Hello, I have been on edoxaban for a couple of years now but today I received a call from my doctor's asking if I would consider changing to Rivaroxaban as a more cost effective option. I'm really not sure if this is a good idea. I seem OK on Edoxaban and don't want to cause any issues by changing. Has anyone else made this change please? Has it made a difference or side effects? Grateful for your thoughts!
Edoxaban to Rivaroxaban? : Hello, I... - Atrial Fibrillati...
Edoxaban to Rivaroxaban?


I have had just the opposite. My GP surgery wanted me to switch from Rivaroxaban to Edoxaban because it was cheaper to prescribe. I seem to recall others have been asked to switch to Edoxaban as a cheaper alternative no matter which DOAC we were prescribed.
I said I wasnt prepared to change and that was accepted. Challenge the suggestion if it is a concern for you.

Very odd since edoxaban has been the preferred option for most practises due to a better pricing structure. Seems back to front.
60mg Edoxaban (Daiichi Sankyo UK Ltd) are £49.00 for 28.
20mg Rivaroxaban (AAH) are £6.75 for 28. But other makes can even be slightly more than Edoxaban.
I changed from Edoxaban to Rivaroxaban just before Christmas, I was reluctant because I had it years ago after hip surgery and it really upset my stomach ,however at that time I wasn't aware you needed to take it with food .Have had no problems this time but the pharmacist did say they would change me back to Edoxaban if there were any issues.
My reply would have consisted of a very short sentence! Ending in off.I would only agree to change medication on MEDICAL grounds . If you are stable and settled, why should you change and run the risk of it not suiting you?
Pricing changes ,too. Would they then suggest you change back?
I was asked to switch from Edoxoban to Apixaban on cost grounds a year ago. I agreed … no side effects.
I have taken rivaroxaban for 5 years plus, no side effects that I can think of
You can simply say no- they can't force you to change.