Skip to main content

Idarucizumab Dosage

Medically reviewed by Last updated on Dec 17, 2021.

Applies to the following strengths: 2.5 g/50 mL

Usual Adult Dose for Reversal of Anticoagulation

5 g IV provided as two separate vials each containing 2.5 g/50 mL; administer as a bolus injection by injecting both vials consecutively one after another via syringe or as two consecutive infusions.

-There is limited data to support administration of an additional 5 g.
-Resume anticoagulant therapy as soon as medically appropriate. Dabigatran can be initiated 24 hours after administration of this drug.

Use: Reversal of the anticoagulant effects of dabigatran in patients requiring emergency surgery/urgent procedures or in the event of life-threatening or uncontrolled bleeding. This indication is approved under accelerated approval. Continued approval may be contingent upon the results of an ongoing cohort case series study.

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

Data not available


Safety and efficacy have not been established in patients younger than 18 years.

Consult WARNINGS section for additional precautions.


Data not available

Other Comments

Administration advice:
-Administer as a bolus injection by injecting both vials consecutively one after another via syringe or as two consecutive infusions.
-Administration should begin promptly or within 1 hour after solution has been removed from the vial.

Storage requirements:
-Refrigerate at 2C to 8C (36F to 46F); do not freeze.
-Prior to use, unopened vials may be kept at room temperature (25C or 77F) for up to 48 hours if stored in the original package, or up to 6 hours if exposed to light.
-Do not shake.

IV compatibility:
-Do not mix with other medicinal products.
-A pre-existing IV line may be used but must be flushed with sterile 0.9% sodium chloride prior to and at the end of infusion.

-The safety and effectiveness of repeat treatment with this drug have not been established.
-This drug is specifically for dabigatran, with no impact on the effect of other anticoagulant or antithrombotic therapies.
-This drug can be used in conjunction with standard supportive measures.

Patient advice:
-Inform patients to seek immediate medical attention for any signs or symptoms of bleeding.
-Inform patients of signs and symptoms of allergic hypersensitivity reactions (e.g., anaphylactoid reactions) that may be experienced during or after exposure to this drug.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.