Eliquis (apixaban). Basics about this medicine, its use, effectiveness, and side effects.
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- Опубликовано: 24 авг 2019
- This video is about Eliquis, a commonly used anticoagulant medicine. The generic name for this is apixaban. Most people with atrial fibrillation have a high chance for stroke, and Eliquis decreases the chance of that happening by a lot. In this video I talk about how I use Eliquis in my Cardiology Practice. Visit my website CardioGauge.com for a personalized assessment of your heart health.
As a younger nurse, I really appreciate it when people recall previous mainstays and exactly what benefits the newer drug was able to bring to the table. My knowledge on how we managed things 10-20 years ago vs how we manage them today is pretty limmitted, so thanks for adding that to the awesome summary.
Good post 👍🏽. I was recently prescribed apixaban so researched and found there is an antidote now. 👏
Good to see you again. And good discussion!
Thanks Bart!!
Thanks for your time and info.Gobless you and thank you again 👍🔥
Thank you made this very easy to understand recently had a blood clot in my leg that I thought was a sore muscle! Been a little confused about this medication especially ially worried about the side effect of bleeding more easily your video made it perfectly easy to understand and at least made me feel a little bit less worried too thank you. Also if insurance doesn't cover this this drug is insanely expensive and that's a real real shame there shouldn't be a price on something people may desperately need thats a real tragedy
Has your clot cleared up yet ,if so how long did it take. Im on Eliquis too ,day 4 so far ,same as you started with a pain walking in my calf ,its moved above my knee and lower leg swollen. All the best with your recovery :).
Thanks for the info! the sponsor message was hilarious!
Thanks Roxann!
Simple and easy to understand. I am a cardiac patient. Can I move from Acitrom to Eliquis as a safer blood thinning option? Please let me know.
Great clear info doctor ty.
Thank you my friend....thank you
Thank u for this information doctor
Very helpful.
Possibly need to take for 45 days for large Superficial blood clot (due to inactivity following two consecutive injuries). I've been terrified & have had massive full blown panic attacks over probably having to take this-- the potential side effects seem terrifying! This is the first real medical issue I've ever had in my 47 years, I'm the type who just doesn't take meds or pills of any kind. But after seeing this video, I admit I feel a little bit better.
Same here!
Thanks for the info.
You’re welcome M.H.
The biggest side effect of Eliquis is bankruptcy.
A simple internet search yielded that we have to wait another 6 years for a generic.. 😡🤬
"Eliquis, which blocks generic rivals from carving out a share of the market for at least six years."
www.biospace.com/article/with-court-win-bms-and-pfizer-stave-off-generic-challengers-to-eliquis-for-now/
@@Hmongboi228 I see what you mean. I think the courts are wrong since this is basically a humanitarian issue. Poor people will simply die. It's all about money... not life.
My husband received a discount from the company after contacting them. Income is a factor.
@@polkcellar I tried that, but was denied.. even tho my only income is social security. But I did something even better. I had a "watchman" procedure done a couple of months ago and now I am totally off of Eliquis. Check it out.
Well, unfortunately, insurance companies are idiots and all they care about is the cost of the drugs rather than the whole cost of preventing strokes and not having to do PTINR to check your blood monthly or more frequently. Insurance companies are idiots because they don’t care about the total cost of care. All they see is the drug cost.
Hi @CardioGuage , I have two questions to ask and here are the questions:
Question 1: One of my friends have protein s deficiency and he had 14% in the test. Docter prescribed for apixaban 5mg a day. Should he use that medication or any other alternative.
Question 2: Can we use krill oil capsules with apixaban.
Hopping you will reply soon. Thanks in advance.
I am in Australia. I pay $AU 8.00 per script for a month supply. We have a great health care system in this country! Some drugs are heavily subsidized and only very few are not
Thanks so much
Thank you for not being sponsored!!
Thanks for information. I just started
Did everything go well?
I just started taking it last week so far I’m doing good I pray it continues until this blood goes away in my heart
FYI my neighbor was on Eliquis and b/c there was no antidote in our city he was air lifted to L.A. He died (bled out) alone. Andexxa, the antidote was only in the Metro areas. When you are bleeding, it is an emergency. This drug is questionable for long term use without the approved antidote available. Are you paying attention?
