Would you use new DOAC loading dose or start with maintenance dosing for a stable patient on existing DOAC who needs to switch brand due to insurance/formulary reasons?   

Conversion tables suggest starting the new drug with the next dose but do not seem to answer this question (i.e. if switching from rivaroxaban 20 mg daily, do you start apixaban 5mg BID dose or start with 10mg BID x 1 week?)  



Answer from: at Community Practice