tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take.Ask your pharmacist or check the Medication Guide for a list of the ingredients. tell your doctor and pharmacist if you are allergic to apixaban, any other medications, or any of the ingredients in apixaban tablets.If you stop taking apixaban, your risk of a blood clot may increase. Do not stop taking apixaban without talking to your doctor. Follow your doctor's directions carefully.Ĭontinue to take apixaban even if you feel well. Ask your doctor if you should take this medication in your feeding tube. Apixaban can also be given in certain types of feeding tubes. Swallow the mixture right after you prepare it. If you are unable to swallow the tablets, you can crush them and mix with water, apple juice, or applesauce. Do not take more or less of it or take it more often than prescribed by your doctor. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take apixaban at around the same times every day. Apixaban is usually taken for 35 days after a hip replacement surgery and for 12 days after knee replacement surgery. When apixaban is taken to prevent DVT and PE after hip or knee replacement surgery, the first dose should be taken at least 12 to 24 hours after surgery. It is usually taken with or without food twice a day. Talk to your doctor about the risks of taking apixaban.Īpixaban comes as a tablet to take by mouth. You can also visit the Food and Drug Administration (FDA) website ( ) or the manufacturer's website to obtain the Medication Guide. Read the information carefully and ask your doctor or pharmacist if you have any questions. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with apixaban and each time you refill your prescription. If you experience any of the following symptoms, call your doctor immediately: muscle weakness (especially in your legs and feet), numbness or tingling (especially in your legs), or loss of control of your bowels or bladder. Tell your doctor and pharmacist if you are taking any of the following: anagrelide (Agrylin) aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, others), indomethacin (Indocin, Tivorbex), ketoprofen, and naproxen (Aleve, Anaprox, others) cilostazol (Pletal) clopidogrel (Plavix) dipyridamole (Persantine) eptifibatide (Integrilin) heparin prasugrel (Effient) ticagrelor (Brilinta) ticlopidine tirofiban (Aggrastat), and warfarin (Coumadin, Jantoven). Tell your doctor if you have an epidural catheter that is left in your body or have or have ever had repeated epidural or spinal punctures, spinal deformity, or spinal surgery. If you have epidural or spinal anesthesia or a spinal puncture while taking a 'blood thinner' such as apixaban, you are at risk of having a blood clot form in or around your spine that could cause you to become paralyzed. If you need to stop taking apixaban, your doctor may prescribe another anticoagulant ('blood thinner') to help prevent a blood clot from forming and causing you to have a stroke. Be sure to refill your prescription before you run out of medication so that you will not miss any doses of apixaban. Continue to take apixaban even if you feel well. If you have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body, and possibly causing strokes) and are taking apixaban to help prevent strokes or serious blood clots, you are at a higher risk of having a stroke after you stop taking this medication.
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