My sister died 4 months ago because she bled out while on Eliquis. Their website says to check with your health care team to see which hospitals stock Andexxa. If you are in a serious car crash, and life threatening bleeding is happening, you will be taken to the nearest hospital. You may not be in any shape to "request" to go to a hospital that stocks Andexxa. My sister was taken to a large San Antonio hospital, that did not have Andexxa. She died from Hematomesis and hypovolemic shock.
I've been on this med for years,never had an issue
Thank you for sharing your expertise. 🙂🙏 When you say I can eat whatever I want on Eliquis. Does this also mean things like ginseng, fish oil and garlic? I'm on 2.5mg for preventing DVT. (I had a DVT last year with no explaination to why.)
You should research The hell out of it and know what it does to your body before you use it.
@@luciustate4386 bruh THERE IS NO results on what we can and can't eat only. Grapefruit alcohol and kale and ginger and turmeric
@@sophiesquishy5700 I'm not sure what you are talking about..
My husband started the Carnivore Diet on the 8th March 2023 - he's lowered his blood pressure from 145+/90+ to low - 110/60 so is hoping to get off his BP medication and hopefully, can be off Apixaban as well. Get yourself on a proper human diet and ditch the drugs.
how long was your husband on Eliquis? I took it for awhile only because I was researching other methods and eventually settled on nattokinase,serrepeptase and lumbrokinase. I've been off it for awhile without telling anyone. I'm a young guy, but almost died of blood clots earlier this year. I eat high quality animal proteins and fats as well.
@@mwhite4764 He had a blood clot in his calf in 2019 and was on them since then - of course, the doctors never review. He's a fit 72 year old He's been off both for around a week and his numbers are still low. He's taking natto at 6,000 FUs one day and 2,000FUs the next day hoping to bring the numbers up a little. I've read good things on Dr Mercola about serrepeptase. He's also had a flaky, itchy scalp for decades despite trying lots of topical, natural preparations, shampoos, eating more Omega 3s etc. It's 95% clear. I wish you well. You are eating the right diet for healing.
@@justinerogers1353 Thank you. I hope your husband can find a solution he's comfortable with to ditch the toxic pharma poisons. Has he had any side effects? I can't imagine what it would be like taking it for that long.
@@mwhite4764 So far so good without either Apixaban or Lercanidipine (as it is called in the UK) and has lost 12 pounds as well. I should say he's done this without consulting a doctor as they would find any excuse to keep him on them. A friend went to see his doctor this week - despite weeks of low BP readings he'd recorded at home - the doctor was only concerned with the 'high' reading in the surgery and told him to start taking his BP meds again !
@@justinerogers1353 Yeah another reason why not to go see a doctor...they are all clueless spending enough time around them during my hospital stay of over 3 weeks...glad to hear he's doing well. Starting to eat an animal based diet years ago has really turned around a number of things for me.
I'm taking Eliquis and wondering if it is safe to go surfing? There are chances of getting hit by the board or hitting a rock but I have not had it happen bad ever. I was on Eliquis and had IV's in both arms for an ER Afib trip and didn't get any real bruising at the IV sites, so I'm not a super bleeder.....any opinions?
Is it temporary to be on blood thinners?
I just got prescribed this after a "chronic blood clot" from saphenous leg vein ablation treatment. Would love any advice. Doctor sent me home with the 3 month prescription and was very vague.
Hi Doc: Look forward to your new videos! I have a question: regarding Plavix, I was wondering what the most common side effects are that you have noticed? I had two stints put in a month ago and my cardiologist has me on 75 mg of Plavix to prevent the stent from clotting. Also, I am taking 40 mg of Lipitor. Of course, I am unhappy about taking this although I have not had any noticeable side effects. I am a 54-year old otherwise healthy man who has been a vegan for 6 years (Dean Ornish diet). I have a genetic variant that causes Lp(a) to be HIGH no matter what I eat. I assume that this is why I had these blockages in my right coronary artery as it couldn't possibly be diet-related. I think he wants me to stay on Plavix for 6 months. Any thoughts/recommendations? I really love your channel and respect you a lot. Thanks!
Hello again John! The most common Plavix side effects are rash / itching, and easy bleeding. I haven't seen other side effects although pretty much anything could occur. Standard duration of Plavix is 6 months to 3 years, or even indefinitely depending on the situation.
@@CardioGauge thanks Doc! Please make more videos!!!
