Inadvertently taken another Apixaban

[Myflowers2]

Took my usual two doses of Apixaban 12 hours apart. Went to take my other pills before I went to bed and mistakenly took another Apixaban only 3 hours after my last one. Has anyone else done this ? Did ring 111 but they didn't ring back .

[BenHall1]

I don't use that medication, only Warfarin. Have you checked the paper in the packet and see what it says. Generally, these bits of paper give a lot of do's and don'ts.

[Myflowers2 in reply to BenHall1]

Thank you

[Paulbounce]

Hi Myflower.

I have done this myself with an anticoagulant. Personally, I didn't experience any side effects,

The half-life of Apixaban is about 12 hours so there shouldn't be any problems after that. I think you'll be fine but contact 111 again if you have any concerns. Take extra care not to cut yourself today as it might take longer for the bleeding to subside.

Paul

[Myflowers2 in reply to Paulbounce]

Thank you

[LordGabriel]

Yeah been there! I called 111. They said it was ok. I missed the next dose and then carried on as normal. That was Apixaban.

[Myflowers2 in reply to LordGabriel]

Thank you.it is a worry isn't.

[LordGabriel in reply to Myflowers2]

Yes and I was using the pill boxes !

[MrGC314 in reply to Myflowers2]

I've made some blunders myelf - missing a dose, taking a 2nd dose too soon, etc, and I even have a daily pill box. I just get myself back on track and I have never suffered any side effects. Of course we all are different but I don't think you have any worries.

Be well - -

[CDreamer]

Yes, I’ve done that, like the others, nothing bad happened.

[Myflowers2 in reply to CDreamer]

Thank you

[Buzby62]

Hi, here is a link to your previous post, I think all the answers are on there for you

healthunlocked.com/afassoci...

Best wishes

[opal11uk]

Agree with everyone else.

[MoyB]

I'm glad you've had some helpful answers. Mine is just to say I do the same regularly with the variety of tablets I take several times a day, including Apixaban.

I always set up 14 days worth in my dosette box and each morning I put them out in boxes for daily requirements. I take my early morning one, then 4, including Apixaban, go in an egg cup to have BEFORE my breakfast - but I rarely remember to take them before eating!!! Then I have three to take two hours after food and one hour before eating again so they go in a little screw top pot to go in my handbag if I'm going out, or they sit on the worktop otherwise. My next lot are taken BEFORE dinner - well, may be before, may be after or may be about nine o'clock when I remember I've forgotten them! That actually works better for the Apixaban but not quite as good for the other 4. And then there's the bed time lot - another three. I also take a morning inhaler and twice a day nasal spray.

On top of this, I'm supposed to take Gaviscon Advance four times a day - after meals and before bed - which is why it's important to take my pills before the meal so they are down in my stomach before the Gaviscon onslaught.

I miss as many Gaviscon doses as I take and have been referred back to the gastroenterologist to see if they can advise something else for the reflux that may be less of a fag to take.

So seeing your post heading today gave me a certain amount of relief. 'Look,' I said to my husband, 'I'm not the only one who's doing it!' This was an important announcement as yesterday I couldn't recall if I'd actually taken my inhaler or not and so took it again, only then remembering that I had taken it!

The pill taking becomes so automatic that half the time we don't know what we've taken and what we haven't, do we? It's so easy to get it wrong, even with all the gizmos and alarms etc.

My husband suggested a tick chart. Well, that would work if I remembered to tick it, but if I can't remember whether or not I've taken the inhaler, how on earth would I remember whether or not I'd put a tick in a box?

Well, like you, I've had a diddly squat response from 111 in the past about the mis-timed meds and I'm still here to tell the tale, so I guess there must be a margin of error - I hope so, anyway.

As I said, I'm glad you received some helpful and reassuring advice. This is a good place to come for support!

xx Moy

[Karendeena in reply to MoyB]

Hi Moy, my mum used to take tablets at different times and so when in hospital I sought advice as they seem to give the morning ones all at the same time before breakfast. The answer....it doesn't matter much it's just some work better on an empty stomach.Would you be better buying a Tabtime tablet dispenser? I did and it was the best thing I ever invested in for mum. You can load it with tablets to be taken up to 4 times daily and this clever little machine moves round at the appropriate time and sends out an alarm until you tip the tablets out, very clever. Not cheap but brilliant and stops you forgetting

[MoyB in reply to Karendeena]

Good advice. I'll look into the Tabtime and see if it would work for me. The difficult ones are the three mid morning as they really do have to be taken two hours after food and one hour before eating. Sometimes I move them to the afternoon if I want to go for a cuppa and cake with friends in the morning.

If my mealtimes were always the same it would help, but 1st tab has to be taken 1hour before breakfast and if I sleep a bit later, everything else has to move on too. It's a right pain trying to fit it all in.

