Eliquis and hip replacement surgery.

[C66t]

Hi to all,Im due hip op Oct 14th all going to plan! Surgeon said stop Eliquis 3 days before op he didn't clarify when to resume, my q is for other 'hippies" is bridging given? Im nervous of being off Eliquis for poss 5/6 days. I had apt for an other issue last week and that consultant said stopping Eliquis is a prob due to risk of stroke, she said that twice,just in case I wasn't worried enough. Ive had gb op and appendix op plus 3 ablations no prob tg. Id love to hear your experiences. Thanks. Carole.🥰

[Jalia]

I had hip replacement in February and was bridged with Fragmin. Dont worry, they will make sure you are adequately covered!

Good luck with the operation!

[C66t in reply to Jalia]

Thank you Jalia, when I met with the surgeon he said no need to bridge that stunned me somewhat to say the least.😀

[Jalia in reply to C66t]

I should have looked into this further before replying......apparently the DOAC s soch as Eliquis do not normally require bridging as they are shorter acting than Warfarin which i take. So there is your answer! No need to worry ! If you are still concerned why not have a further word with the consultant, maybe via his secretary ?

[C66t in reply to Jalia]

thank you so much.

[Physalis]

When I had my hip operation in June I had to stop for some time before. Afterwards I was on a half dose of Apixaban for about ten days.

[C66t in reply to Physalis]

thank you.I hope you are doing great with yiur recovery.

[Physalis in reply to C66t]

Yes, it's all gone very well. The surgeon rang and he wants to do the other one. I expect that won't be until next summer.

[Hidden]

deep breath. You may be put on a different anticoagulant immediately after the surgery (they all have different advantages different clinical scenario) and you will be advised when to resume eliquis- good luck with the hip op! Anticoagulants have been a necessary part of all orthopaedic ops for ages. If worries just keep asking!

[Auriculaire]

No need to worry. I stopped Eliquis 3 days before mt last hip op and for one day after I had an injection of Lovenox then restarted the Eliquis. The stopping is essential otherwise you will bleed too much during the op impairing the surgeon. Hope you recover well from the surgery .

[C66t in reply to Auriculaire]

thank you so much that is very reassuring.🥰

[C66t in reply to Auriculaire]

can I ask which type of op and what sedation/general anaesthetic/epidural you had. I have a holy horror of spinal/epidural. Thanks.😃

[Auriculaire in reply to C66t]

I'm not sure what type of op- the scar is down the side. I was given the choice of general or local anaesthetic and chose a general. I had my op in France where I live.

[C66t in reply to Auriculaire]

thank you. My preference is for general but acc to surgeon you have much more pain post op compared with epidural/block. Im muddled from all the info. 🥰💐

[Auriculaire in reply to C66t]

I have had both hips done with a GA. I did not have much pain at all for either.

[ibuputih]

I had a total knee replacement in the heady days before I realised and was diagnosed with AF.

I, like you, was scared witless about having a block with my GA. Evidently it means that they can use far less GA - in fact just enough to keep you under. It worked brilliantly and the catheter that I was also dreading was my best friend for 24 hrs! They gave me Fragmin and I had to self inject for 14 days as part of the procedure.

Can’t help with the other stuff but a block, although a weird sensation, works like a charm.

All best with the op.

[C66t in reply to ibuputih]

thank you.😃

[momist]

The Eliquis simply _reduces_ the likelihood of a stroke, which is an ever present threat to everyone, but with increased risk for us with AF. Understanding of risk is a subject that many struggle with, Dr. Sanjay Gupta of York Cardiology has a very good YouTube video about it, but that seems hard to find now.

Anyway, while you are in the care of the hospital and not taking the anticoagulant, they are happy to tolerate the risk, so therefore you should be too. It really isn't a significant chance that a clot will suddenly appear during the brief period you are not taking it.

Found it: youtube.com/watch?v=-M2vA4n...(Not working as expected?)

[RoyMacDonald in reply to momist]

"Anyway, while you are in the care of the hospital and not taking the anticoagulant, they are happy to tolerate the risk, so therefore you should be too. It really isn't a significant chance that a clot will suddenly appear during the brief period you are not taking it."

How can you say that? A stroke is devastating and you can never get back the piece of brain that you lose. I understand exactly why the poster is worried. I would not have the hip replacement if I wasn't going to have protection at a time when I was more likely to have a stroke due to stress making my AF worse so a stroke more likely.

All the best Roy

[Auriculaire in reply to RoyMacDonald]

Believe me - the stress of living in pain for months on end , not being able to walk properly or sit down without crying out is far worse for the afib. Mine went up infrequency a lot.

[C66t in reply to momist]

you are so thoughtful thanks.😀

[Beeflower]

Hi carol I had a knee replacement last year I had to come off the same blood thinners, but straight after op I was back on them so don’t worry all was well

[C66t in reply to Beeflower]

thank you.😃