Paroxysmal afib and pausing oral anticoagulant before colonoscopy

Posted by behzad1234 @behzad1234, Jun 13, 2022

I have history of paroxysmal afib and taking eliquis 5mg two times a day .I have to do colonoscopy and my doctor told me to stop eliquis 2 days prior to have colonoscopy, I am very scared to have stroke if I stop it and I asked my doctor to have bridging but he said eliquis doesn’t need bridging. I am very scared should I do colonoscopy ? Is it ok to stop eliquis .

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Profile picture for witsend000 @witsend000

Hello @behzad1234 !

I’m sorry you are having anxiety over your upcoming procedure. I certainly understand your concern.

Let me preface everything by saying I am in no way a medical professional.
I did a little research on eliquis and colonoscopy. Also, my dad has atrial flutter and has taken medications for years for this; I do believe eliquis was one of them.

I really don’t think that stopping eliquis for such a short time would greatly increase your risk of stroke. Also, if your doctor isn’t concerned about that, I’m sure it’s fine.

If you are still worried, a couple suggestions:
From what I read, you do not have to stop taking aspirin for a colonoscopy. Maybe you could ask your doctor if you could take this as a replacement for eliquis to reduce the risk of stroke/heart attack prior to the colonoscopy?

Also, please don’t skip the colonoscopy because of this worry. Recently, a friend was diagnosed with colon cancer, and in just a few short weeks died. He was an active person. He was only 64.

Colon cancer is a real threat and can escalate quickly; please get your colonoscopy.

Talk to your doctor about your concerns. I’m sure they can ease your mind.

Best Wishes 🙂

Jump to this post

@witsend000 You should not be answering if you have NO CLUE. Aspirin does not prevent AFIB blood clots and YES YOU DO NEED TO STOP IT.

REPLY
Profile picture for witsend000 @witsend000

Hello @behzad1234 !

I’m sorry you are having anxiety over your upcoming procedure. I certainly understand your concern.

Let me preface everything by saying I am in no way a medical professional.
I did a little research on eliquis and colonoscopy. Also, my dad has atrial flutter and has taken medications for years for this; I do believe eliquis was one of them.

I really don’t think that stopping eliquis for such a short time would greatly increase your risk of stroke. Also, if your doctor isn’t concerned about that, I’m sure it’s fine.

If you are still worried, a couple suggestions:
From what I read, you do not have to stop taking aspirin for a colonoscopy. Maybe you could ask your doctor if you could take this as a replacement for eliquis to reduce the risk of stroke/heart attack prior to the colonoscopy?

Also, please don’t skip the colonoscopy because of this worry. Recently, a friend was diagnosed with colon cancer, and in just a few short weeks died. He was an active person. He was only 64.

Colon cancer is a real threat and can escalate quickly; please get your colonoscopy.

Talk to your doctor about your concerns. I’m sure they can ease your mind.

Best Wishes 🙂

Jump to this post

@witsend000
I recently had an unscheduled colonoscopy while on the same dose of Eliquis as you. Five tumors were removed and afterwards I was given half a liter of blood and a small quantity of Ringer's to help with rehydration.

I am 83 yo, have Afib & COPD so I wasn't the greatest candidate for the scoping but wanted to reassure you that I had no adverse effects 🙂

REPLY
Profile picture for itasara @itasara

One more comment, kind of off the topic but what concerns me and I didn’t know I’d be taking Eliquis for the rest of my life, is that it’s expensive. And I’m really not happy about that. It’s not that I can’t go for it but when I went to fill 90 days worth of Eliquis, it was with insurance at the beginning of the year. It was about $380+ dollars for the next 90 days. When my cardiologist ordered it for me he didn’t tell me it was going to be forever, and he didn’t tell me it would cost that much! I hope it comes out with a generic equivalent one of these days, but who knows?

Jump to this post

@itasara
A generic version of Eliquis is due out in 2027 and in the meanwhile we seniors have the $2,000 annual out of pocket help from SS. -At least I know that my drug cost for the year will cap out at $2k.

REPLY
Please sign in or register to post a reply.