I love the afternoons now as no longer have to take something at 3.00pm!

Thanks for your suggestjon. If I can get it to work for most of the tabs, it will help.

Xx Moy

[quiltergran in reply to Karendeena]

hello my name is Elaine Hearne and I'm wondering if. you were the one wh had a ablation at Glenfield with Professor Ng. I am due a ablate and pace at Glenfield, and am wondering about your experience.

[Karendeena in reply to quiltergran]

Hi there, yes I am. I am under Prof Ng. Glenfield hospital and it's consultants are outstanding. This hospital is one of the best heart hospitals in the UK with consultants that converse internationally. Prof Ng is the President of the British Cardiovascular Society.

I was looked after very well at Glenfield, all of the nursing staff and doctors were excellent. I was very afraid going into the cath lab and a nurse sat with me and comforted me giving me the confidence to go ahead.

Everything went to plan and I was kept in overnight. The attention and monitoring were equally excellent, I never felt neglected.

Even going down for the procedure I was well cared for, stopping at a point to receive a warm blanket.

You will be fine at Glenfield I am absolutely sure if that. Please keep me updated and ask any questions.

Who is your consultant? ❤️

[quiltergran in reply to Karendeena]

hello thanks for your reply, that was very reassuring I am under professor NG, but in all the years that I have been going to Glenfield, I have never seen him. I am scheduled to have a Ablate and Pace, I started having AF about 30 years ago, and the episodes were getting bad, to the point where I was passing out, 4 years ago I had a bad episode and admitted to Glenfield, where they said I needed a pacemaker. I am at the end of the road as regards medication, so my only option is for a AV node ablation. I have white coat syndrome and last time I went my bp was 175!!What kind of procedure did you have? Do you live in Leicestershire, I am in Mountsorrel.

[Karendeena in reply to quiltergran]

Hi, I am staying with my partner in Wigston at the moment. I am originally from a little village called Blackfordby near Ashby, that's where my house is and my mum still lives there.Crikey, was that your heart rate up to 175:BPM or blood pressure? My heart rate used to go to this and my episodes lasted 36 hours! Meds just didn't keep it under control so I had a catheter ablation for afib and flutter in March this year, Professor Ng performed it.

I think it is getting increasingly difficult to see the Prof if I'm honest. I found him through an article in the Sunday Times where he was talking about ablations and pioneering treatments. I was under a cardiologist at Burton-on-Trent at the time. I thought the only way to actually get in front of him was to pay privately which I did. It cost me £225 I think at the time that was 4 years ago. I saw him at the Spires in Oadby and I continue to see him this way every 4 to 6 months atm at a cost of £180. It was easier for me as I was working but now I have retired so feeling the pinch a bit. He did put me on the NHS waiting list for the ablation though and I waited 16 months. I have recently had a 24 hour holter monitor which he also arranged through the NHS.

I said I wasn't going to have an ablation unless he did it and I told him this. Seems it worked. I do believe the day he works on procedures are Tuesdays unless this has changed. I think the more he gets involved with research and teaching both locally and internationally is encroaching on his time and he does less of the procedures himself. I don't know what will happen next when I see him in December. So far 🤞the ablation has worked.

Have you had an ablation previously? Why have you got to have the pace and ablate?

[quiltergran in reply to Karendeena]

hi me again. Thanks for your reply. It's my blood pressure that goes up to around 170 I have a fear of hospitals.When I was in Atrial fibrillation my pulse could be around140 -150. My problem started when we were living in Cairo Egypt, my husband is a railway consultant, and they were extending the metro. I started to have ectopics and saw a heart doctor there, but as he didn't have much English, and my Egyptian was limited, as the company paid for health care, I came home and saw Dr Skehan at the then Bupa, he has since been retired. He did an angiogram and discovered this AV node problem, it is the node that gives the signal for the bottom chambers, but it can be erratic, hence Atrial Fibrillation. I had the Pacemaker put in 4 years ago, after having episodes of passing out, but it stops me passing out but doesn't stop the bad rhythm. The AV node will be ablated, then I will be in total pacemaker control.My great niece was in her early 20's but had bad episodes of SVT her pulse could reach over 200. She had an ablation at Southampton and is much better now. Best wishes Elaine.

[TillyBoss]

I took 2 within an hour of each other no problem

[Tapanac]

no worries. Have done the same. You will probably have had nearly 12 hours (their lifespan) between taking the extra one at night until next morning.

[Kendalghost]

I did this and was told to be careful over the next 24 hours......not to cut myself, bruise myself etc and if I did to contact them again. It was a good reason to put my feet up and read a book!

[kitttycat]

hello, these comments were all very interesting, I have been wondering about this, as there has been the odd time, I forgot if I had taken it or not, Good luck to you