Can I restart Eliquis safely after three months?

Posted by tryingtobepatient @tryingtobepatient, Apr 6 11:35am

Hi everyone, this is my first post here(I’m sorry in advance if I don’t get this, right.)
I was placed on Eliquis 4 years ago as part of my a fib treatment.

I ended up not taking my Eliquis for 3months. (I’ve had no a fib in many months) my cardiologist has felt like I need to stay on it.

I can now afford to get it and I am wondering whether it’s OK to restart it.

Thank you for being here,

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I can't imagine why it wouldn't be ok to restart your Eliquis, I don't know of any harm that would come from resuming this medication after you have stopped taking it for a period of time. I think that happened to my sister once, she stopped taking Eliquis, and went on Coumadin for a few months because she couldn't afford the Eliquis. She hated the testing and other issues with Coumadin, and it seems they had a difficult time getting her dosage regulated. She decided she'd go back on the Eliquis and somehow afford the premiums.

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Nobody I know posting here, including me, can legitimately say that it's 'okay' to commence taking a prescription drug again, even if you have experience with it. But, if your own doctor urges you to do so, what reservations or fears do you have that he/she was unable or unwilling to explain or to allay?

My feeling is that the physician has taken into account certain risk factors, added them, and the sum puts you in a risk category where a conscientious practitioner would feel compelled to prescribe a DOAC like Eliquis. You are free to do as you wish, including ignoring the advice and declining to fill the prescription. But he/she could not ethically, nor legally, prescribe something that imposed more risk on you than the condition for which it is a palliative. I know of no dangers from starting any drug, or restarting one that has worked and that is well tolerated....IF....it has been prescribed legally. This includes a DOAC.

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1. If your cardio wants you to restart it then start there. That is often enough for most people.
2. Ask you pharmacist. They know more about drugs that most doctors and they know all the drugs you are taking. Check and see if you have changed taking any new drugs that may be contraindicated to Eliquis. Even aspirin and Advil is usually not to be added because they are also blood thinners. So be proactive.
3. Read the package insert for Eliquis See: https://www.drugs.com/pro/eliquis.html It probably has all the information you need.
4. Always be proactive when dealing with drugs. I am being treated for a tick disease called bartonella and the doctor (not my EP) wanted to start me on 3 new drugs. One of them specifically was contraindicated as it specifically acts as a blood thinner. So check yourself. One other drug was a possibility so I checked with my EP he said no problem to Azithromycin even though it was listed as a possible contraindication. My EP said my Afib was not the kind that Azithromycin affected.
5. Just last week I was in the ER all day passing blood due to a urinary tract infection and eliquis made the bleeding much worse. So I asked my EP if I could stop eliquis for a few of days and he was all on board with that. Note my Afib is well controlled and I am not having any problems with it(at least right now). My poor brother also on eliquis has had 6 broken teeth removed over the last 2 years. Every time he had to come off eliquis for a couple of days before the procedure. The dentist will not do the procedure if he is on eliquis. Now his Afib is generally well controlled but one time the day before his dental procedure he went into Afib and had to restart his eliquis and postpone his dental work until his Afib converted to sinus. Then after he stabilized he could quit eliquis temporally for the procedure. The dentist literally cannot do the procedure with him on eliquis. I do not know what people do who have permanent Afib and need a procedure like that do when they have a problem.

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