AAFP - correction separating AF and VTE dose rules
- Product / population
- Adults; source-specific institutional guidance. Match route, indication and renal replacement modality.
- Renal measure
- Indication-specific age/weight/serum-creatinine criteria; do not substitute a universal CrCl cutoff
- Source revision
- 2018; historical letter and author correction
- Retrieved
- 2026-09-05 (not the revision date)
Dosing / renal protocol and limits
This historical published correction warns against applying atrial-fibrillation dose-reduction criteria to VTE treatment. The 2.5 mg twice-daily AF reduction requires at least two of: age >=80 years, weight <=60 kg, serum creatinine >=1.5 mg/dL, not one criterion. The reply explains that the manufacturer did not recommend the same reduction for VTE.
The authors emphasize limited trial data in advanced kidney disease: AMPLIFY excluded very low clearance, while dialysis recommendations relied on pharmacokinetic/pharmacodynamic information. This 2018 correction supports indication separation, not a new dialysis efficacy claim or a replacement for current labeling.