Did the rash go away or get worse? I'm on dialysis dose of being down foot swelling? I've only taken one pill jest to put of the hospital today
@@CardioGauge is it eliquis better than warfarin.
I started Apixaban for an unprovoked upper extremity DVT.
About 3 weeks in I began having gout attacks 1x every 2 weeks, no prior hx of gout.
How are you doing now?
@@barabas688 I'm doing ok.
No gout attacks since my doctor prescribed me allopurinol.
That combined with a focus on water intake and potassium citrate is keeping the gouty arthritis minimal. It's not zero, but isn't really noticable except a few days a month or if I'm very active.
Hi doctor, my father in-law’s cardiac doctor suggested his to take 2.5 mg eliquise for his atrial fibrillation. The thing is he just recovered from haemorrhage without surgery. So it is ok to take eliquise . I am but worry about brain bleeding again though doctor said that his heart has so many complications and he has to take . I also have talk with our neuro doctor but he said cardiac dr knows what he is giving .
My friends mother suffered massive hemorrhagic stroke under eliquis! Was devastating ... hes suing BIGTIME!
So I can eat grapefruit on eliquis?
Doctor. My dad has a second heart attack of the LAD with restenosis. His Ef is 55% and doctor put him on eliquis and plavix together as they saw a small apical thrombus. Is plavix with eliquis safe? They want to keep him on this for a month and assess again. He has tolerated plavix and aspirin well in the past. What is the chance of a major bleed? Really worried. Any help will be beneficial.
I have been on it 2 years no problems at all. I have to take it for life due to protein c deficiency. Hopefully there’s a cure soon !
My wife too for life
I use to chop up 2 cloves of garlic a day and swallow with water.. Would that be dangerous when on eliquis? How about 2 teaspoons of apple cider vinegar in 8 oz of water? I also heard green tea was a bad idea.. All things i use to enjoy for health benefits
I had an AFIB act 1 year ago after taking a large dropper of "NO NAME" CBD oil, that I had never done before. This has never happened to me before. I have found taking Eliquis and my usual drinking has had no effect, yet taking Dedhenhydramamine inflamed my liver to extreme pain. I stopped the Dedhenhydramamine antihistamine and the problem diapered. (Overnight:) My PCP says, "A heartbeat @ 130 is concerning, yet not worry some... How do I lower it or stop it? Chew a 5MG Eliquis? I'm 66 any do not like drugs. Ideas? My Best Eric...
Thank goodnesss for IK NHS, my husband takes this drug after having an PE. Because he over 60 years all medications are free !
Anyway for under 60 I pay £10 per month & all medications prescribed by doctor are covered for £10 per month !
😊
Hi, you said that you don't have to stop eating certain foods whilst taking Eliquis, is it ok to regularly eat Indian food flavoured with turmeric and ginger as these have blood thinning properties? Thanks.
Thanks for your question Ted. I don’t know if people have higher chance of bleeding with Eliquis if they eat turmeric and ginger. No studies done. However, I don’t tell my Eliquis patients to avoid turmeric or ginger. My guess is that as Long as person is consuming it in food rather than on a daily basis in supplement form, then it is likely ok. Best wishes!
@@CardioGauge is it okay to take a ginger supplement on Eliquis?
What happens if you run out of meds and so you have to skip a few days?
Since you said we can eat whatever we want one eliquis then i assume we can eat blood thinner foods? Also, I assume we can take what ever supplement as well?
can you take apixaban with vitamin k2?
I was on Eliquis 2.5mg twice a day and had a DVT while on that dose. Is it common to have another DVT while on Eliquis?
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I got blood clots as side effects of metropolol so I went on eliquis but then I had severe intolerance with this med. I went down to 2.5 mg but still had major problems. I stuck it out and hopefully it will dissolve blood clots
I was just put on both those medications due to my heart rate is beating too fast but metropolo is a blood pressure and heart to slow down the heart rate also
I had to be taken down a dose because I was bleeding for 37 days and feeling overnight supers every 2 hours. On the new dose my period still was taking very long to stop. So they stopped my eliquis
I live in the UK and thank goodne ss we don't pay for health care or medication as l couldn't possibly afford the Eliquis l now have to take.
Dunno if this will be seen but i am currently on this... i have suffered maybe 16 PE's in clusters on both sides of my body and am fighting... side effects- is occasionally coughing spots of blood normal on this med? Is it just clearing out? Or am i fucked?
