Can Eliquis be used one per day tablet?

Posted by generoo @generoo, Oct 8 9:03am

Can Eliquis be used half dose, one pill per day?

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Hello @generoo, Welcome to Connect. That would be a question only your doctor can answer since they know your medical history and conditions being treated. I'm currently on a low dose of Eliquis and take 2.5 mg Eliquis morning and evening after having a blood clot in my leg followed by one in my lungs. I started by taking a 5 mg tablet twice daily and then later was switched to a lower dose after further testing and exams by my cardiologist a year following a DVT and POE.

Have you been prescribed Eliquis? Do you mind sharing a little more about your diagnosis?

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Have been prescribed Eliquis 5 MG 2 times a day. Will be going back to the doctor soon to get a shock treatment, I will ask him then about reducing the dose. I did not know I had heart fludder. It seams mild to me. Thanks for your reply.

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Yes, the usual 5mg BID dose can be reduced, but only by a qualified cardiologist or electrophysiologist. That is to say, you probably should adhere to whatever prescription you have been given, including a once-a-day dose if you have stable NSR, or an ablation followed by stable NSR, or a proven closed left atrial appendage (LAA) that also doesn't leak (this is after insertion of a Watchman appliance), or after a cardioversion that leaves you in stable NSR.
Note that 'stable' NSR is only labeled as such after some time where further ectopy or dysrhythmia doesn't recur. Most electrophysiologists will consider you stable after 6 months have passed with no further arrhythmia, no leaking or clotting, and if there are no other comorbidities that make the continued use of DOACs a good idea. Also, the metric most often used is the CHADs-VASC score. If your score is much higher than 1.0, the conscientious EP or cardiologist would advise you to continue taking the DOAC (Direct Oral Anti-Coagulant).

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@generoo

Have been prescribed Eliquis 5 MG 2 times a day. Will be going back to the doctor soon to get a shock treatment, I will ask him then about reducing the dose. I did not know I had heart fludder. It seams mild to me. Thanks for your reply.

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I would think talking to your MD about this would be appropriate. Because of its half life Eliquis is taken 2 twice a day whether you take 2.5 or 5 mg it needs to be taken twice a day. While you are out of rhythm it is best to stay on the blood thinner. That is when you are at the greatest risk although there is a time period (which I do not remember) that you are still at risk to develop a clot after stopping. If you were out of rhythm and had not been taking a blood thinner your risk increases in the first hours after the arrhythmia has started. That is the rationale for continued treatment after having a cardioversion. Also you need to find out if your cardioversion is sustained. That you did not know you had an arrhythmia increases the risk you are not aware of it and therefore not protected by an anti-coagulant if you return to Afib or Aflutter or whatever arrhythmia pattern you have.

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