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Eliquis® Tablets for Atrial Fibrillation
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This anticoagulant is used to lower the risk of dangerous clots. Here you can review uses, dosing, side effects, and access options, with US delivery from Canada and guidance on your price without insurance.
What Eliquis Is and How It Works
Eliquis® (apixaban) is an oral direct factor Xa inhibitor. It reduces thrombin generation, which helps prevent clot formation in veins and the heart. The medicine is approved for several uses where preventing or treating clots is important.
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Mechanistically, apixaban limits the conversion of prothrombin to thrombin by inhibiting factor Xa. This action lowers the chance that fibrin-rich clots will form or grow. It can be used long term when the benefit of reducing clot-related events outweighs bleeding risks, as judged by a healthcare professional.
Who It’s For
This treatment is indicated to reduce the risk of stroke and systemic embolism in nonvalvular atrial fibrillation. It is also used for the treatment of deep vein thrombosis and pulmonary embolism, and to reduce the risk of recurrent DVT and PE after initial therapy. In addition, it is used to prevent DVT after hip or knee replacement surgery.
People with active pathological bleeding should not use this medicine. Those with severe hypersensitivity to apixaban should avoid it. Use requires caution in significant liver disease, advanced kidney impairment, or with conditions that raise bleeding risk. It is generally not recommended for patients with mechanical heart valves. For condition overviews, see Atrial Fibrillation and Deep Vein Thrombosis.
Dosage and Usage
Tablets are taken by mouth, typically twice daily. The prescribed schedule depends on the indication and on clinical factors such as kidney function, age, and body weight. Take doses consistently, with or without food, unless your prescriber advises otherwise. Swallow tablets with water. The treatment course can be short after surgery, extended for venous clots, or chronic in atrial fibrillation per the approved label.
If you are transitioning from or to another anticoagulant, your clinician will determine timing to maintain protection while minimizing overlap. Before dental work or surgical procedures, therapy may need temporary interruption to reduce bleeding risk. Decisions about interruptions and restarts should follow the official label and your clinician’s guidance.
Strengths and Forms
This product is supplied as film-coated oral tablets. Commonly available strengths include 2.5 mg and 5 mg. Availability may vary by pharmacy and country.
Eliquis 5 mg tablets are a standard presentation; the lower strength supports patients who need a reduced dose. Colors, shapes, and imprint details differ by strength, helping distinguish them. Pack sizes and refill intervals vary by prescription.
Missed Dose and Timing
If a dose is missed, take it as soon as you remember on the same day. Then resume the regular twice-daily schedule. Do not double up doses at one time to make up for a missed tablet. Consistent timing helps maintain steady anticoagulant effect.
If you miss multiple doses, speak with your prescriber for specific advice based on your indication and risk. Always consult the official prescribing information for detailed instructions.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excessive heat and moisture. Keep the bottle tightly closed and out of reach of children and pets. Carry your medication in the original labeled container when you travel. You can pack it in a carry-on so agents can verify your name and prescription.
For trips, bring a copy of your prescription and enough supply for the full journey plus a buffer. Avoid storing tablets in a hot car or damp bathroom. If you have questions about storage during travel, you can message our team after you place your order for practical tips.
Benefits
This therapy helps lower the risk of stroke in eligible people with nonvalvular atrial fibrillation. It treats blood clots in the legs and lungs and helps prevent recurrence after initial therapy. Many patients value oral dosing and that routine INR monitoring is not required. The class has fewer known food interactions than some older options, which can simplify daily routines.
The treatment can be continued long term when benefits outweigh bleeding risks. It may be combined with other therapies for short periods after certain procedures, according to the label and clinician judgment.
Side Effects and Safety
- Bruising or minor bleeding
- Nosebleeds or bleeding gums
- Anemia-related symptoms such as fatigue
- Nausea or stomach discomfort
- Minor cuts that take longer to stop bleeding
- Headache or dizziness
Serious risks include major bleeding, which may present as black stools, coughing blood, vomiting blood, severe headache, or sudden weakness. Rarely, spinal or epidural hematomas can occur in patients receiving neuraxial anesthesia or spinal puncture. Hypersensitivity reactions are uncommon but possible. For insulin or sulfonylurea users, hypoglycemia is not a class issue here; however, patients on antiplatelets or other anticoagulants have additive bleeding risk.
Drug Interactions and Cautions
Strong dual inhibitors of CYP3A4 and P-glycoprotein, such as ketoconazole, itraconazole, ritonavir, or clarithromycin, can raise exposure. Strong inducers such as rifampin, carbamazepine, phenytoin, or St. John’s wort can reduce exposure and effect. Combining with other anticoagulants or antiplatelets increases bleeding risk. NSAIDs can also increase bleeding risk.
Use requires caution in moderate to severe hepatic impairment or advanced renal impairment. Older age, low body weight, and certain lab values may influence the prescribed dose. If you receive spinal or epidural anesthesia, discuss timing to lower the risk of a hematoma.
What to Expect Over Time
Effect begins with consistent dosing, aiming to prevent new clots and limit growth of existing ones. The plan may be time-limited for postoperative prophylaxis or extended for venous clots, and it is often chronic in atrial fibrillation. Most patients do not need routine coagulation testing, but periodic clinical follow-up is standard. Adherence is important; set reminders and use a weekly pill organizer if advised by your clinician.
Discuss any planned procedures or new medicines in advance. If therapy must be paused, your team will determine when to resume.
