AF Association
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Missed apixiban dose ???

I am absolutely gutted, for the first time in 2 and a half years I forgot to take my meds at 8 pm last night. I have pill boxes, alarms on my phone, but also a guest house and one particular guest feels the need to pay at 8 pm ish and then proceed to chat for an hour , by mistake instead of snoozing alarm I stopped it. I've taken it again at 8 a.m this morning.

The biggest problem is that my second ablation is two weeks today at Bournemouth on 8 th Feb. has anyone else done this. I will ring Arrythmia nurses after 9 when I reckon they get there.

Thanks for any advice

Sharon

X

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Sharon, try not to worry, this question has been raised several times at our support group meetings and every speaker has said the same, “don’t worry” and no one has suffered any lasting effects. I’m sure your arrhythmia nurse will say much the same, if she doesn’t, please let us know.....don’t expect another post from you in 15 mins!!

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I’ve missed a few times despite pill box

The good thing is that Apixaban doesn’t take long to have effect.

I think it matters if you are put on it just before cardioversipn but if you’ve been taking it for so long you’ll have had half life amount still in your system

Do let us know your clinicians say please

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Hi Roony :-) I think worrying about it may do more harm than the missed dose. You have got two weeks before your procedure, I can't see why one missed dose would affect that.

I had the sickness bug just before Christmas and missed 3 doses of Apixaban and my beta blockers and was really worried but there seemed to be no ill effects .

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I’ve done it too - a jolt to see the tabs still there the next morning - but I had no after effects or problems. Remember that people stop some meds for surgical procedures without harm, so try not to worry.

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Sorry ladies and gents I'm not worried about the missed dose , I've lived most of my life on the edge as far as af ( and probably a few other things too ) no anti coagulation throughout lots of paroxysmal episodes , starting at approx 11 year old up until my mid twenties when they became more severe ( I used to just lie down until it passed , so I didn't fall down ) I stopped night shift ( seemed worse early hours of morning when fighting to stay awake ) and cardiologist in the early 90's just said if it doesn't interfere too much with your daily life then basically get on with it, if it does we can put you on medication. So I spend the next 20 years just saying occasionally to friends I'm having one of my funny turns, ( I'm not one for doctors, well at least not then, I've had my fill in the last 2 years. ) Small heart attack in oct 2015 was my saving grace I reckon, two years of breathlessness was now explained as persistent af.

My concern is cancellation of my ablation in two weeks and having to wait months again, a bed and breakfast is hard to run at the best of times, but when I'm out of sync as I put it it's even harder, not every disability has a visibility, and we are at the mercy of trip advisor which doesn't help. The general public are wonderful but some are not. If there is an ideal time for me to take it easier it's February, not August like the last one, thankful for good friends, family and partner all pulling together.

So fingers crossed for no cancellation...........

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I knew what your concerns were Roony and with 2 weeks to go, I’m sure anticoagulation will not be a problem. Have you heard from the hospital yet?

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Thankyou flapjack, I rung and spoke to Arrythmia nurses secretary at 9.15 a.m and am still waiting for someone to call back . Maybe my consultant is off , I could kick myself , I’ll be sooo cheesed off if I have to wait months. I was hoping that because I’ve been on it two years and five months with no missed dose that they’ll still go ahead with it , I’ll let you know ..........

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Hi

You will be fine don’t worry

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Feel for you Sharon - how gutting to miss a dose so close to your ablation, especially in your circumstances.

I’m hoping you’ve had good news from the hospital by now about being able to go ahead. Certainly I’ve seen at least one post where someone was similarly worried, but their EP was happy to do the ablation, saying that missing just the one dose was not a problem. (And Flapjack’s always a good authority on stuff, in my experience!)

Fingers crossed - do let us know x

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Like you, I have the pill box, reminders, and an Excel file where I record my dose. But, amazingly, I can still get it wrong.

I miss my dose of Apixaban nearly once a month. I'm no medic, but as it has a half-life of just 12 hours, it must also get back into your system very quickly. So I just take my next dose on time, or early, then the next one on time. I would have doubted it make much difference at all.

What I worry about more it taking a double dose. Never done it, yet!

Koll

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It is always the evening dose that causes me problems too. Strangely, my Bisoprolol and other meds I take are labelled with 'days of the week', but not the Eliquis (Apixaban). And of course, this is the only one I take twice a day. I label the foil pack myself with a marker pen, but even so that only confirms the error when I miss one.

I have an alarm on my phone, and that helps, but I'm thinking that a silent alarm on my Fitbit for ten minutes later might just be a solution to this, as a reminder that I should have taken it by now!

Roony39 I hope this hiccup doesn't have any consequences for you, and look forward to hearing so.

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I always brush my teeth morning and night and should I have forgotten my meds at 8pm (even though they are in a special daily dose box ) a big 'A' written on a plaster on my toothpaste reminds me :-)

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Have done in the past _ i now get my tabs for the next day sorted before going to bed at night so I can check that none are left in the pill box - works for me.

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Hi Sharon,

I wouldn't worry too much about the missed dose. I missed one or two before my second ablation operation with zero ill effects. You may have to wait a couple of weeks extra before the 2nd ablation, just to be safe, and the specialist may schedule another scan of your heart to check for clots.

In he end I came out of my second ablation with flying colours nearly Two years ago and feel great!

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Hi Roony!

Not to worry about the missed doze, as you can see we all have done it. I also have been living with afib almost 20 years. It seems to be hard to get get rid of. Last four years I had two ablations, but unfortunatelye no help. Now taking 2.5 mg bisoprololand 3x150mg Rythmol. Had a pacemaker put in few weeks ago, so I can take these drugs, since after my last cryoablation my heart would be slow and pausing when in afib. The pacemaker seems to keep the rate fast enough, but ofcourse it does not help with afibs, they still come. I read somewhere, that if you have had a fib for a long time, it's harder to fix. In my case it seems to be so. BUT we are all different! I wish you all the best.

Flimmeri

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One time I wasn't using my pill box and come time to go to bed I could not remember If I took my Eliquis .So rather than take two ,had I did take one, I didn't take any .I figure you really don't want to take two If your only suppose to take one . Also a long time ago a nurse told me your meds stay in your blood stream for 24 hrs when I forgot my B.P. pill one day . Also they told me to take my blood thinner the morning of my stent implant and that during the procedure they were going to give me more blood thinner . Needless to say my entry site took awhile to stop bleeding but they said they had to give me more to prevent clots . Now I am in the U.S. and I know things are sometimes different here than there . On some things the us is behind on medical things . Why that is ,I'm not sure . The American Medical association probably has to do with it .Every thing has to go through this gov. org. first and be approved .

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Hi Roony 39 flip it I understand your concerns abkation in 2weeks I made the same mistake missed 1dose 1O days pre cardioversion date I rang consultant's secretary got repremanded!! And told if I missed a dose again that would delay procedure for 6weeks. That put manners on me as I just wanted to have it over. I feel these rules are there for our safety so def ring and explain it is not worth risking your safety. Best of luck with ablation.let us know how you get on.

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Thank you all for your replies, I'm not ignoring you all but wanted to tell you what the powers that be had decided......... I ve waited all of Thursday and Friday for the phone call back from Bournemouth and haven't heard a thing. I will ring them Monday afternoon if I haven't heard by then and let you know.......... drum roll......☺️

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