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Table 3 Measurement of rivaroxaban plasma concentrations

From: Rivaroxaban plasma levels in patients admitted for bleeding events: insights from a prospective study

No

Delay (h)

PT (sec)

Biophen® DiXaI (ng/ml)

Estimated cc at trough (ng/ml)

Clearance (L/h)

Potential PK drug interactions

Potential PD drug interactions

1

28

18.7

84.8

98

3.3

–

Ibuprofen

2

22

19.6

237.5

181 a

2.0

Diltiazem (↑), Clarithromycin (↑)

Escitalopram

3

38

15.4

70.8

125 a

2.9

Simvastatin (↑)

/

4

27

17.7

58.3

69

3.9

–

Diclofenac, Escitalopram

5

27

N/K

139.4

134 a

2.4

Amiodarone (↑)

Aspirin

6

26

12.9

4.9

12

7.9

Amiodarone (↑)

/

7

37

14.4

18.3

44

4.8

Diltiazem (↑)

/

8

27

15.3

86.5

89

3.0

/

/

9

9

26.0

357.8

251 a

3.2

/

/

10

13

N/K

184.7

72

3.9

/

Duloxetine, Paroxetine

  1. Biophen®DiXaI Biophen® Direct Factor Xa Inhibitors, cc concentration, N/K not known, PD pharmacodynamics, PK pharmacokinetics, PT prothrombin time (normal range: 12.4–14.5 s), ↑: increased plasma concentrations, ↓: decreased plasma concentrations
  2. aEstimated trough concentration above the on-therapy range (we considered higher-than-expected rivaroxaban levels for patient 5, as measured concentration was higher than 136 ng/ml)