So you've got two choices either take anti-coagulants and risk dying from severe bleeding or don't take anti-coagulants and risk getting a stroke. Not a great outcome for people with atrial fibrillation either way. Just a question Doc, how does eliquis "prevent" atrial fibrillation as you stated at the start of your video?
check what happened to me above. Same hell.
@@Reid-yy5nw I just had a read of your post. Man, I can't imagine what you went through, glad you made it. It just beats me that they can't find a cure for one of the most common heart arrhythmias in the world but manage to create a vaccine in less than a year for a certain virus which I won't name here. It's like the medical system and pharmaceutical companies what to keep us on these dangerous drugs.
Afib caused by bp meds? Seems logical?
i got prescribed eliquis after finding 3 blood clots in my leg. It was so serious that I had surgery to remove the clots. My leg was swollen pretty good for months of getting worse. I was told that I should be on eliquis for around 8 months until they think I'll be ok to stop taking it. I get some pain once in a while in my leg not sure if it's nerve damage or what and sometimes on my side of body. Does this medicine cause kidney damage or liver damage? I'm more concerned by side effects.
Hi John, The main side effect of Eliquis is bleeding of any sort. Nosebleeds, blood in the urine, blood in the stool, and bruising (which can be massive), or bleeding into the brain. While all that stuff sounds absolutely terrible, in my experience major bleeding is rare. I have about 200 patients in my practice on Eliquis. People anywhere from 50 yrs old to 95 yrs old. Major bleeding happens somewhere around 1-2% per year. Rash happens in about 2%. I have had a couple patients with stomach upset. I have never seen it cause kidney or liver damage, or nerve damage.
When dealing with major blood clots, the best treatment is anticoagulation with Eliquis or similar medication. How long you take it relates to the specifics of your case, but is generally from 3 months to indefinite. Hope this helps, and best wishes.
What are the typical signs of having a blood clot? Do they hurt?
@@johndrax4174for me, it started with a cough, then a fever and pain in my leg (where the largest blood clot was). Mine were DVT’s. In a few days, I could barely walk due to the pain in my lower leg. They decided to remove the large clot after 4 days in the hospital.
They think the cough was due to small clots that were/are in my lungs. Hoping this helps
@@CardioGauge 200 x 50$ a month + as kickback?
My husband who has always taken care of himself had stints put in about a couple of years ago. H took blood thinners for awhile then stopped. He goes to the doctors regularly and always comes back with a healthy outcome. A month ago he was diagnosed with blood clots in his leg and rushed into surgery. He almost lost his leg but caught it in time. My question is why wasn't this caught by his doctor a long time ago? He just had knee surgery in 10/2019.
Hi Rochelle. Sorry to hear about the experience your husband just went through.
It sounds like he had blood clot in the artery of his leg, rather than in the vein, since you mention that he could have lost his leg. This distinction is important because clot in the artery happens for different reasons than clot in the vein, And also these two situations are treated differently.
When a person develops sudden severe symptoms in the leg due to a blood clot in the artery, this is generally not something that can be predicted by the doctors. Because your husband has a history of coronary artery stent, he almost certainly has cholesterol plug up in other arteries, for example the arteries of the legs. This is treated with the same medications used to treat coronary artery problems, so he likely was already medically treated for cholesterol buildup in the arteries of the legs.
Sudden clot in an artery of the leg can happen if a blood clot developsDirectly in the artery. It can also happen if a blood clot forms inside the heart due to atrial fibrillation, and then pops loose and goes to his leg. I presume he does not have a history of atrial fibrillation. Sometimes in my patients who developed sudden clots in the leg, I will check them for atrial fibrillation with a heart monitor.
However, to address your direct question, why was the clot not caught sooner, it is because we generally do not do any studies of the arteries of the legs, unless there are major symptoms. If he had been doing well without significant symptoms in his legs, the doctors would rightfully have not been checking for clots or cholesterol plug up.
Best wishes for you and your husband!
@@CardioGauge thank you for your response.
@@CardioGaugeYes he does have AFIB. He is doing well. Also what they found is he had an infection in his quad muscle. It's bandaged and is filtered with fresh blood to keep out infection. What has helped is that he has been in bodybuilding for 60 years and also taking vitamins. Thank you for your help!!
