Advantages of Eliquis or Xarelto over Coumadin?

Posted by lgerkin @lgerkin, Feb 3, 2021

Hi - I've been on Coumadin for 15 years and my PCP and hematologist suggested I might want to try the newer generation of blood thinners. So, I started taking Eliquis last week. I haven't noticed any changes but it does make me nervous that there is no way to know for sure if my INR is at the proper level. I realize that not having to get tested once a month is great in terms of convenience and I like that I don't have to avoid foods with Vitamin K. My question is - are there other benefits to taking Eliquis over Coumadin? The higher cost isn't too much of an issue since the copay isn't too bad with my insurance.

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Profile picture for confederatesteel @confederatesteel

I have had 2 episodes with PE. Now I am on Xarelto for life. Don't like that. I have muscle pain, joint pain, and tiredness. I could go on coumadin but am afraid of that too. I was on it about 10 years ago with no affects. Don't know what to do. I'm 64 and want to live normal.

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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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Profile picture for confederatesteel @confederatesteel

I have had 2 episodes with PE. Now I am on Xarelto for life. Don't like that. I have muscle pain, joint pain, and tiredness. I could go on coumadin but am afraid of that too. I was on it about 10 years ago with no affects. Don't know what to do. I'm 64 and want to live normal.

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Welcome @confederatesteel, I know it can be the pits when you have muscle and joint pain along with being tired all the time. I'm not sure this will help but here is some information that may help you manage the symptoms.

"Why do I feel so tired and all my joints ache?
Fatigue can be linked to many types of arthritis and related conditions. It's commonly a symptom of autoimmune conditions, such as rheumatoid arthritis, reactive arthritis and lupus. In autoimmune conditions the immune system mistakenly attacks the body's own healthy tissues." --- Managing fatigue | Causes, self-help, support - Versus Arthritis: https://www.versusarthritis.org/about-arthritis/managing-symptoms/managing-fatigue/

Have you discussed your symptoms with your doctor?

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Profile picture for hmccarth5 @hmccarth5

What is your insurance, if I may ask.....Most people pay hundreds of dollars for a 30 day supply.

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My husband has Humana Gold HMO. He is diabetic and his medical bills are high. When you enter the donut hole after only 4 months. Xarelto is $5.00 per month co-pay before the donut hole, $76.00 per month in the donut hole. It's ridiculous!!

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I have had 2 episodes with PE. Now I am on Xarelto for life. Don't like that. I have muscle pain, joint pain, and tiredness. I could go on coumadin but am afraid of that too. I was on it about 10 years ago with no affects. Don't know what to do. I'm 64 and want to live normal.

REPLY
Profile picture for tct @tct

I started on Eliquis this past February (2022), and have had no problems with it. However, I just got a call from my Medicare Advantage company to inform me that I will soon be paying $360/ 90-day supply rather than the $100 I paid initially. The explanation was something about having reached the “donut hole” limit of my Part D insurance. Guess in need to go read the fine print…

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I am always in the donut hole, got tired of it too. Look into healthwarehouse pharmacy.com and info@medicationscanada.com. It's a saving grace!

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What is your insurance, if I may ask.....Most people pay hundreds of dollars for a 30 day supply.

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Profile picture for tct @tct

Actually, I would not sign up with Prescription Hope,. Do a search on this company— it’s a complete SCAM!

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Thank you for alerting me to this. I read through a LOT of information online about them. I am going to call the governor's office tomorrow to see if they can provide any additional information.

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Profile picture for brenda33540 @brenda33540

Please send documentation of your claim that led you to this conclusion. Thank you.

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Sorry, I don’t feel the need to post documentation. You can search on Google and reach your own conclusion. Good luck.

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Profile picture for tct @tct

Thank you, I will do that. Also, I talked with my Dr today and he said he would give me a written Rx in case I want to try buying from a Canadian pharmacy. I’ve read that a generic version is available up north.

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I checked with the Canadian Pharmacy and their price was still outrageous. I checked with the company and they were $89.00 per month IF you qualified for their discount program. Believe me when I say I have checked every source. I am filing an appeal with Humana Gold but I really haven't much hope that they will approve it. Good luck to you as well.

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Profile picture for tct @tct

Actually, I would not sign up with Prescription Hope,. Do a search on this company— it’s a complete SCAM!

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Please send documentation of your claim that led you to this conclusion. Thank you.

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