surgery changing my anticoagulant

[Tilly1957]

UPDATE: spoke to prescription clerk at the surgery yesterday and she changed me back to Xarelto without batting an eyelid. She said it was an ‘outside agency’ handling it all and the surgery has no issues with patients not changing.

Hi, I have had a letter from surgery re changing from rivaroxaban to edoxaban. I spoke to the nurse who explained why etc (said it’s cheaper) However, I have checked the filler ingredients and edoxaban contains starch which I will react to, rivaroxaban doesn’t.

so where do I stand in saying I don’t want it changed? Do I have any rights? Or how do I find out? I have enough problems with fibromyalgia without it being aggravated by a poor predication choice by the surgery!

[jeanjeannie50]

I'd just explain to your surgery re your reaction to tablets containing starch and say you'd rather stay on rivaroxaban. I feel sure they'll let you.

[meadfoot]

I had the same call and have refused to change on the basis that I was well on Rivaroxaban and was uneilling to change. My EP backed me up on it.

[Mrsvemb]

Contact your surgery and explain the intolerance to starch. I have an intolerance to certain fillers and there is one in Edoxaban that I cannot tolerate. Hopefully, they will leave you on Rivaroxaban.

[Pita]

I had a call from drs surgery twice this year and I refused to change from Apixaban to Edoxaban. I asked them to put it on my notes not to ask again.

[reinaway]

I could not tolerate Edoxapan and changed to Apixaban which does not affect the stomach.

[Bunnyuk]

I had a similar letter. I phoned the number on my letter and explained I did not want to change. After some discussion it was agreed I'd stay on my present meds.

[Buffafly]

I believe there are issues with Rivaroxaban as well, maybe Apixaban?

[ozziebob]

Tilly,

Although others have explained how best to communicate effectively with your Surgery about this matter, the following article explains the "plan" to switch to Edoxaban ...

You will find the information empowering as you attempt to obtain what you need ...

pharmaceutical-journal.com/...

[colourblue]

There should be no problem requesting to stay on the medication that suits you. I too was asked to change, but as Apixaban seems to suit me I told them I don't want to risk changing. Sending best wishes for Christmas & the New Year.

[Tilly1957]

thank you, everyone, for all the replies. I will put a note in the surgery as they are closed now. I wasn’t able to ring after posting this, as I went down with covid and it knocked me out. Happy Christmas to you all x

[pusillanimous]

I' m not sure where you live, but if it's a cost issue, why can't you have the generic of rivaroxaban,? I live in South Africa and have recently changed to the generic which for Southern Africa is called iZarola - it costs my Medical Aid society at least a third less than the original, is made by Bayer, the box and details on the box are the same except for the name. The pill is identical except the foil it is in is slightly lighter. To all intents and purposes it is exactly the same tablet , made in the same German factory, but with a different name on the box !

[Tilly1957]

interesting. I have just done a quick web search and found no mention of this. There is no generic available yet in the U.K. - I think the patents end in 2024.. thankyou for your reply 🤗