Apixaban

VTE: 10 mg twice daily for 7 days, then 5 mg twice daily. AF: 5 mg twice daily (2.5 mg if dose-reduction criteria met).

Direct oral anticoagulant (factor Xa inhibitor)Reviewed October 2026

Common brands in Pakistan: Eliquis. Brand availability changes; check with your pharmacy.

On this page

Dose

IndicationDose
DVT/PE treatment10 mg twice daily for 7 days, then 5 mg twice daily
Extended prevention after 6 months2.5 mg twice daily
AF stroke prevention5 mg twice daily; 2.5 mg twice daily if 2 of: age 80 or over, weight 60 kg or less, creatinine 1.5 mg/dL or more

Cautions

  • Avoid if creatinine clearance below 15; caution 15–29.
  • Not for metal heart valves or antiphospholipid syndrome.
  • Bleeding; interactions with strong CYP3A4 and P-gp inhibitors and inducers (rifampicin).

Frequently asked questions

When is apixaban 2.5 mg used in AF?

When at least 2 of these apply: age 80 or over, weight 60 kg or less, serum creatinine 1.5 mg/dL (133 µmol/L) or more.

Used in these guides

Sources

  1. Drugs.com: Apixaban dosage

Doses on this page are typical doses from the sources above. Always confirm with a current drug reference, the product leaflet and your hospital protocol, especially in children, pregnancy and kidney or liver disease.

For FCPS Part 1

Revising for FCPS Part 1? Apixaban is covered in our textbook chapter Anticoagulants and antiplatelets, with practice MCQs.