@@CardioGauge Is it important that my husband stay away from certain foods like butter? Also he had an infection in his quadricep that had to be operated on. This wound was left open. He has a Vac machine attached to recycle the blood so that it doesn't get infected. Do you know how long he will have to wear the Vac machine? It's been a stressful month!!! Thank you so much for your help!!
Can you drink Alcohol on Eliquis? I'm 45. I had a DVT Pulmonary Embolism. While I am not a regular drinker, I do occasionally attend a happy hour with coworkers, or a concert etc.
I was told no alcohol but check with your doctor I just found out I had Afib I just came from hospital on Tuesday due to my heart beat was too fast and it needs to be slowed down just check with your doctor first
I'm exhausted on it
It usually does't cause fatigue unless it is causing anemia (blood loss). But of course any medication can cause any side effect. Hope you end up feeling better.
I'm 68 white male, cabbage x5 2016, 3 episodes of arrhythmias since, one A fib noted. Ulcer in the last 4 months. Otherwise good health. G I dr cleared me. Cardiologist recommends elliquis, what are your thoughts.
Hi Swompy, I cant directly tell you what to do because this is RUclips, but I can tell you what I typically do for my patients in this Situation. Some patients who have coronary artery bypass grafting have left atrial appendage excision at the time of surgery (which makes Eliquis or similar medication optional). However, this is mostly done in people who have already had an episode of atrial fibrillation. Since it sounds like you only had atrial fibrillation after the operation, they probably did not do the left atrial appendage excision. Anyway, it's standard to give you Eliquis for the episode of atrial fibrillation. After ulcer, We usually wait for the G.I. doctor to clear the patient, as has been done with you. It is reasonable to Go on Eliquis, I have numerous patients for whom I have done this, after the occurrence Of ulcer. For my patients with coronary artery disease and atrial fibrillation, I generally use Eliquis alone, rather than Eliquis with aspirin. This is especially appropriate in cases where people are on Eliquis and aspirin, and then develop an ulcer. If you were on Eliquis and aspirin when you got your ulcer, Being on Eliquis alone could be a good option. For people with atrial fibrillation who have a second ulcer with Eliquis or other anticoagulant, I consider the watchman device. Best Wishes
500$ for a month supply but your right your insurance makes a difference.
I take eliquis n had a bledder tumor removed, should I b taking this medication? Please answer someone.
Is it normal to feel very fatigued on Eliquis?
I came here because I have the same question!!
No you shouldn’t…if you do that mean there’s internal bleeding that causing your Hgb level to go down … anemia
Hope you doing well
I thought that andexanet alfa is an approved and effective antidote for eliquis bleeding? Theme for the info!
This video is nine years old, andexanet alpha is the solution for bleeding from Elequis
Can eliquis be used with sertraline?
Disclaimer: this is health education, not medical advice. I have many patients on both Eliquis and sertraline or similar antidepressant medication, fluoxetine, venlafaxine, etc. they do well.
the limited research on combining SSRI (sertraline is an SSRI) and medicines like Eliquis is reassuring.
There are case reports of hemorrhage around heart in patients on Eliquis and SSRI, however, I have never seen this, and the patients in the case report had kidney trouble, which would more likely be a causative factor than the SSRI.
Hello Doc,
Newly subscribed here. My question is what is your take on xarelto? I am very recently dx with Afib and that's the blood thinner that I was prescribed. Been taking it for a month now with no side-effects that I am aware of. It doesn't have an antidote yet either. Thats the one thing that kind of worries me,..But I sure don't want to risk having a frigging Stroke,.. so take it every day I Will! Thank you in advance for your reply!!
(BTW....I am so glad I found your channel. Your videos serve to calm me down.Lol. You have a great speaking voice, presentation and manner!)
Gloria Mary Haywood hi Gloria, I have many patients on Xarelto. It is an excellent medication for preventing stroke. I have a slight preference for Eliquis but this is not based on specific trouble with Xarelto but rather on some research that is not very direct or conclusive. In New York where I practice, some insurance companies give a good deal on one or the other medication, so we use whichever one (Xarelto or Eliquis) is less expensive. I have almost no patients on Pradaxa, it does not appear to work as well at decreasing stroke risk. So even though there is an antidote, what is the point if it doesn’t work as well.
