I Accidentally Took Two Eliquis Tablets In One Dose What Should I Do
Accidentally taking two Eliquis tablets together is unlikely to cause any problems. If this happens, you should continue with your usual treatment schedule.
In clinical studies, no significant side effects were seen in healthy people who took much higher doses of Eliquis than this.
If youve taken too much Eliquis, talk with your doctor. They may recommend that you take activated charcoal. This should only be done under the supervision of your doctor.
If you have any side effects after taking an extra tablet, or if you take more than two tablets, call your doctor right away. Call 911 or your local emergency number if your symptoms feel life threatening.
How To Avoid Eliquis Side Effects
Things To Know About Taking Blood Thinners Safely
- Atrial Fibrillation
- 7 Things to Know About Taking Blood Thinners Safely
If youve been diagnosed with an abnormal heart rhythm, such as atrial fibrillation or afib, your doctor may recommend taking blood thinners, also called anticoagulants. These medications reduce the bloods ability to clot, lowering your risk of stroke.
Your body creates clots to stop you from bleeding. If you fall or bump your head while taking a blood thinner, you may have internal bleeding even if theres no external sign youve been hurt.
Mercy Clinic Cardiology has 7 things you should know about blood thinners:
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Herbal Supplements And Eliquis
Certain herbal supplements are known to reduce the effects of Eliquis. St Johns wort can reduce the amount of Eliquis in your system, ultimately making the drug less effective. Therefore, most doctors will recommend you stop taking St Johns wort while you take Eliquis.
Another common herb that could hinder the results from Eliquis is turmeric. Turmeric is a common herbal supplement because of its anti-inflammatory properties. Since several anti-inflammatory medications interact negatively with Eliquis, doctors generally advise patients not to take them while using the drug.
Can Eliquis Cause Depression
Eliquis has not been conclusively linked to depression. If you begin to experience signs of depression after beginning Eliquis, talk with your health care provider immediately. Do not stop taking Eliquis before speaking with your doctor.
“If it was not for RxSaver, I would not be able to afford my medication.”
Jacqueline
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Spinal Blood Clots With Spinal Procedures
Eliquis has a boxed warning for the risk of spinal blood clots with spinal procedures. A boxed warning is the most serious warning from the Food and Drug Administration .
Spinal procedures include lumbar punctures , spinal injections, and epidural injections. A lumbar puncture is a procedure where fluid is collected from your spinal cord. This fluid can be tested to help your doctor diagnose certain conditions. Spinal and epidural injections are used to administer medication such as pain relievers or anesthesia into your spinal cord.
If you have one of these spinal procedures while taking Eliquis, this could cause a spinal or epidural hematoma . This clot may press on your spinal cord, which could cause long lasting or even permanent paralysis.
If you have a spinal procedure while taking Eliquis, you may have a higher risk of spinal blood clots if you:
- have had past spinal surgery or problems with your spine
- have had difficult or repeated spinal procedures in the past
- have an epidural catheter
- aspirin or nonsteroidal anti-inflammatory drugs such as ibuprofen
Symptoms of a spinal blood clot may include:
- loss of bladder or bowel control
What you can do
If you need a spinal procedure while taking Eliquis and youre concerned about the risk of spinal blood clots, talk with your doctor.
Eliquis: Questions For Your Doctor
If you have questions about Eliquis, talk with your doctor. They can help advise you on whether Eliquis could be a good treatment option for you.
Heres a list of questions you may want to ask your doctor:
- Can I switch to Eliquis from a different blood thinner?
- Will I need any blood tests to determine my dosage of Eliquis?
- Do I take any medications that interact with Eliquis?
Your doctor may also tell you about other treatment options for your condition. You may find this article helpful in learning about alternative drugs for preventing blood clots. And check out our selection of videos on cardiovascular conditions.
Disclaimer: Healthgrades has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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How Does Eliquis Affect Inr
Eliquis can increase your international normalized ratio .
