For years I have taken Eliquis apixiban, 5mg twice a day, yesterday I collected my prescription, only opened it this morning & I have for the first time been given Teva apixiban, different brand, same dose.
Have to admit, feeling a little nervous taking a different brand as I have never had any problems with the Eliquis . Am I over thinking & worrying unnecessary?
It doesn’t help that I have also been given a higher dose of BP meds ( 10mg twice a day Lercanidipine), which is making me nervous.
Any thoughts anyone?
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sugaredalmonds
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I must admit that I had never heard of Teva Apixaban before I read your post. I will have to check that I have not been given it. I’m guessing it’s a cost-saving measure. Are there any known differences between Teva and Eliquis in terms of medical properties, safety etc..
To be honest I have no idea what brand of anything I get given. I merely fill my 7 day pill box each week and the rest wait in a cupboard. Then again I never read the "what if" sheets with the pills and never have any side effects.
Same here. As long as the generics have the required chemical ingredient I’m thankful that I can get it. Anyway, after 4 years no issues with whatever brand they given me. Thankfully.
Well you don't know how lucky you are Bob. I'm OK with most of my drugs but have terrible stomach problems with the BB Nebivolol that I take and put it down to the different fillers that the Manufacturers use. I can only tolerate certain brands.
I found similar issues when on Flecainide. The only one thT worked well for me was Accord. Yes I've changed my brand of Diltiazem twice and had no problems...
I always preferred the same brand too - until lockdown - when I received various brands, depending on supply. As the chemist delivers our drugs I felt it was safer to take what I was given than to risk COVID going to the chemist to 'sort it out'. I've had no problems with brand changing - including generics recently.
Hi , I have been taking Teva Apixaban for some time with no problems. I was told the previous suppliers of Apixaban became very expensive so it was a case of accept a new supplier or change to a different NOAC as happened to some people on here.
Apixaban is one Med I have no problems with switching brands with. At the moment I think it’s whatever brand is available - the generics are a lot cheaper than the brands normally.
Cost of Apixaban had biggest cost jump for NHS - quote:-
Apixaban was the drug with the highest costs of £430 million.
Apixaban 5mg tablets was the presentation with the largest increase in cost since 2021/22, with an absolute increase of £280 million.
My brand has recently changed from Eliquis as well and I’ve not noticed any difference-not even sure what the brand is now -can’t see Teva on the packet and the PIL has gone in the recycling (I have read previous versions 😂) - my current Apixaban is manufactured by Glenmark
I got changed from Elquis to Sandoz brand about 3 months ago and haven't noticed anything different. The key ingredients will be the same but sometimes it's the fillers that cause reactions. I have to have Sandoz for one of my eye drops as another brand caused an issue.
Glaucoma is damage to the optic nerve which can be caused by pressure building up but high pressure doesn't always lead to glaucoma. They keep an eye on me (no pun intended) just in case.The laser surgery is called a selective laser trabeculoplasty (SLT). It lasers away part of the mesh at the rear of the eye which is supposed to help with drainage. It works in some people but not with everyone. They also have no way of knowing who it will work for in advance . There's about a 65-70% chance of it working.
But I guess you will have an injection in your eye first.
Will the surgeon do one eye or two.
With Mum's catarrahs one eye at a time. At 90! I have been told that I have these developing as well.
The Government are going to change things to fund them.
Here in NZ no more prescription fee! It got to $5 each line. With Synthroid 2 x $5 as it comes in a 100 and 25 for me. However when I got to $100 free - no more prescription fee to pay.
Sad about the CAPSULE UNDER WATER USA MADE when NZ said NOT SAFE. A bit like the White Island ERUPTION when we NZders knew it was going blow sometime. Some flew there, hovered in the sky and flew back.
Now we have a PROPERTY AGENT missing now changed to a homocide.
What next after global heat over there and here wide spreading flooding. My house insurance rose $400. With no threat of flooding, earthquake or sunamni here on my property of 33 years! I used to be able to insure house and 2 vehicles under $1000.
Rates up EWD Earthquake and War Damage have risen within that price by $150.
The talk about lifting 15%GST off vegetables and fruit is appetising to my ear.
Changed car to automatic little 1.3L Sporty Yaris when my 99 Galant only owner was stolen and with its messed up ignition, AA wrote it off. Boo HOO.
Have your moan too. Our elections are coming up in October which I put my hand up for the last 5 times.
Generic tablets are all essentially identical, formulated and tested to the same pharmacopeial standards. What can also be said is that Teva is a large and well-respected pharmaceutical manufacturing company with a long and good reputation. I feel sure that you will not notice the change; indeed, it's not impossible both tablets originated in the same factory and were tested in the same laboratory since my experience of generic manufacturing is that it is a strange area of manufacturing and selling.
I got a rash on the side of my left foot. I was given the athlete's foot ointment.
It hurt applying it. I continued going through all the generic pharmac founded ointments.
It did not improve. Then I was told to ask a foot clitician.
She made a list.
One not funded by pharmac proved excellent. It cost me $25, it did not make the rash sore, it seemed to 'glad wrap' the area. Then eventually the whole area stripped off like a second skin.
Its never returned and I use it for athlete's foot which I can get once or twice a year.
But I'm told the main ingredient is the same.
It's magic.
cheri JOY. 74. (NZ)
The husband had athlete's foot and after a surgery to remove a cyst, I got into his gumboots with a bandage but I got caught out somehow.
