
BetriXa40 mg
Square Pharmaceuticals PLC.
Betrixaban is a direct-acting oral factor Xa inhibitor (anticoagulant).
Betrixaban is a direct-acting oral factor Xa inhibitor (anticoagulant). Its indications, classified by strength of evidence, are as follows:
Betrixaban is not approved and does not have guideline-supported evidence for stroke prevention in non-valvular atrial fibrillation, treatment of acute deep vein thrombosis (DVT) or pulmonary embolism (PE), use after hip or knee replacement surgery, or use in patients with mechanical/prosthetic heart valves. Use of Betrixaban for any of these purposes would be off-label and is not recommended outside specialist clinical judgement.
Dosing of Betrixaban is indication-specific and must be individualized based on renal function and concomitant medications.
| Indication / Population | Recommended Dosage |
|---|---|
| Standard VTE prophylaxis in acutely ill hospitalized adults | Initial single dose of 160 mg on Day 1, then 80 mg once daily, for 35 to 42 days total, started on the day of hospital admission. |
| Severe renal impairment (CrCl 15-30 mL/min) | Initial single dose of 80 mg on Day 1, then 40 mg once daily. |
| Concomitant use with a P-glycoprotein (P-gp) inhibitor | Initial single dose of 80 mg on Day 1, then 40 mg once daily (see Interactions). |
| Severe hepatic impairment | Use is contraindicated (see Contraindications). |
See Dosage and Administration sections below for additional details, and Use in Special Populations for renal/hepatic guidance.
The most common adverse effect of Betrixaban is bleeding, which can range from minor to major/life-threatening. Other reported adverse effects include:
Seek urgent medical attention for signs of serious bleeding such as unusual bruising, blood in urine or stool, coughing/vomiting blood, severe headache, or signs of spinal/epidural hematoma (see Precautions and Warnings).
Betrixaban is contraindicated in patients with:
Disclaimer
The information provided is accurate to the best of our knowledge, but it does not replace professional medical advice. We cannot guarantee its completeness or accuracy, and the absence of specific information about a drug should not be taken as an endorsement. We are not responsible for any consequences arising from this information, so please consult a healthcare professional for any concerns or questions.