Compare With Alternatives
Several approved oral anticoagulants may be appropriate alternatives depending on clinical factors. Rivaroxaban is available as Xarelto. Dabigatran is available as Pradaxa. These options differ in dosing frequency, kidney considerations, and capsule or tablet form. Your prescriber will choose based on indication, bleeding risk, renal function, and co-medications.
Pricing and Access
Check current listings to compare options and see typical savings versus local pharmacy cash rates. Order Eliquis online when you have a valid prescription, and track payment methods during checkout. We display both brand apixaban price context and options for longer supplies to improve convenience. For context, Apixaban cash price varies by strength and quantity.
Our listings reflect Canadian pharmacy sourcing and fulfillment. Ships from Canada to US with clear status updates. You can review current pricing, then upload your prescription and proceed through our encrypted checkout. For broader comparison content, see Save On Apixaban Cost.
Availability and Substitutions
Supply can vary by strength and manufacturer. If a specific package is unavailable, a prescriber may recommend a clinically appropriate alternative or different pack size. Listings reflect Eliquis Canadian pricing when stock is available. We do not guarantee restock dates, but we update availability as we receive changes from dispensing pharmacies.
Patient Suitability and Cost-Saving Tips
This medicine may suit adults who need oral anticoagulation and can adhere to a twice-daily schedule. It may not suit people with active bleeding, severe hypersensitivity to apixaban, or those with very high bleeding risk. Patients with significant renal or hepatic impairment require careful evaluation. If you have a history of frequent falls, ulcer disease, or recent bleeding, clinicians may weigh risks differently.
For budgeting, consider multi-month fills when appropriate, such as a 90-day supply. Refill reminders and calendar alerts help maintain continuity. Comparing options by dose can clarify value; Apixaban 2.5 mg price may differ from other strengths. Discuss generics and therapeutic alternatives with your clinician if cost is a barrier. You can store extra supply properly and plan ahead for travel or procedures.
Questions to Ask Your Clinician
- Which indication am I using this anticoagulant for?
- How long is therapy expected for my condition?
- What signs of bleeding should prompt urgent evaluation?
- Which medicines or supplements should I avoid while on apixaban?
- Do I need to pause therapy before dental work or surgery?
- Would a different oral anticoagulant be safer for my kidney or liver status?
- Can I use a 90-day supply to reduce pharmacy visits?
Authoritative Sources
Manufacturer Prescribing Information
Health Canada Drug Product Database
For broader education, see What Is Eliquis Used For and explore Heart Health Medications for related therapies.
Ready to proceed? Submit your prescription and place an order with US shipping from Canada and prompt shipping. Information on this page is educational and not a substitute for professional medical advice; always follow the official label and your prescriber’s directions.
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Is apixaban the same medicine as Eliquis?
Yes. Eliquis is the brand name for apixaban. Both refer to the same active ingredient, a direct factor Xa inhibitor used to prevent and treat blood clots in approved indications. The label, dosing schedules, and safety information are tied to the ingredient. Whether you receive brand or an authorized generic depends on the prescription and availability. Always confirm with your prescriber if a substitution is appropriate for your situation.
Can these tablets be crushed or given through a feeding tube?
According to published labeling, the tablets may be crushed and suspended in water or appropriate liquids and administered promptly, including via certain feeding tubes, when needed. Specific preparation and tube-flush instructions follow the official label and institutional protocols. If swallowing is difficult, your clinician should verify the method and timing for your indication and any co-medications to keep the therapy effective and safe.
Do I need routine blood tests while on this medicine?
Routine INR monitoring is not generally required with apixaban. Clinicians may order periodic checks of kidney and liver function, and they assess for bleeding or clotting symptoms during follow-up. Before any procedure or when new medications are added, inform your healthcare professional. If unusual bleeding occurs, contact your care team promptly. Monitoring needs can differ by indication and personal risk factors, so follow your prescriber’s plan.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember on the same day, then continue the regular twice-daily schedule. Do not double the next dose. If several doses were missed, contact your prescriber for guidance aligned to your indication and risk. Keeping a pill organizer and using reminders can help maintain adherence. Always refer to the official label for timing considerations around procedures or temporary interruptions.
Can I take this anticoagulant with NSAIDs or antiplatelets?
Caution is needed. NSAIDs, aspirin, and antiplatelet medicines can increase bleeding risk when used with apixaban. If such combinations are clinically necessary, clinicians monitor closely for bruising, nosebleeds, black stools, or other bleeding. Avoid adding over-the-counter pain relievers without discussing options with your healthcare professional. The official label lists interaction details, including CYP3A4 and P-glycoprotein inhibitors or inducers that can change apixaban levels.
How is apixaban different from warfarin?
Both reduce clot risk, but they work differently. Apixaban directly inhibits factor Xa and does not require routine INR testing, and it has fewer known food interactions. Warfarin inhibits vitamin K–dependent factors and requires INR monitoring and dietary consistency. Choice depends on indication, kidney function, bleeding risk, drug interactions, and patient preferences. Your prescriber will consider history of clotting or bleeding events and any planned procedures when selecting therapy.
Will I take it short term or long term?
Duration depends on the indication and clinical risk. After hip or knee replacement, therapy is often short term. For deep vein thrombosis or pulmonary embolism, treatment may be extended to lower the chance of recurrence. In nonvalvular atrial fibrillation, therapy is typically ongoing for stroke prevention. Your healthcare professional will outline a plan, including any pauses for procedures and reassessment intervals, based on the official label and your overall risk profile.
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