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Related Experiment Video

Updated: May 14, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

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Published on: June 2, 2015

Rash associated with dabigatran etexilate.

Kim To1, Carl Reynolds, Sarah A Spinler

  • 1Philadelphia College of Pharmacy University of the Sciences in Philadelphia, Philadelphia, PA 19104, USA.

Pharmacotherapy
|February 13, 2013
PubMed
Summary

Dermatologic reactions, such as rash, are a rare but possible adverse effect of dabigatran etexilate, an anticoagulant used for atrial fibrillation. This case highlights the importance of monitoring patients for skin reactions during therapy.

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10:26

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Published on: June 2, 2015

Area of Science:

  • Pharmacology
  • Dermatology
  • Cardiology

Background:

  • Atrial fibrillation increases thromboembolic risk, necessitating anticoagulation therapy.
  • Dabigatran etexilate, approved in 2010, is used for stroke prevention in nonvalvular atrial fibrillation.
  • Dermatologic reactions to dabigatran etexilate are reported in less than 0.1% of patients.

Observation:

  • A 59-year-old male patient developed a rash after 5 days of dabigatran etexilate therapy for atrial flutter.
  • The patient had no prior drug allergies, and his lab results (platelets, creatinine, liver function) were normal.
  • The rash resolved within 7 days of discontinuing dabigatran etexilate.

Findings:

  • This report details the sixth case of dabigatran etexilate-associated rash, with a probable relationship indicated by the Naranjo scale.
  • The patient was successfully transitioned to warfarin therapy after the adverse event.
  • The study contributes to the limited published data on dabigatran etexilate-induced dermatologic reactions.

Implications:

  • Clinicians should maintain awareness of potential dermatologic adverse effects associated with dabigatran etexilate.
  • Vigilant monitoring for skin reactions during patient follow-up is recommended.
  • This case underscores the need for comprehensive adverse event reporting in pharmacovigilance.