INR is used to describe the results of a lab test called prothrombin time . PT monitors your bloods ability to clot while youre taking a different anticoagulant drug called warfarin . The dosage of warfarin is adjusted based on your INR.
However, unlike warfarin, your Eliquis dosage doesnt need to be adjusted based on your INR. Therefore, you wont have your INR checked while youre taking Eliquis. However, if youre switching between Eliquis and warfarin, your doctor may measure your INR before you make the switch.
If youre switching from warfarin to Eliquis, your INR should be below 2.0. If youre switching from Eliquis to warfarin, your doctor will determine the appropriate INR level for switching.
Is Eliquis Hard On The Kidneys
Since only about 25% of Eliquis is broken down by the kidneys, several top heart doctors claim its a better alternative to other blood thinners. While this could be good news for older patients with kidney problems, the FDA is still looking into Eliquis to determine all of the effects it has on both the liver and kidneys. Refer to the FDA for more drug information.
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Minor Vs Severe Bleeding
Because Eliquis doesnt allow your blood to clot normally, its usual for patients to bleed more. Minor bleeding is often harmless and doesnt require emergency medical attention. If you have a cut thats bleeding persistently, you can apply a clean cloth over the wound for 10 to 15 minutes. For a nosebleed, try standing upright while pinching your nostrils and leaning forward.
Although bruises are harmless, they arent visually appealing you can make them less noticeable by applying an ice pack over the affected area.
One of the most dangerous Eliquis side effects is excessive bleeding, especially if the bleeding is inside the body. This may present as bloody pink/red/brown urine, bloody red/black tarry stool, bloody vomit or vomit that looks like coffee grounds, coughing up blood, prolonged nosebleeds , and severe headaches. If you experience any of these symptoms after taking Eliquis, contact your doctor immediately.
Your risk of bleeding is even higher if you take certain medications with Eliquis, such as nonsteroidal anti-inflammatory drugs . This includes common over-the-counter pain relievers like ibuprofen, aspirin, and naproxen.
How Long Does Eliquis Stay In Your System
Eliquis stays in your system for about 2 to 3 days after you stop taking it. For this reason, you should stop taking Eliquis at least 48 hours before a major surgery with a high risk for bleeding. For a surgery with a low risk for bleeding, youll need to stop taking the drug at least 24 hours beforehand.
Talk with your doctor about pausing your Eliquis treatment if you have a surgery scheduled.
Using more than the recommended dosage of Eliquis increases the risk of serious, life threatening bleeding.
Do not use more Eliquis than your doctor recommends.
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How To Manage Side Effects Of Eliquis
Do not stop taking Eliquis without speaking to your health care provider.
Abruptly stopping this medication increases your risk of stroke. If you experience painful or disruptive side effects from Eliquis, contact your health care provider immediately. They will work to find a suitable alternative to Eliquis. There are many different types of anticoagulants available that may work as potential substitutes.
Risk Of Blood Clots If Stopping Eliquis Treatment Early
boxed warning for the risk of blood clots if stopping Eliquis treatment early. Boxed warnings are the most serious warnings from the Food and Drug Administration . They alert doctors and patients about drug effects that may be dangerous.
Eliquis works to prevent blood clots from occurring or to treat a blood clot that you already have. But if you stop taking Eliquis before its recommended, you may have an increased risk of blood clots.
What might help
Dont stop taking Eliquis without first talking with your doctor. If you do need to stop treatment with Eliquis, your doctor may recommend that you take a different blood thinner. This can help to prevent blood clots.
For more information about this side effect, talk with your doctor or pharmacist.
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Consumer Information Use And Disclaimer
This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care providers examination and assessment of a patients specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at .
Dosage For Older Adults
A lower dosage of Eliquis is sometimes recommended for preventing blood clots and stroke in older adults with AFib. See the section directly above for more details.
However, the Eliquis dosage recommended for treating and preventing DVT and PE is the same for older and younger adults. See the sections above for details.
