Eliquis (apixaban)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

What is Eliquis (apixaban) and how does it work?

Eliquis (apixaban) is an anticoagulant (blood thinner) used for reducing the risk of blood clots in the heart and strokes in patients with atrial fibrillation who have no problems with their heart valves (nonvalvular atrial fibrillation). Eliquis is also used to treat and prevent deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients who have undergone hip or knee replacement surgery.

What brand names are available for apixaban?

Eliquis

Is Eliquis available as a generic drug?

GENERIC AVAILABLE: No

Do I need a prescription for Eliquis?

Yes

What are the uses for Eliquis ?

  • Eliquis is used for reducing the risk of blood clots in the heart and strokes in patients with atrial fibrillation who have no problems with their heart valves (nonvalvular atrial fibrillation).
  • It also is used for treating and preventing deep venous thrombosis (DVT) and pulmonary embolism in patients who have undergone hip or knee replacement surgery.

What are the side effects of Eliquis?

The most common side effects of Eliquis involves bleeding in the:

Bleeding due to Eliquis may be fatal.

Major bleeding events were fewer in patients who received Eliquis when compared to a similar group that received warfarin (Coumadin, Jantoven), another widely used drug for preventing blood clots.

Rash and serious allergic reactions also may occur.

What is the dosage for Eliquis?

  • The usual dose in nonvalvular atrial fibrillation is 5 mg by mouth twice daily. For individuals 80 years or older, weighing less than or equal to 60 kg, or with reduced kidney function, the usual dose is 2.5 mg twice daily.
  • The recommended dose for treating DVT or pulmonary embolism is 10 mg twice daily for the first 7 days and then 5 mg twice daily. After six months of treatment, the dose may be reduced to 2.5 mg daily for prevention of DVT or pulmonary embolism.
  • When Eliquis is used to prevent the risk of DVT after hip or knee replacement surgery, the suggested dose is 2.5 mg daily beginning 12 to 24 hours after the surgery is completed.

QUESTION

Atrial fibrillation is a(n) ... See Answer

What drugs or supplements interact with Eliquis?

Eliquis is a blood thinner medicine that reduces blood clotting. You may have a higher risk of bleeding if you take Eliquis and take other medicines that increase your risk of bleeding, including:

  • aspirin or aspirin-containing products
  • long-term (chronic) use of nonsteroidal anti-inflammatory drugs (NSAIDs)
  • warfarin (Coumadin, Jantoven)
  • any medicine that contains heparin
  • selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs)
  • other medicines to help prevent or treat blood clots

Tell your doctor if you take any of these medicines. Many other drugs may interact with Eliquis, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here. Tell your doctor, dentist, and pharmacist of all drugs and supplements you take.

Spinal or epidural blood clots (hematoma)

People who take a blood thinner medicine (anticoagulant) like Eliquis, and have medicine injected into their spinal and epidural area, or have a spinal puncture have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). Your risk of developing a spinal or epidural blood clot is higher if:

  • a thin tube called an epidural catheter is placed in your back to give you certain medicine
  • you take NSAIDs or a medicine to prevent blood from clotting
  • you have a history of difficult or repeated epidural or spinal punctures
  • you have a history of problems with your spine or have had surgery on your spine

If you take Eliquis and receive spinal anesthesia or have a spinal puncture, your doctor should watch you closely for symptoms of spinal or epidural blood clots or bleeding. Tell your doctor right away if you have tingling, numbness, or muscle weakness, especially in your legs and feet.

Is Eliquis safe to take if I'm pregnant or breastfeeding?

  • There are no adequate studies in pregnant women. Use during pregnancy may increase the risk of bleeding during pregnancy and delivery. Eliquis should be avoided during pregnancy.
  • It is not known if Eliquis is excreted in human milk. Nursing mothers should discontinue Eliquis or discontinue nursing.

What else should I know about Eliquis?

What preparations of Eliquis are available?

Tablets: 2.5 and 5 mg

How should I keep Eliquis stored?

Eliquis should be stored at room temperature, between 15 C and 30 C (59 F and 86 F).

Summary

Eliquis is a medication prescribed to prevent blood clots in the heart and strokes in patients with atrial fibrillation, and to prevent and treat deep vein thrombosis and pulmonary embolism. Review side effects, drug interactions, patient safety, and warnings prior to taking Eliquis.

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See more info: apixaban on RxList
Medically Reviewed on 7/1/2019
References
Some sections provided courtesy of the U.S. Food and Drug Administration (FDA) prescribing information
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