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Comprimidos de Apixabana

Eliquis

You will have been prescribed apixaban either to treat a harmful clot that has formed in a blood vessel, or to prevent one from forming.

The usual dose is one tablet taken twice a day, morning and evening.

The most common side-effects are bleeding (such as nosebleeds) and anaemia.

Em resumo

  • Apixaban (Eliquis) is a medicine used to prevent or treat harmful blood clots.

  • It works by blocking a substance in your blood called factor Xa, which is involved in clotting.

  • Apixaban is usually taken twice a day, with or without food.

  • Unlike warfarin, apixaban does not require regular blood tests.

  • Tell your doctor about any medical conditions or other medicines you are taking before starting apixaban.

  • Seek medical advice immediately if you experience unusual or persistent bleeding.

About apixaban

Tipo de medicamento

Um anticoagulante inibidor do fator Xa

Usado para

Para prevenir ou tratar coágulos sanguíneos prejudiciais

Also called (UK and USA)

Eliquis®

Disponível como

Comprimidos

Apixaban works by preventing your blood from clotting as quickly or as effectively as normal. It does this by blocking a substance in your blood, called 'factor Xa', which is involved in the development of blood clots.

Sometimes, harmful blood clots can form in the blood vessels of your legs, lungs, brain or heart, and cause a blockage. This is more likely to happen if you have had surgery, or if you have a fast irregular heartbeat. For many years, a medicine called varfarina has been commonly used to help protect against this. However, people who take warfarin need to have regular blood tests to measure how quickly their blood clots. This often means that the dose of warfarin can change quite frequently. Apixaban works in a slightly different way to warfarin, so people who take apixaban do not need to have regular blood tests.

Apixaban is prescribed to treat blood clots causing deep vein thrombosis and pulmonary embolism. You may also be prescribed apixaban to help protect against recurrent blood clots, or if you have a certain type of irregular fast heartbeat known as fibrilação atrial.

Before taking apixaban

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking apixaban it is important that your doctor knows:

  • Se você está grávida ou amamentando.

  • Se você tiver algum problema médico que aumente seu risco de sangramento, ou se você teve uma cirurgia recentemente.

  • Se você tiver algum problema com o funcionamento do seu fígado ou com o funcionamento dos seus rins.

  • Se lhe foi dito que você tem uma condição chamada síndrome do anticorpo antifosfolipídico.

  • Se você já teve uma reação alérgica a um medicamento.

  • Se você estiver tomando outros medicamentos. Isso inclui quaisquer medicamentos que você esteja tomando e que estejam disponíveis para compra sem receita médica, bem como medicamentos fitoterápicos e complementares.

How to take apixaban tablets

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about apixaban and will provide you with a full list of the side-effects which you could experience from taking it.

  • Take apixaban exactly as your doctor tells you to. It is taken twice a day, preferably in the morning and the evening. Your doctor or pharmacist will tell you which strength of tablet is right for you as there are two strengths of apixaban available - 2.5 mg and 5 mg. This information will also be printed on the label of the pack to remind you.

  • Apixaban can be taken either with or without food. Swallow the tablet with a drink of water. If you have difficulty swallowing the tablet whole, you can crush the tablet and then mix it with 30 ml (two tablespoons) of water or apple juice, or alternatively, add it to some apple purée. Swallow the mixture as soon as it has been made up.

  • If you forget to take a dose at the usual time, take it as soon as you remember. Try to take the correct number of doses each day, but do not take two doses together to make up for a forgotten dose.

Obtendo o máximo do seu tratamento

  • Tente manter qualquer consulta regular com seu médico. Isso é para que seu médico possa verificar seu progresso.

  • The length of the course of treatment will depend upon why you are taking the tablets, but it will either be for a few weeks, or long-term. If you have had hip or knee surgery, you will be asked to continue taking apixaban for a certain number of weeks. If you are taking it to protect you from blood clots developing (such as if you have atrial fibrillation), you will be asked to continue to take it over a longer period of time.

  • If you take any medicines that you have bought without a prescription, check with a pharmacist that they are suitable to take with apixaban. This is because some medicines, such as aspirin and some anti-inflammatory painkillers, can interfere with it.

  • If you are due to have an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking. This is because it may become necessary for you to stop taking apixaban for a day or so.

Can apixaban tablets cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with apixaban. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common apixaban side-effects

(estes afetam menos de 1 em cada 10 pessoas)

O que posso fazer se passar por isso?

Bleeding (such as nosebleeds, bleeding gums) or bruising

If this continues or becomes troublesome, let your doctor know

Anaemia (which could make you feel very tired)

Seu médico verificará isso

Sentindo-se enjoado (náusea)

Try taking your doses with something to eat

Importante: if you experience any unusual bleeding, or bleeding that doesn't stop within ten minutes, speak with your doctor straightaway or go to your local accident and emergency department.

Se você sentir quaisquer outros sintomas que acha que podem ser causados pelos comprimidos, fale com seu médico ou farmacêutico para mais orientações.

How to store apixaban

  • Mantenha todos os medicamentos fora do alcance e da vista das crianças.

  • Armazene em local fresco e seco, longe de calor e luz diretos.

Informações importantes sobre todos os medicamentos

Informações importantes sobre todos os medicamentos

Nunca tome mais do que a dose prescrita. Se suspeitar que você ou outra pessoa possa ter tomado uma overdose deste medicamento, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.

Este medicamento é para você. Nunca o dê a outras pessoas, mesmo que a condição delas pareça ser a mesma que a sua.

Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.

Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.

Relatar efeitos colaterais de um medicamento ou vacina

Se você sentir efeitos colaterais, pode relatá-los online através do Site do Yellow Card.

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Inseguro sobre misturar medicamentos?

Verifique possíveis interações entre medicamentos, suplementos e alimentos antes de tomá-los juntos.

Perguntas frequentes

What is the difference between Apixaban and Warfarin?

Apixaban and warfarin both help prevent blood clots. However, people taking warfarin need regular blood tests to monitor clotting times and adjust the dose, as it can change frequently. Apixaban works differently, so these regular blood tests are not necessary.

How long will I need to take Apixaban for?

The duration of your Apixaban treatment depends on why you are taking it. It could be for a few weeks, for example after hip or knee surgery, or it might be for a longer period, such as if you have atrial fibrillation to protect against blood clots.

Does Apixaban cause tiredness?

Yes, anaemia is a common side-effect of Apixaban, affecting fewer than 1 in 10 people, and it can make you feel very tired. Your doctor will monitor you for this.

Can I take other medicines with Apixaban?

You should check with your doctor or a pharmacist before taking any other medicines, including those you can buy without a prescription, herbal remedies, or complementary medicines. Some, like aspirin and certain anti-inflammatory painkillers, can interfere with Apixaban.

What should I do if I cannot swallow the Apixaban tablet whole?

If you have difficulty swallowing the tablet whole, you can crush it and mix it with 30 ml (two tablespoons) of water or apple juice. Alternatively, you can mix it with some apple purée. Make sure to swallow the mixture immediately after preparing it.

Leitura adicional e referências

Sobre o autorVer biografia completa

Imagem do autor

Helen Allen, MPharm

Farmacêutico, Autor Médico

MPharm

Helen Allen se formou como farmacêutica em 1979 e passou 3 anos como autora dos folhetos de informações sobre medicamentos para a EMIS.

Sobre o revisor

Imagem do autor

Sid Dajani

Sultan Dajani se formou na Escola de Farmácia de Londres em 1994 e se tornou o membro mais jovem eleito para o conselho da Sociedade Real de Farmácia desde sua fundação em 1842.

Histórico do artigo

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