If I had a patient who was tolerating Xarelto, I would not switch him or her to Eliquis. Hope this helps!
@@CardioGauge Thanks so much! That's all what I needed to hear!!😉
Doctor, there are people who take aspirin as anticoagulant. Is it effective like apixaban ?
No, they are not the same
Aspirin is not an anticoagulant, it is an antiplatelet.
If your doctor had prescribed for you an anticoagulant, you should take it, because the doctor had prescribed it for you for protecting you from a serious thrombotic event that may occurs to you.
Also is there an antidote for Eliquis now?
Yes there is an antidote. It is called Andexxa.
@@stitchblisscorner Thanks...I'm on Xerolto now though. Insurance wouldn't cover eliquis 😔
@@stitchblisscorner the question is: is it available in your town/city. Andexxa is very costly so the seem to stock it in Metro areas. Be aware.
Had recently had blood clotting hand going numb on me what's best blood thinner for me I'm on plavixs I believe I was trying to have stroke God bless Amen Prayersangel Pamela Frank
It’s currently $787.50 for a 30-day supply.
Do you recommend this for an 83 year old man, as my dad has been on Warfarin for years and his doctor seems to be determined to put him on these next week. Im a bit worried as Warfarin your checked but this your not, after reading all the side affects im wondering is it more dangerous to change at his time of life and take a gamble that he wont suffer any of the side affects. As there is an antidote for warfarin but not for this and he weighs about 56 kilos. His also on Tamsulosin finasteride metro-pol 1/2 a day and now Vitamin D as his not been out for a year due to covid his isolated, which also means no real exercise he eats well but his weight stays the same, he had a fall in a restaurant 3 years ago and his now half the weight he was but the weight stays the same. Because your not paid for this i was hoping you could give an honest reply, as Ive tried asking all these questions to his doctor but he fobs me off, I just dont want my dad to die unnecessarily just because they want to change his drugs, just to save costs.
Hi Julie, sorry for delay in reply. the bottom line is: For my elderly patients who have been stable on warfarin, who have not had stroke or major bleeding episode, i generally leave them on warfarin rather than switching them. I consider it an "if it aint broke dont fix it" situation.
However:
If my patients are having trouble with getting the blood tests done, or their INRs are all over the place, or there is some other substantial issue that comes up, then I will readily switch them over to eliquis, which I use frequently.
For most of my patients who are new to atrial fibrillation (which I presume your father has), I will start them on Eliquis, because, in general, it is easier to take and slightly more effective (for the average person) than warfarin.
With your father's very low weight, I do wonder about what the level of Eliquis will be in his system. The proper dose for him would be 2.5 mg twice a day, that would be a textbook dose.
I think his doctor's plan to switch is reasonable. I think many of my peers would agree with it. In terms of costs, the decision probably does not relate to that. The eliquis costs a lot, typically. For most people the warfarin costs way less, less for the patient, less for the insurance company. So the doctor is not recommending a switch to save money.
Lastly, there indeed is antidote for eliquis now, so I need to update the video!
Either course of action is reasonable.
Best wishes for you and your father!
@@CardioGauge Thank you for your reply, you have been very helpful.
Thought tamsulosin was heart attack creator
Does anyone have any info on whether smoking/eating THC products while on eliquis? Been looking for a while but can't seem to get an answer for sure.Pharmacist told me it should be fine.
Yeah, THC is bad for ya. Don't smoke it or take it. So's smoking tobacco and drinking. They're all so unnecessary.
@@paulbradford6475 dude THC is one of the best things in the world for health
I think its ok, i smoke joints nothing wrong .
Many of these drugs are like fixing a computer with a sledgehammer!!
Yep.
I'm not happy because I've been on RUclips and Google researching what foods are allowed and not allowed while on Eliquis and I'm not getting any results if someone can PLEASE name what foods are allowed and not allowed I'd appreciate it
Did not hear much about side effects. Heard plenty about warafin but why?
Antidote is NOT readily available in most Cities. It’s not in mine. My neighbor bled out on Eliquis as they were transferring via chopper to LA
i have burning pain on the skin since i take eliquis.
Hi..how do you feel now ?