What an interesting story, Joy. What cream are you using? We get Athlete's Foot now and again and always use something called terbinafine cream. I've never found anything that keeps it away, though. Sadly, I have ingrown toe nails and the fungus got into them - another difficult thing to remove. My toes would never win a beauty contest!
I agree Steve. I once had a position in a generic pharmaceutical manufacture looking after the retained batch samples. Many different brands are made on same production line. the packaging changes but tablets are all same. So you may have Teva, Accord, Kent, Milpharm, Mylan, Cresent etc all made on same day by one manufacturer. Check the PL number on packet. PL stands for product License Number if it's the same on different brands it is exactly the same.
I’ve had two different brands of Apixaban as well as eliquis. No problems at all. Some may as different “fillers” if so go back to doc and argue for original. As I have no problems I’m happy for the health service to save a little on an expensive medication
Morning sugaredalmonds, I don’t take Axipan but had the brand of 2 of my medications changed recently. Like you I was concerned as different brands use different fillers which potentially can cause problems for some people. I asked my GP to put the name of the brand on my prescription, which was done and no brand issues since. Worth a try if you are still concerned. Best wishes
It is no surprise that many doctors are having to find alternatives to drugs in an effort to reduce costs.
Apixaban is made solely by Pfizer and Bristol Myers who have just won an extension of 20 years to stop other manufacturers making this drug.
Apixaban slows down the livers ability to make the clotting factor Xa… other drugs from other manufacturers can do this equally as well but somehow everyone believe Pfizer is the best manufacturer… I beg to differ.. they just have a better marketing strategy.. tell people long enough you are the best and you get top dollar and the biggest share of the market.
This removes competition and keeps the price per tablet high.
Most drugs eventually lose their exclusivity and the method to produce gets released on the open market thereby reducing the price per tablet.
Pfizer are run by very clever marketers… it’s all about money… it always was.
For clarification Pfizer/BMS have retained sole rights to market apixiban in the US (but just for another three years) whereas they do not now have sole rights in Europe (i. e. the patents have expired effectively) hence the fact that Teva and others can now sell their own apixiban in the U.K.
Thanks I did realise that must of occurred because of these “other” brands… but felt more against the tactics used in initial marketing.. money seems to be more important than helping people live longer.
I have had many different brands of drugs with no adverse reactions. They change the brand name, but contents cannot be changed. Think about it, we would all be very ill if we were not getting the correct medication.
I think I've had five different brands so far, from my pharmacist. They seems to be shopping around for the cheapest/most available every time afresh. Teva is the most common one. I'm currently on Glenmark, but my next pack is Teva again.
I'm sure you would like the MAGNUM 3 PKT Non Dairy Almond's on a stick!
I picked another packet today.
I chose PRADAXA 110mg twice daily as it has an antidote.
There is always the risk of taking it twice or forgetting it.
Not sure why your Dr has put up your dose of BP meds. He should have discussed it with you. Honestly I would ? before changing your dosage in case wrong or different patient.
But its usual to be tested at every 3 month intervals . BP and H/R.
Drs would only up my meds so the Locum suggested a great private Heart Specialist. He introduced CCB Calcium Channel blocker which took my H/R down 105 bpm in 2 hours! It was 1/2 dose.
So working with Diltiazem CCB and BB Bisoprolol with Healthline and NZ Heart Foundation I arrived at
120mg Diltiazem AM and 2.5mg (reduced from 10mg) Bisoprolol PM BBs weren't controlling my H/Rate.
I manage my Health and with information and ?s answered by Dr/Specialist I have
got to a place of control and improvement.
After 1 year on CCH my H/R tumbled some more - it could be 3-5kg weight loss of
126/69. 62 climbing to 69 H/R Day.
I only just controlled enough to undergo my operation last March 2022 to remove Johnson & J Sling Kit. It was 88-96.
I ended up with 2 anaesthetists in the room.
What is your BP and H/R? Have you had a 24-monitor on the meds you are on previously.
In 2021 I had 3 x heart 24 hr monitors with existing then on each change e.g. Metoprolol, then Bisoprolol and lastly Diltiazem with a lesser dosage of Bisoprolol.
It is important to check on how your heart is coping with changes.
Simply putting up meds doesn't always solve the problem.
Take care and try those choco non dairy almond icecream on a stick - surprise yourself.
I felt like you so asked my GP if I could have Eliquis as I had taken it for over 8 years with no problems and this is now specified on my prescription.
hi, I take 6 pills for different conditions and over the years the brand name and packaging changes frequently. Pharmacists say drug is the same, but there can be a change in the transporter used to get the drug into your body, this may cause a short term side effect such as feeling giddy or sick but it usually only lasts for about a wk until your body gets used to something new.
Hi, Over the last few months have had 3 different makes of apixiban.No problems at all. I assume rightly or wrongly they all have the same ingredients.it's just that the original licence has expired so any pharmaceutical company can now make them.
Hello as a precaution its a good idea to have your information at the drugstore inidcate the brand of medicine you take, because it can make a difference. It happened to me, with something and a change made me severely dizzy- I couldnt take it.
There’s been a few posts about this in the last few months, I read somewhere that other manufacturers were not allowed to sell the generic versions before a change in the licence or patent that happened about 6 months or so ago, prior to that lots of GPs were trying to get patients to change to a completely different drug to save cost of branded apixaban. I’ve only had Teva and Sandoz in the last 6 months and can’t say I notice the difference. I’m happy to have the generic versions rather than change to a different drug all together.
Do a search on this site for “apixaban change” and you should find plenty of posts and replies to put your mind at rest.
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