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Eliquis anyone?
Last Post 11/26/2021 09:11 AM by Cosmic Kid. 9 Replies.
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huckleberry

Posts:721

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11/24/2021 02:56 PM
I am considering having my Afib surgery next month and the doctor mentioned that I would need to take Eliquis for the following 90 days.

Anyone have experience with Eliquis? Such as your experienced side effects, limitations, cautions, etc.

Thanks!
Cosmic Kid

Posts:3901

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11/24/2021 05:47 PM
I want to get on it, but can’t get my insurance to approve it, so I am stuck on warfarin.

But I have not heard anyone having any kinds of adverse reactions to it….provides more stable INR than warfarin and no need to monitor it. For 90 days, I wouldn’t be too worried.
Just say "NO!" to WCP!!!!
Dale

Posts:1614

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11/25/2021 10:48 AM
My buddies that are on it seem happy with it. As Ck said not having to monitor is nice.
I suspect you'll bruise more easily so stay out of bar fights and crits... but I repeat myself.

I'm on warfarin and maintain a pretty stable INR and haven't been motivated to switch to Eliquis or other more modern drugs.
huckleberry

Posts:721

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11/25/2021 05:28 PM
Thanks guys. I've been doing well, but the nature of the beast is afib comes and goes, with expected greater frequency and eventually permanent episodes. I had a nasty twelve hour one last night, and given yours and others feedback, I'm hoping they can schedule me for surgery in December - as my deductible is paid for the yearm and I got a feeling it won't be a cheap procedure.

Happy Thanksgiving!
smokey52

Posts:425

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11/25/2021 10:42 PM
My wife had a pulmonary embolism a few years ago. After being stabilized with heparin then Coumadin, the doctors tried Eliquis then Xarelto, but she was allergic to them. No blood or breathing issues, just hives, but she had to stay on Coumadin. She tests her INR every week at home and occasionally modifies her dosage.
One advantage of Coumadin is that its effects can be reversed quickly with Vitamin K if need be, for example to prepare for surgery or dental work where bleeding could be a concern.
Cosmic Kid

Posts:3901

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11/25/2021 11:39 PM
They now have a reversal agent for Eliquis….which is why my hematologist was finally willing to write me a Rx for it. Prior to that, he kept me on the rat poison for exactly the reason you mention, Smokey.

Good luck on your surgery, huck!!
Just say "NO!" to WCP!!!!
Dale

Posts:1614

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11/26/2021 08:25 AM
Smokey, what INR test equipment do you have?

And +1 on the Good Luck wishes to you Huck.
6ix

Posts:439

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11/26/2021 08:36 AM
I've been on Warfarin for the last 12 years with no issue. This was following multiple PE and a DVT after a long flight. Found out I have that Factor II mutation.

Anyhow, I use the at-home testing service Coagucheck by Roche. Same device they use in the clinic. Generally test every 2-3 weeks and for the most part it's stable INR. It gets wonky at times but generally between 2-3.

My primary care physician has pushed for me to switch over to Eliquis a number of times but I keep going back to Warfarin simply because it's been around for a long time and I haven't had any issues with it. And it's cheap, except for the testing, of course. And to CK's point about his insurance not wanting to cover Eliquis, mine might not either. Isn't it great that insurance companies get to dictate our health care and not doctors? That's awesome, go America!

I'm not aware of any long-term issues with the rat poison. Anyone got info on that?
Cosmic Kid

Posts:3901

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11/26/2021 09:06 AM
As someone who despises 3rd party insurance, I’m actually OK not covering Eliquis for me. The reality is that there is not a medical reason for me to be on Eliquis vs. warfarin and warfarin meets my medical requirements. Sure, Eliquis would be more convenient, but I don’t need it. So if I want to use it, then some of the onus is on me to pay for it.

Now, OTOH, one of my wife’s meds has a generic equivalent, but for whatever reason, it simply doesn’t work for her. Dunno why, but she needs the name-brand version to feel any benefit. So every year, we have to go through an appeals process and her neurologist has to write a letter saying that she needs the name brand and the generic won’t work. So far, the appeal has always been granted *knock wood*

I suppose I could try and get my hematologist to write a similar letter for Eliquis, but why? Been on the rat poison for 12 years and it works just fine for me. Have an at-home machine to test my INR so the hassle factor is pretty low.

Speaking of which, I need to go check my INR. Had to drop my dosage this week due to planned cyst removal (in a “delicate area”) that didn’t happen. Also got a tattoo and wanted to minimize the bleeding from that process.
Just say "NO!" to WCP!!!!
Cosmic Kid

Posts:3901

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11/26/2021 09:11 AM
Fook…all my strips have expired and Coagucheck is closed.

I hate that company. Such a PITA to deal with.
Just say "NO!" to WCP!!!!
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