Thanks a lot for your VDO's, very educational. I am very interesting in your opinion about the Keto-diet being beneficial for preventing or lowering the chance of getting an Heart event. I believe the theory behind it is as follows: By lowering your carbs intake significantly (< 50 grams per day) you decrease your insulin-level, which then reduces the level of inflammation, which then reduces damages to your arteries and thus reduces plaque development in your arteries and so decreases the chance of an heart event. Do you agree with this theory? Is there any evidence of this theory? Would you recommend your patients to go on a Ket-diet? Thanks a lot!
Hi Erik, this is an important question that comes up frequently, and I don't have a clear answer for you. Weight loss by basically any means increases a person's sensitivity to insulin, decreases insulin level. The improved sensitivity to insulin decreases inflammation by multiple mechanisms (www.ncbi.nlm.nih.gov/pubmed/18407031). There is good scientific logic that Keto should decrease chance of heart event. However, this idea is not conclusively proven. It can only be studied observationally. In the Nurses' Health Study and Health Professionals Study, low carbohydrate diets' effects on mortality was studied. Taking all low carbohydrate diets together, there was a slight increase in mortality (Dr Atkins had a lot of heart disease). Low carbohydrate diets that emphasized plant foods, however, had lower all cause mortality (20% relative decrease) compared to the average diet of the people in the study (www.ncbi.nlm.nih.gov/pubmed/20820038). What I take away from this is that if a person is going for a low carb diet, plant foods should be chosen as much as possible. While a vegan keto diet is possible, it is not for the faint of heart, I don't think there is any way I could do it and maintain my level of function (www.healthline.com/nutrition/vegan-keto-diet). Throw in some fish and chicken here and there, and it might be more doable.
I think a plant focused keto approach would be superior to a meat based, Atkins type low carb diet.
I have many patients who have had success losing weight on keto, and I believe that it helps them reduce their risk, however I do not know this for certain. My go-to diet for people who have had a heart attack or coronary stent is the whole food plant based diet promoted by Caldwell Esselstyn (Prevent and Reverse Heart Disease), Dean Ornish, and Colin Campbell (The China Study).
I personally avoid foods with added sugar (this includes honey and natural syrups), so no ice cream / pastries / donuts / juices / soda / etc etc. I eat a lot of fruits and vegetables and nuts. This helps me keep a healthy weight and I really could care less about the sugar. I don't avoid animal foods entirely by any stretch but I will eat lacto vegan 2 - 3 days a week.
I hope this answer helps you some, best wishes!
Very insightful! This helps a lot! I am 55 years but do not have a weight problem at all. I eat about 4000 kcal. a day and try to gain some (muscle) weight, which seems to be difficult for me. So I believe I am very insulin sensitive. I more or less eat in the same way as you personally do, maybe I eat a bit more chicken, fish and fruits to be able to come to 4000 kcal. Thanks again!!
@@CardioGaugeThank you
Is itching rash a common problem with eliquis?
Yes Bonnie. I have seen it in about 5% of people who go on Eliquis. Only way to know for sure is to talk to your doc, get switched to Xarelto, Pradaxa, or warfarin.
I am having heartburn while taking this and increase in burping and hiccups.
Why not Garlic Oil? It is the best blood thinner you can take and very safe..
Hi Lucius, Eliquis is mostly commonly used in a specific medical condition called atrial fibrillation. The top chambers of the heart (atria) are not squeezing properly, instead, they are wiggling. because of this, blood moves sluggishly through the heart and when blood slows down, it can form a blood clot, which is a glom of solid blood. The clot can shoot into the brain and block an artery (blood vessel) and cause a stroke which results in permanent brain damage. To prevent blood clots like this, a strong blood thinner is needed. Garlic is a very weak blood thinner, and not strong enough for the job! So while garlic tastes great, and in general is good for you, and is a weak blood thinner, it is definitely not sufficient to take the place of a medicine like Eliquis. Thanks for your question!
CardioGauge I don’t agree that garlic is not a good blood thinner. 2500 mg garlic oil pills up to three times a day works as well as blood thinners like you mention.
Please direct me to where you heard that 2500 mg of garlic oil 3 times a day is sufficient to replace Eliquis, I will definitely read about it! I’m skeptical but I am always looking to learn new stuff if it has evidence to back it up.
