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Dabigo® Capsules for Atrial Fibrillation
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Dabigo is a prescription blood thinner used to prevent and treat blood clots. It helps lower stroke risk in certain adults with atrial fibrillation and is also used for deep vein thrombosis and pulmonary embolism. This page explains how the medicine works, key safety points, and how to request US delivery from Canada, including options if you pay without insurance.
What Dabigo Is and How It Works
Dabigo® contains dabigatran etexilate, a direct thrombin inhibitor. After you swallow a capsule, your body converts it to dabigatran, which blocks thrombin, a key enzyme in clot formation. By reducing thrombin activity, it helps prevent new clots and lowers the chance existing clots will grow.
It is used to reduce the risk of stroke and systemic embolism in adults with nonvalvular atrial fibrillation. It is also used to treat DVT and PE and to reduce the risk of recurrence after initial therapy. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine offers fixed dosing for most adults. Food does not meaningfully change absorption, but capsules must be swallowed whole. Do not open, crush, or chew them, because that can increase bleeding risk.
Who It’s For
This treatment is for adults who need anticoagulation for nonvalvular atrial fibrillation, DVT, or PE, as directed by a prescriber. People with a mechanical heart valve should not use it. Those with active bleeding, recent major surgery with high bleeding risk, or certain spinal procedures may also need different care.
Kidney function matters. The drug is cleared through the kidneys, so those with significant impairment may need a different therapy. People with a history of serious gastrointestinal bleeding, stomach ulcers, or certain liver problems may not be good candidates. Always review personal risks and current medicines with your clinician.
Dosage and Usage
Follow your clinician’s directions and the official label for your condition. For atrial fibrillation, it is generally taken two times a day. For DVT or PE, it is typically started after a short course of an injectable anticoagulant and then taken twice daily. Doses may differ for kidney impairment or other clinical factors, and your prescriber will decide.
Take each dose at about the same times every day, with or without food. Swallow capsules whole with water. Do not split, crush, or open the capsules. If your clinician changes you from or to another anticoagulant, follow their transition plan carefully to avoid gaps in protection.
If stomach upset occurs, taking the capsule with a small meal may help. Keep a simple log or use reminders on your phone to support consistent use. Carry a medical ID noting that you take an anticoagulant.
Strengths and Forms
Dabigatran is supplied as hard gelatin capsules in multiple strengths. Availability may vary by supplier and country of origin.
- Dabigo 110 mg capsules for prescriber-selected patients
- 75 mg capsule for selected patients per label
- 150 mg capsule for many adult indications, as directed
Color and imprint can vary by manufacturer. Your prescriber will specify the strength that fits your clinical situation.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember on the same day. If your next dose is near, skip the missed one and resume your regular schedule. Do not double up doses. Consistent timing helps maintain steady anticoagulation. Use a daily reminder to reduce the chance of missed capsules.
Storage and Travel Basics
Keep capsules in the original packaging to protect from moisture. Store at room temperature, away from excessive heat and humidity, and out of reach of children and pets. Close bottles tightly after each use. If your package includes a desiccant, keep it in the bottle and do not swallow it.
For travel, carry enough supply in your hand luggage and bring a copy of your prescription. Keep the original pharmacy label visible for security checks. If crossing borders, allow extra time for screening. Our partners use encrypted checkout and temperature-controlled handling when required.
Do not transfer capsules to weekly pill organizers if your label advises against it. If you need help organizing doses, ask your pharmacist about safe options that preserve dryness.
Benefits
This therapy helps prevent strokes in nonvalvular atrial fibrillation and treats blood clots in veins and lungs. Compared with vitamin K antagonists, it has fewer food interactions and does not require routine INR monitoring. Fixed dosing and oral administration support everyday use. Many patients value the predictable effect and the convenience of swallowing a capsule at home.
Side Effects and Safety
- Indigestion or stomach discomfort
- Heartburn or gastritis-like symptoms
- Minor bleeding such as nosebleeds or easy bruising
- Nausea or abdominal pain
Serious bleeding can occur and may be life-threatening. Seek urgent care for black stools, coughing up blood, vomiting blood, severe headache, fainting, or unusual weakness. Spinal or epidural procedures carry a risk of spinal/epidural hematoma that can cause long-term or permanent paralysis; discuss timing with your procedural team. Rare allergic reactions can include rash, itching, swelling, or trouble breathing.
Tell your clinician about any history of ulcers, prior bleeding, recent surgery, planned dental work, or falls. Report persistent stomach pain, severe reflux, or signs of bleeding right away.
Drug Interactions and Cautions
Discuss all medicines, vitamins, and herbs with your clinician. Strong P-gp inducers such as rifampin may reduce effectiveness. Strong P-gp inhibitors such as ketoconazole or dronedarone can raise levels and increase bleeding risk in some patients. Combining with other blood thinners, antiplatelets, or NSAIDs can increase bleeding risk.
Kidney impairment, older age, low body weight, and certain liver issues require careful evaluation. Before surgery or procedures, your clinician may advise when to stop and restart. Do not start or stop any medicine without medical guidance.
What to Expect Over Time
Protection begins after you start therapy and continues with steady use. You should not feel the anticoagulant working day to day. Instead, focus on consistent dosing and watching for signs of bleeding. Many patients remain on therapy long term for atrial fibrillation or for a defined period after a clot. Your healthcare professional may monitor kidney function periodically and reassess ongoing need.
Build good habits: take doses at the same times, set calendar alerts, and keep a small supply in your travel bag. If you experience persistent stomach symptoms, inform your prescriber; adjustments in timing with meals may help.
