Good morning forum. While waiting for a second cardioversion the medics have decided to change my anticoagulant from Adoxaban to Apixaban (the low dose Adoxaban I was on until this morning could be a bit borderline if I put on just a pound or two weight). A bit fed up as this delays the cardioversion for a few weeks.
So I’m just wondering if there’s anything I should know about Apixaban and the difference between this and Adoxaban in peoples experience. I believe they work in pretty much the same way, so I doubt there’s a lot of difference, but it would still be good to know in advance what to expect.
Thank you, Jo
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Rainfern
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Edoxaban is the newest of the DOACs and is being widely used due to supposedly being cheaper. Apixaban is generally considered by most doctors to be the safest of the bunch.
Sorry but I do not understand what you mean by marginal if you put on weight? DOACS have no testing like warfarin.
Edoxaban dose is linked to body weight more than other factors. I would have to double the dose if I put on just a couple of pounds, and they don’t trust me to stay within my limits! Too much strawberries and cream around this time of year I guess.
I was to be switched to edoxaban, the lower dose as I am of slight build. I read that it was good regarding lower chance of bleeding but the lower dose was not as good on the stroke prevention front. After a visit with my GP last week I am not changing to edoxaban.
After a bout of flu in January that nearly finished me off I lost so much weight my dose of Edoxaban was lowered. My pharmacist has said I need to be over 60kg to go back up. I've been on Edoxaban since a stroke in December 2019, no issues with the drug whatever. HTH
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