@@luciustate4386 THESE NEW BLOOD THINNERS LIKE XARELTO ARE CAUSING CRANIAL HEMORRHAGING AND KILLING PEOPLE ALL OVER THE PLACE. THEY ARE EXTREMELY DANGEROUS. I'M JUST WONDERING IF ELIQUIS IS THE SAME DANGEROUS TYPE OF BLOOD THINNER THAT XARELTO IS. THERE IS ALREADY A MASSIVE CLASS ACTION LAWSUIT AGAINST XARELTO. BUT YET THE CORRUPT FDA STILL ALLOWS IT TO STAY ON THE MARKET LIKE THEY DID YEARS AGO WITH VIOXX BEFORE THEY REMOVED IT.
After reading about Eliquis I wouldn’t take it. The doctors tried to get me to take it but I said fuck it
Risk. People speak of risk. How can you gauge risk on an individual patient? Age and gravity are insufficient. Previous strokes are, naturally risk indicators. What if the heart function is good and AF fixed? Is it a good exchange to have organ failure? All of the data speaks with the same voice that's on the packet. Cardio, GP, Chemist, same voice. I need more data.
A possibility of an hemorrhagic strokes anyone? Would this still be recommended?
Actually there is a reverse effect that thickens the blood it's called andexanet
Hi
He never said about side effects? I took 1 pill I have a itchy rash on my right foot
Hi john raymond. Eliquis doesn't often cause side effects. But I have had one patient get a rash with it. Sorry that is not included in the video, but I omitted it because it is pretty rare. But like you point out, every medication has side effects, and basically, any medication can have any side effect. In my videos about medications, I try to emphasize the most common side effects I see. Best wishes.
Thank you I was find out in my rare case can this get worse or can my body adapt? I had 2 doctors told stop taking it. They put me on 1mg of warfran once a day
Has anybody faced stomach pain or burn and muscle or nerve pains . I just started 4 days ago and I do see some side effects. Not sure if the medicine takes time to act and stabilize. 5mg twice a day.
How are you feeling now?
Kickbacks to doctors and drug and vaccine manufacturer supported medical schools sell many drugs and vaccines and insurances..🎉
Can i ride dirt bikes?
What about the $400+/month cost?
Best bet to cut costs is look into obtaining it from Canada. If your doc gives you a written prescription you can get eliquis from Maple Leaf Meds pharmacy for 50$ per month. Not cheap, but it is a significant savings. Best wishes
@@CardioGauge thanks!
A very poor presentation not to mention the inaccuracies ...
I'm bleeding!
Why am I losing lots of hair on this medicine? I’m worried
Just watched a video from Dr. Sanjay Gupta (out of York, England) who says that when you get off the anticoagulants the symptoms should reverse themselves. The doctor above says the same thing I believe.
I thought that grapefruit was a no no.
I have had bleeding with Eliquis 5mg, is my dose too high?
I'm on 20mg a day, why would the ER want me to take such high dose...I'm freaking out now. My stomach and head hurt.
It totally depends what your taking it for , if your taking it for active clot situation I.e. you currently have a clot/thrombosis somewhere than you will take a higher dose as that will be a treatment dose, if you haven’t got an active clot somewhere but you are taking it avoid getting another clot because you have had one in the last you will take a much lower daily dose , this is called a prophylactic dose, it just all depends on the underlying reasons on why it is that you need the medication in the first place ,
@@auradawn7288 how are you doing now?
It leaves me weak and light headed.
$500.00 per month or more for Eliquis.
I’m very nauseous since I started taking 5g twice a day
Eliquis only decreases your risk of stroke by 5% a year? Doesn't sound like much.
I just started my eliquis and I'm wondering. I'm a gay male who bottoms (anal) is it safe for me to have anal intecourse?
It’s a sin
Can't afford this crap at $500 a month for the rest of my life. And I don't want to bleed to death.
In Australia a full coast apixaban $31,60 as a pensioner we get it $ 7,70
I believe they now have an antidote
magic mushrooms work better and no side affects.
I keep reading that cranberry juice, spinach, Brussel sprouts etc are a no whilst using apixaban. I was given this medication after multiple lung clots and was never advised to avoid certain foods, should I avoid greens and cranberry juice and if so, what's the reason? Thanks
Hi Marvin, cranberry juice, spinach and Brussels sprouts can affect warfarin levels, but they do not affect Eliquis function. Foe my patients who are on Eliquis, I do not tell them to avoid these foods. Best wishes!
@@CardioGauge thank you very much for your reply