.S. label's combined age, weight and serum-creatinine criteria. Dialysis evidence is limited. No combined algorithm has been generated.

Check source scope before reading a dose

Renal Drug Handbook, fifth edition

Product / population
Historical 2019 reference; renal bands retain the book's own method labels.
Renal method
Not specified
Source revision
Not established
Retrieved
2026-09-05
Local review status
Historical handbook facts locally summarized; not a current U.S. label or a modern CRRT protocol.
Handbook

Renal Drug Handbook, fifth edition

UK Renal Pharmacy Group / Ashley and Dunleavy / CRC Press · Historical 2019 reference; renal bands retain the book's own method labels.

Renal method: Not specified in this summary.
Source date: Not established
Retrieved: 2026-09-05

Historical handbook facts locally summarized; not a current U.S. label or a modern CRRT protocol.

Historical renal bands

The book lists usual dosing with caution at GFR 30-50 mL/min. At 15-30 it retains usual dosing for non-AF indications but lists 2.5 mg twice daily for AF. Below 15 it lists cautious use and 2.5 mg twice daily for AF. These are historical UK-reference statements, not the U.S. label's AF dose-reduction algorithm.

apixaban-adult:rdh5-73-74-1 · Source locator: Printed page 73: Dose in renal impairment

Historical renal-replacement information

APD/CAPD: unlikely to be removed; refer to the <15 band. HD: described as not dialysed, with the same band. HDF/high-flux removal is unknown and uses the <15 band; CAV/VVHD removal is unknown and uses 15-30. The next page reports HD reducing exposure by 14%, so "not dialysed" must not be read as literally zero removal.

apixaban-adult:rdh5-73-74-2 · Source locator: Printed pages 73-74: renal replacement; Other information

Source-specific limits

The book also reports lack of manufacturer recommendation in severe impairment. This historical discussion is not evidence for routine current initiation on dialysis. Use the separately stated U.S. indication-specific criteria, and assess the evidence limitations.

Source identity and provenance
Retrieved
2026-09-05
Handbook page
Printed page 73-74; PDF page 92-93
Hash meaning
Locally authored source summary, not original SPL/XML/PDF bytes
Local summary SHA-256
4fc3f322f6c20a949eb0b138e44e46f6492473c813e3705f99b929a085a4e3c0

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=apixaban-adult&s1=rdh5-73-74&h1=bfa89b23202177ae3341e935069f14dec9299c708722e9fdcbe4e83077d260b8