National Geographic : 2014 May
What is the most important information I should know about ELIQUIS (apixaban)? Do not stop taking ELIQUIS without talking to the doctor who prescribed it for you. Stopping ELIQUIS increases your risk of having a stroke. ELIQUIS may need to be stopped, prior to surgery or a medical or dental procedure. Your doctor will tell you when you should stop taking ELIQUIS and when you may start taking it again. If you have to stop taking ELIQUIS, your doctor may prescribe another medicine to help prevent a blood clot from forming. ELIQUIS can cause bleeding which can be serious, and rarely may lead to death. This is because ELIQUIS is a blood thinner medicine that reduces blood clotting. You may have a higher risk of bleeding if you take ELIQUIS and take other medicines that increase your risk of bleeding, such as aspirin, nonsteroidal anti-infammatory drugs (called NSAIDs), warfarin (COUMADIN®), heparin, selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs), and other medicines to help prevent or treat blood clots. Tell your doctor if you take any of these medicines. Ask your doctor or pharmacist if you are not sure if your medicine is one listed above. While taking ELIQUIS: • you may bruise more easily • it may take longer than usual for any bleeding to stop Call your doctor or get medical help right away if you have any of these signs or symptoms of bleeding when taking ELIQUIS: • unexpected bleeding, or bleeding that lasts a long time, such as: • unusual bleeding from the gums • nosebleeds that happen often • menstrual bleeding or vaginal bleeding that is heavier than normal • bleeding that is severe or you cannot control • red, pink, or brown urine • red or black stools (looks like tar) • cough up blood or blood clots • vomit blood or your vomit looks like coffee grounds • unexpected pain, swelling, or joint pain • headaches, feeling dizzy or weak ELIQUIS (apixaban) is not for patients with artifcial heart valves. What is ELIQUIS? ELIQUIS is a prescription medicine used to reduce the risk of stroke and blood clots in people who have atrial fbrillation. It is not known if ELIQUIS is safe and effective in children. Who should not take ELIQUIS? Do not take ELIQUIS if you: • currently have certain types of abnormal bleeding • have had a serious allergic reaction to ELIQUIS. Ask your doctor if you are not sure What should I tell my doctor before taking ELIQUIS? Before you take ELIQUIS, tell your doctor if you: • have kidney or liver problems • have any other medical condition • have ever had bleeding problems • are pregnant or plan to become pregnant. It is not known if ELIQUIS will harm your unborn baby • are breastfeeding or plan to breastfeed. It is not known if ELIQUIS passes into your breast milk. You and your doctor should decide if you will take ELIQUIS or breastfeed. You should not do both Tell all of your doctors and dentists that you are taking ELIQUIS. They should talk to the doctor who prescribed ELIQUIS for you, before you have any surgery, medical or dental procedure. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some of your other medicines may affect the way ELIQUIS works. Certain medicines may increase your risk of bleeding or stroke when taken with ELIQUIS. How should I take ELIQUIS (apixaban)? Take ELIQUIS exactly as prescribed by your doctor. Take ELIQUIS twice every day with or without food, and do not change your dose or stop taking it unless your doctor tells you to. If you miss a dose of ELIQUIS, take it as soon as you remember, and do not take more than one dose at the same time. Do not run out of ELIQUIS. Refll your prescription before you run out. Stopping ELIQUIS may increase your risk of having a stroke. What are the possible side effects of ELIQUIS? • See “What is the most important information I should know about ELIQUIS?” • ELIQUIS can cause a skin rash or severe allergic reaction. Call your doctor or get medical help right away if you have any of the following symptoms: • chest pain or tightness • swelling of your face or tongue • trouble breathing or wheezing • feeling dizzy or faint Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all of the possible side effects of ELIQUIS. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. This is a brief summary of the most important information about ELIQUIS. For more information, talk with your doctor or pharmacist, call 1-855-ELIQUIS (1-855-354-7847), or go to www.ELIQUIS.com. Manufactured by: Bristol-Myers Squibb Company Princeton, New Jersey 08543 USA Marketed by: Bristol-Myers Squibb Company Princeton, New Jersey 08543 USA and Pfzer Inc New York, New York 10017 USA COUMADIN® is a trademark of Bristol-Myers Squibb Pharma Company © 2013 Bristol-Myers Squibb Company ELIQUIS and the ELIQUIS logo are trademarks of Bristol-Myers Squibb Company. Based on 1289808 / 1298500 / 1289807 / 1295958 December 2012 432US13CBS03604 This independent, non-proft organization provides assistance to qualifying patients with fnancial hardship who generally have no prescription insurance. Contact 1-800-736-0003 or visit www.bmspaf.org for more information. IMPORTANT FACTS / The information below does not take the place of talking with your healthcare professional. Only your healthcare professional knows the specifcs of your condition and how ELIQUIS® may ft into your overall therapy. Talk to your healthcare professional if you have any questions about ELIQUIS (pronounced ELL eh kwiss).