Stroke medication: Taking Eliquis to reduce risk of stroke
I am a 72 year old women who just recently had a heart ablation which was successful. Because of this my doctor feels I should be taking Eliquis since I probably still have afib. My problem is Eliquis makes me very tired and causes quite bad body aches for me. I think my risk of a stroke is 5%. My doctor still feels I should stay on Eliquis for a stroke. This is really the first major health issue I have ever had. I wanted to know if anyone has any advise they can give me. Thanks
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I apologize but I don’t know what you are saying when you said you tapered off Flecainide to PIP as I don’t know what PIP stands for. Flecainide is a potassium channel blocker used to treat arrhythmias and works by slowing nerve impulses in the heart. The Eliquis is an anticoagulant (DOAC) used to prevent blood clots forming in the heart because of AFIB activity so they are treating your AFIB by trying to control the rhythm and “thinning” the blood to prevent possible clots. It does sound like your arrhythmia is of a more serious sort than mine as I was told that treating the heart rhythm was optional-only if I found it disruptive as I am asymptomatic other than I feel it. It causes me no issues otherwise, except the threat of blood clots…
Nattokinase is extracted from Natto and is a concentrated form that does not have vitamin K or purine, both of which are in Natto. And unlike Nattokinase, Natto has a limited ability to dissolve blood clots as the amount of Nattokinase, which has the ability to dissolve clots, in Natto varies. So perhaps your EP (another term I am not familiar with) will have good advice on the matter.
The more I read the more concerned I become about the Eliquis antidote, which apparently is AndexXa, approved by FDA in 2018 so it would not have been available when your son had his incident. From what I am seeing it is very expensive and not readily available. And I have also noticed not 100% success rate. A report I read said of the 150,000 hospital admissions attributed to factor Xa bleeding last year only 4,000 were treated with AndexXa. But I don’t know what the current status is. I have seen several posts of stories (not good ones) concerning the antidote but am uncertain as to how recent they are. I certainly hope your son’s recovery is complete and find the fact that the product was being strongly promoted when there was no antidote.
I have been looking into the antidote issue and found the slow release of the only Eliquis antidote (AndexXa) and subsequent lack of availability (and high expense) very troubling. Do you have any updates in it? I have read some articles that mention some hospitals won’t even tell you if they have it. I will be checking my closest one tomorrow (I live in Maine) as well as a larger hospital within a 50 mile radius. Not seeing a lot of information about the success rate of the antidote but did notice some comments about side effects that were noteworthy.
@harp, I am stunned to see a price of over $10,000 for four doses of AndexXa. To me, that makes it totally unavailable, just as it is when a hospital has none in stock or won't admit to having it. My personal policy for me is that I won't take an anticoagulant for which no antidoted is readily and normally available. I've had other reasons for declining Eliquis, but this information ices it for me. There are other anticoagulants with their own antidote available on the market. See if you can find a pharmacist who'll help you track them down. Martin