dabagantrin( prodaxa) vs elequis

Have you seen this:
https://www.drugs.com/compare/apixaban-vs-pradaxa
On the face of it, just this one site mind you, prodaxa is somewhat more highly rated by users than is apixaban, but I'm not sure what to make of that. It could be that it was a sales pitch. People learn they need a DOAC, they've heard of Eliquis and rivaroxaban, and of their caveats, and the cardiologist says, 'We have a new one that people like,' and instantly that becomes the one they want to use. A placebo effect kicks in, they don't have any problems, and so they go to a site and rate it highly. That's what I think happens. It might also be less costly.

Note that the two compounds do not act on the same principles of clotting. In fact, patients are advised not to use aspirin because it doesn't do as good a job as Eliquis, and it also acts as a pro-thrombin inhibitor, like prodaxa.

Eliquis has an excellent record so far of reducing the risk of stroke for AF/flutter sufferers by two thirds or thereabouts. I don't know where you will find any meaningful stats about prodaxa. Some sleuthing might be in order.

As @gloaming mentions, it can be difficult to discern which medication is best. Cost is often a guiding factor based on what your insurance will cover, however providers will not prescribe based solely on cost if the medication does not seem like a proper fit. Here is a bit of generic information on dabigatran, https://www.mayoclinic.org/drugs-supplements/dabigatran-oral-route/description/drg-20074611.

I'd like to invite @tuckie, @keepthebeat (who has tried both medications) and @palni who have all discussed taking dabigatran on Connect and may be able to share some of their experiences with you.

@111024, it sounds like your provider is offering a choice for you and insurance is playing a role in your decision. Were they able to lay out the risks and benefits of each medication? Did they think each would have, within reason, a similar result?

Yes my doc thought dabagantrin was a good substitute for elequis and said to watch out for possible GI issues
Thank you & I will post after I try it for a while.

It is PRADAXA mo Prodaxa and that is why you cannot check it.
It comes in 110mg and 150mg twice a day. It has a reversal med. (overdose, an event).
cheri jOY. (Tuckie)

Hi
I've been on PRADAXA now for 5 years 3months.
No problems. My triage team when I was 70 after stroke prescribed 110mg x twice day I also had Thyroid cancer which needed attending to. Op.
Transferred on day 4.
My local hospital discharged me on 150mg x twice dsy.
When I found the switch I had it chamged back.
No probems on PRADAXA.
cheri JOY. (tuckie)

Thank you.

I chose PRADAXA twice a day as I figured any overdose would not be as ectreme of taking 2 full doses not long apart.
At night I put out 2 doses and have 1 x 10pm. and as the other is sitting out take the other at 10am after doses of Synthyroid for thyroid and an hour later or so Diltiazem AM then at 10am take the other.
Once in 5 years I wasn't sure whether I had taken it so I left it out.
With the 3 ops since stroke I follow surgeon/anaesthetist directions no PRADAXA for 3 x 24hour days prior to op.
Then follow their directions after.
I have no medical insurance. Who has when they retire!
Our Whangarei Hospital mostly I put in high esteem.
Never have andocrinologist direct you for op and post in thyroid cancer. I remain under the surgeon as he respects my wishes. I said No and No to the pushy other Dr. To start off she prescribed Metapolol which I said No to bur still prescribed it for one. I suffered breathlessness, 186bpm H/Rate and pauses at night. I have rapid and persistent AF.
cheri JOY. (tuckie)