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Advantages of Eliquis or Xarelto over Coumadin?

Heart Rhythm Conditions | Last Active: May 22, 2022 | Replies (49)
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@brenda33540

I hear what you are saying!! My husband has no energy whatsoever, sleeps all the time. We have a doctor's appointment this morning so I want to discuss this with him. He has Afib so he will have to take a blood thinner for life too. Xarelto is definitely more convenient but there are a couple of things that concern me, the lethargy being one. Also I read that there is no antidote to internal bleeding with Xarelto or Eliquis (which he's allergic to) but there is for coumidin. If you end up with internal bleeding, the antidote could save your life. I'm not a doctor so don't quote me on that please. It's what I have read (and I've read scores of information on the internet!).
I hope you feel better. It might be worth seeing your doctor again just to be sure.

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Replies to "I hear what you are saying!! My husband has no energy whatsoever, sleeps all the time...."
confederatesteel | @confederatesteel | May 18, 2022

Brenda thank you for responding. I'm at my wits end. The muscle pain is too
much. I think I may have to try coumadin. Let me know how your husband
makes out.

Ron

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brenda33540 | @brenda33540 | May 19, 2022

We discussed it with the doctor and he advised against changing to coumadin now because of the amount of testing and we plan to go to NY soon. He did recommend taking the xarelto at night instead of mornings. Started that last night. We will see if that helps a little.

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rubywitch67 | @rubywitch67 | May 20, 2022

To all those worried the new anticoagulants do not have an antidote to stop rare uncontrolled bleeding, the wait has been over for years!
If you are comfortable with coumadin and don't mind some of the mild inconveniences using this medication brings with it, then by all means stay on it! If it's working good for you, you trust it and your routine is not a problem, why fix what ain't broken? Vitamin K is the antidote.

The FDA approved andexanet alfa (AndexXa) on May 3, 2018. It's the first and only antidote to reverse bleeding in people taking apixaban (Eliquis), rivaroxaban (Xarelto), or edoxaban (Savaysa). There is peace of mind that all three of the newer, less complicated and highly effective blood thinners are protected by the same antidote.

A fourth, newer newer blood thinner — dabigatran (Pradaxa) — already has an approved antidote called idarucizumab (Praxbind).

For the first time in many, many years, those of us who need to be on anticoagulants, finally have a choice of blood thinners and the security and safety of proven antidotes.

(Information obtained from "Harvard Health Online," available through Harvard Medical School.
Similar information available at Mayo Clinic and Cleavland Clinic.

I am 71 with A-FIB. As soon as I was diagnosed, my cardiologist put me on Xarelto. The first week I noticed some tiredness, but that either stopped or I got use to it. A couple years later I had an ablation which helped a lot and went right back on the Xarelto with no side effects.

Wish everyone good luck finding the medication that works best for you. And please be cautious reading medical information on the Net. There ARE excellent, trustworthy sites available, but there are also a lot of quacks and hacks, so stay sharp and don't take ANYTHING without discussing it with your doctor first! I know you've heard this a million times, but just because it says "NATURAL," does NOT mean "HARMLESS!"

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