Eliquis and AFIB

Posted by lenmayo @lenmayo, Apr 18, 2024

Does anyone who has occasional AFIB not take Eliquis?

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Yes , we've had numerous discussions with different electro-cardiologists.
They're not right and neither are they wrong. The more laid back or "mature" doctors react with a more casual Opinion about Eliquis. Younger (?) doctors who are really into surgery contend that the Loop recorder and then the Watchman are necessary. They even differ on the Chad score. Some give him a 4 , some a 6!
Yes , he certainly could qualify for Afib prevention . But, he was playing tennis at 80, is very trim, all positive life style until we ate at a restaurant one night , he got diarrhea for 2 weeks and lost the sight of one eye. I felt funny as well but had no other issue.
There are many reasons why Eliquis could be recommended. But, no one could see the slow, gradual, bad things happening to him . Because of age and other factors you might be persuaded to use Eliquis . It's one of those
grey areas and if you're not there looking at a person everyday you'd never
know for sure.
His arms are not that awful pink /purple color any more since discontinuing the use of Eliquis. We'll have to see if there are other positive things.

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Are you taking a med that keeps heart rate steady? Eliquis has no effect on that, so what other meds for A fib are you on?

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Profile picture for chickenfarmer @chickenfarmer

@maryannnik1112 I was post ablation Afib free my EP said I could cease Elliquis. Then I started having infrequent short Afib spells lasting an average of 2 hrs each so I asked my EP if I should be
Taking Elliquis again and he replied only if the Afib spell lasted longer Han 4 hrs. That formula worked for me

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@chickenfarmer thank you ! And much luck to you also

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I'm very interested, 82 yrs of age have had heart condition since age 5yrs
No stroke or heart attack.
LTVance

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Profile picture for marybird @marybird

@lenmayo

Also, I've posted this before and am aware it only applies to those with commercial prescription drug insurance ( not Medicare Part D, Medicaid or any government plans), but those eligible by virtue of being a US ( or Puerto Rican) resident and having a commercial drug plan can visit the manufacturer's website to obtain a card that enables them to get a 30 days supply of Eliquis for $10, or a 90 day supply for $30. The card is ongoing, valid for two years and can be renewed.

The manufacturer's site also has a coupon that can be printed out and taken to the pharmacy for a free 30 day supply of Eliquis for an initial prescription, called a "Free Trial Offer Card" ( when the patient is newly prescribed this drug)-. Patients on Medicare drug plans or other government plans are also eligible for this one-time discount. The patient will have to pay whatever the going rate his ( depending on the insurance coverage) for subsequent prescriptions, but at least the free 30 day supply during the introductory phase of this drug will let the patient see how he/she reacts to the drug without having to spend that virtual arm and a leg ( or firstborn).

And looking again at the website, I see they also have a program for uninsured patients called: Eliquis 360 support. Instructions and contact information for this program are shown on the website.
https://www.eliquis.bmscustomerconnect.com/savings-and-support

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@marybird
If you are on a:
Prescription insurance coverage through a state or federal healthcare program, including but not limited to Medicare Part D, Medicaid, Medigap, CHAMPUS, TRICARE, Veterans Affairs (VA) or Department of Defense (DOD) programs.

You don't qualify for the card!

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I have taken Eliquis for almost 3 years, after my pacemaker implant.
As far as I can tell, I don’t have any side effects. I would rather be safe than have a blood clot and that could be a bad thing.
I don’t really have excessive bleeding if I cut myself, etc.
I am also on Camzyos’s for cardiomyopathy and Toprol-XL

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Profile picture for lenmayo @lenmayo

@marybird
If you are on a:
Prescription insurance coverage through a state or federal healthcare program, including but not limited to Medicare Part D, Medicaid, Medigap, CHAMPUS, TRICARE, Veterans Affairs (VA) or Department of Defense (DOD) programs.

You don't qualify for the card!

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@lenmayo I've posted this information before and EACH.TIME I've also clearly stated that the Eliquis manufacturer co-pay card of which we speak can be used only by people with private insurance, those on Medicare Part D plans or other government sponsored drug plans DO NOT QUALIFY FOR THIS CARD. Sad, because it's a significant discount, but it is what it is.

However, in perusing the manufacturer's website recently, I found there were a couple other options that could save a person to whom Eliquis had been prescribed at least a little amount of money. There's the "Free Trial Offer Card", available from the website, sometimes available from a prescriber's office, or from the pharmacy ( I got my 30 day-free prescription card from the pharmacy tech who filled my first prescription). As I mentioned, this card provides for a free 30 day supply of Eliquis- for a first time user, and anyone with a new prescription, doesn't matter where their drug plan comes from ( Medicare, or other government insurance, or private, or are uninsured, is eligible to use that card and get a free 30 day supply. This works like any other discount card and no insurance is involved.

For those patients who are uninsured and need help paying for their Eliquis, the manufacturer also has a program for that help, called Eliquis 360 support. There's a phone number to contact the manufacturer for information and help in setting up this help. I'd imagine it's a means tested program and customer provide whatever information is pertinent- there are forms to fill out, looks like, and I'd guess the amount of help depends on the customer's income, assets, whatever... I haven't checked this out myself, but I'd think only people without a drug plan ( or health insurance) would be eligible for this help. But it's there for those who need it.

They also recommend the possibility of getting extra help from Medicare ( that I know is means tested) to help in paying for expensive drugs.

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Profile picture for peggynurse @peggynurse

I have taken Eliquis for almost 3 years, after my pacemaker implant.
As far as I can tell, I don’t have any side effects. I would rather be safe than have a blood clot and that could be a bad thing.
I don’t really have excessive bleeding if I cut myself, etc.
I am also on Camzyos’s for cardiomyopathy and Toprol-XL

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@peggynurse It's been 5 years on Eliquis for me, with no side effects that I can see. Not even excess bruising, or prolonged/excess bleeding from cuts.

I'm a senior with a few other comorbidities and the vicissitudes of old age, some of which can be painful or annoying at times, but common sense tells me none of these issues can be blamed on the Eliquis I take.

You know this of course, but while a clot is bad enough, it's the stroke associated with that clot that will take you out ( if you're lucky), or disable you to the point where you're completely helpless and dependent on others for all the activities of daily living ( if you aren't lucky). I have a pretty strong family history of stroke, have seen several of my elderly predecessors bedbound and dependent on others for care. It's a miserable existence. I'll stick with the Eliquis to lower the chances, at least to some extent, that will happen to me.

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Profile picture for marybird @marybird

@peggynurse It's been 5 years on Eliquis for me, with no side effects that I can see. Not even excess bruising, or prolonged/excess bleeding from cuts.

I'm a senior with a few other comorbidities and the vicissitudes of old age, some of which can be painful or annoying at times, but common sense tells me none of these issues can be blamed on the Eliquis I take.

You know this of course, but while a clot is bad enough, it's the stroke associated with that clot that will take you out ( if you're lucky), or disable you to the point where you're completely helpless and dependent on others for all the activities of daily living ( if you aren't lucky). I have a pretty strong family history of stroke, have seen several of my elderly predecessors bedbound and dependent on others for care. It's a miserable existence. I'll stick with the Eliquis to lower the chances, at least to some extent, that will happen to me.

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@marybird
Well said. Thank you for your response. I’m sticking with my Eliquis.

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