Antiphospholipid syndrome APS: Prescribed Eliquis instead of Warfarin?

Posted by oic @oic, Nov 23 1:11pm

Does anyone else with APS have your dr.s prescribe Eliquis rather than Warfarin?

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Colleen Young, Connect Director | @colleenyoung | Nov 23 3:58pm

Hi @oic, you may want to check with your pharmacist. Eliquis (apixaban) is generally not recommended for use in patients with antiphospholipid syndrome (APS), particularly in those with a history of thrombosis, due to an increased risk of recurrent blood clots. I believe fellow APS member @elizabeth513 has experience with Eliquis.

This article from Mayo Clinic states:
"If you have blood clots, the standard first treatment is a combination of blood-thinning medicines. The most common are heparin and warfarin (Jantoven). Heparin is fast acting and delivered via shots, also called injections. Warfarin comes in pill form and takes several days to have an effect. Aspirin also is a blood thinner used to prevent blood clots."

Do you have blood clots?

oic | @oic | Nov 23 9:17pm

@colleenyoung Thank you for the info. Yes, my dr. was adamant about me taking Warfarin and not Eliquis. I'm on Medicaid so I haven't check yet if Heparin will be approved. It's funny though, I took Eliquis for two years when they thought I had Factor V Leidens and never had a problem. No, thankfully no clots for two years.

bbmayo | @bbmayo | Nov 30 3:37pm

In reply to @oic "@colleenyoung Thank you for the info. Yes, my dr. was adamant about me taking Warfarin and..." + (show)

@oic I was on eliquis as thinner for cardiac, but was having a lot (abnormal) hair loss so I was switched to Dabigatran for thrombis management!
Good luck 🤞🏽

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