Compare With Alternatives
Some people start on a different anticoagulant due to clinical factors or prescriber preference. Options may include Edoxaban or Warfarin. Your clinician will weigh kidney function, bleeding risk, drug interactions, and procedural needs when choosing among therapies.
Pricing and Access
Canadian pharmacy options can help you compare out-of-pocket costs for brand or generic presentations. You can request fulfilment that Ships from Canada to US for personal use when a valid prescription is provided. If you are paying cash, ask about Dabigo self-pay options, including multi-pack fills that may reduce per-unit cost.
Check current pricing on this page, then consult your prescriber if you have clinical questions. For available promo codes, see our Promotions page. For educational context on clot medicines, you can also read Xarelto Uses For Dvt, Apixaban Side Effects What You, and Eliquis Vs Xarelto Which Anticoagulant.
Availability and Substitutions
Supply can vary by strength and manufacturer. If a specific capsule is unavailable, your prescriber may recommend a therapeutically appropriate alternative or a different strength based on your clinical profile. We cannot guarantee restock timing. Your order will be dispensed only against a valid prescription that matches the product and quantity requested.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need long-term anticoagulation for nonvalvular atrial fibrillation or those treated for DVT or PE. It may not suit people with mechanical valves, active bleeding, severe kidney disease, or certain liver problems. Discuss risks in pregnancy and breastfeeding with your clinician.
- Multi-month supply: ask if longer fills help reduce per-capsule cost.
- Refill reminders: set alerts 7–10 days before running out.
- Pharmacy alignment: keep one dispensing pharmacy to simplify oversight.
- Procedure planning: tell clinicians you take an anticoagulant before care.
- Ask about Dabigo cash price if you are comparing options.
Questions to Ask Your Clinician
- Is a direct thrombin inhibitor right for my condition and kidney function?
- What signs of bleeding should prompt immediate medical attention?
- How should I manage this medicine around planned dental or surgical procedures?
- Do any of my current medicines increase bleeding risk or lower effectiveness?
- How long might I need anticoagulation for my diagnosis?
- What monitoring do I need for kidney function or other labs?
Authoritative Sources
DailyMed Pradaxa | Boehringer Ingelheim Pradaxa | Health Canada DPD
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How is Dabigo different from other blood thinners?
Unlike warfarin, Dabigo doesn’t require regular INR monitoring. It also has fewer food interactions and acts faster.
Can I drink alcohol while taking Dabigo?
Alcohol increases the risk of bleeding and should be limited or avoided. Discuss with your doctor based on your health status.
What should I do if I cut myself while on Dabigo?
Apply firm pressure and seek medical help if bleeding doesn’t stop. Carry an ID card indicating you’re on a blood thinner.
Is Dabigo affected by kidney problems?
Yes, kidney function influences how the drug is cleared. Your doctor may adjust the dose or recommend alternatives.
Does Dabigo interact with common medications?
Yes, certain medicines like NSAIDs, SSRIs, or antifungals may increase bleeding risk. Always share your full medication list.
How does dabigatran compare with warfarin for stroke prevention?
Both medicines reduce stroke risk in nonvalvular atrial fibrillation when taken as directed. Dabigatran has fixed dosing and typically does not require routine INR checks, while warfarin needs ongoing INR monitoring and has many food and drug interactions. Some patients may still be better served by warfarin due to cost, kidney function, or other factors. Your clinician will consider bleeding risk, adherence, kidney function, and planned procedures when choosing between them.
Can I open the capsules if I have trouble swallowing pills?
No. Dabigatran capsules must be swallowed whole. Opening, crushing, or chewing the capsules can increase drug exposure and raise bleeding risk. If swallowing is hard, ask your prescriber or pharmacist about swallowing techniques or alternative therapies. Do not modify the capsule or change how you take it without professional guidance.
What should I do before dental work or surgery?
Tell every clinician, dentist, and surgeon that you take an anticoagulant. You may need to stop the medicine for a period before and after a procedure to lower bleeding risk. The timing depends on kidney function, the procedure’s bleeding risk, and your underlying condition. Only your healthcare professional can provide a personalized plan for pausing and restarting therapy.
Do I need regular blood tests while on this therapy?
Routine INR monitoring is not needed with this class. However, your clinician may periodically check kidney function, complete blood counts, or other labs based on your health status. Testing frequency varies by age, comorbidities, bleeding history, and concurrent medicines. Follow your clinician’s advice on lab follow-up and keep appointments to support safe therapy.
Which medicines or supplements can interact with dabigatran?
Strong P-gp inducers like rifampin can reduce effectiveness, while strong P-gp inhibitors such as ketoconazole or dronedarone may raise levels in some patients. Combining with other blood thinners, antiplatelets, or NSAIDs can increase bleeding risk. Always review prescriptions, over-the-counter products, and herbal supplements with your clinician or pharmacist before starting or stopping anything.
What are the most common side effects?
Common effects include stomach discomfort, heartburn, nausea, and minor bleeding such as easy bruising or nosebleeds. Serious bleeding can occur and needs urgent care. Contact a clinician right away if you notice black stools, vomiting blood, severe headache, dizziness, or unusual weakness. Report persistent gastrointestinal symptoms for guidance on safe use.
How should I store my medicine and travel with it?
Keep capsules in the original container, tightly closed, and protected from moisture. Store at room temperature and away from excess heat. When traveling, carry your supply in hand luggage along with your prescription label and a medication list. For international trips, allow extra time for screening and keep doses on your schedule across time zones.
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