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Why Is This Medication Prescribed
Meloxicam is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis and rheumatoid arthritis . Meloxicam is also used to relieve the pain, tenderness, swelling, and stiffness caused by juvenile rheumatoid arthritis in children 2 years of age and older. Meloxicam is in a class of medications called nonsteroidal anti-inflammatory drugs . It works by stopping the bodys production of a substance that causes pain, fever, and inflammation.
Eliquis And Other Medications
Below are medications that can interact with Eliquis. This section doesnt contain all drugs that may interact with Eliquis.
Before taking Eliquis, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.
Eliquis and antiplatelets, including aspirin
Taking Eliquis with an antiplatelet drug can raise your risk for bleeding. You shouldnt take Eliquis with an antiplatelet drug unless your doctor recommends it. Antiplatelets are drugs that help prevent blood clots. Eliquis also helps prevent blood clots, but it works differently than antiplatelets.
Eliquis works by attaching to an activated blood clotting factor, called factor Xa. Eliquis stops this clotting factor from working, which makes your blood less able to form clots. Antiplatelets, on the other hand, interfere with the binding of platelets.
Examples of antiplatelet drugs include:
If youre taking an antiplatelet drug, ask your doctor if you should continue taking it when you start Eliquis. If your doctor recommends taking Eliquis with an antiplatelet, see them right away if you have any bleeding problems. To learn more, see the Eliquis side effects section above.
Eliquis and other anticoagulants
Eliquis and Tylenol
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Who Shouldnt Take Xarelto
It’s important to talk with your doctor about your medical history before taking Xarelto. It is not the safest option for patients with certain medical conditions.
You shouldn’t take Xarelto if you are allergic to rivaroxaban or any component of the drug’s formula or if you have a history of bleeding problems. Additionally, Xarelto should not be taken by patients who have:
-
An artificial heart valve
-
Moderate to severe mitral stenosis
-
Triple-positive antiphospholipid syndrome
-
Urinary or fecal incontinence
What Do I Need To Tell My Doctor Before I Take This Drug
- If you are allergic to this drug any part of this drug or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
- If you have any of these health problems: Active bleeding or liver problems.
- If you have antiphospholipid syndrome .
- If you have had or plan to have a heart valve replaced.
- If you are taking any of these drugs: Carbamazepine, itraconazole, ketoconazole, phenytoin, rifampin, ritonavir, or St. Johns wort.
- If you are breast-feeding. Do not breast-feed while you take this drug.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
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What Is The Most Important Information I Should Know About Apixaban
Apixaban increases your risk of severe or fatal bleeding, especially if you take certain medicines at the same time . Tell your doctor about all medicines you have recently used.
easy bruising, unusual bleeding, unexpected pain or swelling, feeling very weak or dizzy, bleeding gums, nosebleeds, heavy menstrual bleeding, blood in your urine or stools, coughing up blood or vomit that looks like coffee grounds, or any bleeding that will not stop.
Apixaban can cause a very serious blood clot around your spinal cord that can lead to long-term or permanent paralysis. This type of blood clot can occur during a spinal tap or spinal anesthesia , especially if you have a genetic spinal defect, if you use a spinal catheter, if you’ve had spinal surgery or repeated spinal taps, or if you use other drugs that can affect blood clotting.
Get emergency medical help if you have symptoms of a spinal cord blood clot such as tingling, numbness, or muscle weakness especially in your legs and feet.
Do not stop taking apixaban unless your doctor tells you to. Stopping suddenly can increase your risk of blood clot or stroke.
Does Eliquis Cause Kidney
Its possible for Eliquis to cause kidney-related side effects. But kidney-related side effects were not commonly reported in studies of the drug.
In rare cases, Eliquis may cause serious bleeding. This includes bleeding in your organs, such as your kidneys.
Another rare side effect of Eliquis is blood in the urine, which could be due to a kidney-related problem.
If youre concerned about kidney-related side effects occurring during Eliquis treatment, talk with your doctor or pharmacist.
Learn more about some of the side effects Eliquis may cause.
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