Dabigatran (Pradaxa) Refill Online — Physician-Reviewed Continuation
Dabigatran is the one direct oral anticoagulant that is not a factor Xa inhibitor, and it has handling requirements the others do not. Those quirks are a common reason patients end up without a refill.
Same-dose continuation only. Dr. Refills renews dabigatran (Pradaxa) for patients already established on it, at the dose they are already taking. We do not start new prescriptions and we do not change doses. Available to patients located in California, Texas, Florida, New York, Illinois, Pennsylvania, Ohio, Georgia, Michigan, and Minnesota.
The capsule rules that catch people out
Dabigatran capsules must not be opened, chewed or crushed — doing so dramatically increases absorption and bleeding risk. They are also unusually moisture-sensitive: they must stay in the original bottle or blister, and once a bottle is opened the contents should generally be used within about four months. Pill organisers are not appropriate for this drug.
Patients are frequently not told this, or forget. If you have been decanting your dabigatran into a weekly organiser, say so on the request — it is worth correcting, and it may explain an inconsistent response.
Kidney function matters more here
Dabigatran is more dependent on renal clearance than the other DOACs — roughly 80% is eliminated unchanged by the kidneys. That makes declining kidney function a direct driver of bleeding risk, and it is why dosing is tied closely to creatinine clearance. Severe renal impairment is generally a contraindication.
If your kidney function has changed, or you cannot remember the last time it was checked, tell us. A dose that was right when it was prescribed is not automatically right now, and this is the drug where that matters most.
Same dose, three months stable
Dabigatran is typically 150 mg twice daily for atrial fibrillation, with 75 mg twice daily used in specific renal circumstances. We continue the dose you are established on and require three months of stability on it. We do not start it, adjust it, or switch you to or from another anticoagulant — each of those is a new prescription.
Bleeding screening
Every request is screened for bleeding events requiring emergency care, black or tarry stools, blood in urine or vomit, unexplained bruising, recent or planned surgery, and mechanical heart valves — for which dabigatran is specifically contraindicated. We also review interacting P-glycoprotein inhibitors and inducers, NSAIDs and antiplatelet agents.
Dyspepsia deserves a mention: it is notably more common with dabigatran than with the other DOACs, affecting a substantial minority of patients. Distinguishing ordinary dabigatran dyspepsia from upper gastrointestinal bleeding is exactly the sort of judgement that needs a physician reading the case.
Need Your Dabigatran Refilled?
A board-certified internist reviews your request personally and, if approved, sends the prescription to your pharmacy — often within the hour. Flat $59 for 30 days, $79 for 90 days, covering every chronic medication in the request. No charge if it is not approved.
Start my refill →Frequently Asked Questions About Dabigatran Refills
No. The capsules are moisture-sensitive and must stay in the original bottle or blister packaging. Opening or crushing them significantly increases bleeding risk.
No. Warfarin needs INR monitoring and dose adjustment, which cannot be done asynchronously. We refill the direct oral anticoagulants.
No. Switching between anticoagulants is a new prescription and a decision for your prescriber, not a refill.
Dyspepsia is more common with dabigatran than with other DOACs. It is still worth reporting, because upper gastrointestinal bleeding can present similarly and needs to be excluded.
This page is general information about a medication Dr. Refills can continue for established patients. It is not medical advice and does not replace the prescriber managing your condition. If you are having a medical emergency, call 911.