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Could Taking Eliquis Lead To Possible Bleeding When Diagnosed With Atrial Fibrillation?

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Posted on Tue, 12 Sep 2023
Question: Hello Doctor!
Last week my wife had to come to ER due to the first occurence of palpitations. She was diagnosed with atrial fibrillations, received an injection of Cardizem, and her pulse got back to normal. She was consulted by a cardiologist who prescribed Eliquis.
My wife is hesitant to start it. She does not have a-fibs since then, and she is afraid of possible bleeding.
Mg question: should she take the blood thinner even though the a-fibs are currently absent?
doctor
Answered by Dr. Sagar Makode (31 minutes later)
Brief Answer:
Yes, she should take it

Detailed Answer:

Hi,

Yes, she should have it. Because there is a risk of blood clot formation and risk of stroke. This risk is persistent even if there are no obvious episodes because episode keep on occurring for very short periods without being noticed, so it has to be taken. The benefit of having it is much more than the risk of not having it. Majority of the patients tolerate it well without any significant bleeding, so it's to have it.

Hope this helps you and get back if you have any doubts.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sagar Makode (46 hours later)
Hello Doctor,
My wife took eliquis three times, and she was planning to take the next one at 10 pm central time. Our concern is twenty minutes ago she felt a sharp pain in her left forth finger (palm side). There is a grayish-blue spot 5 mm in diameter looking like hemorrhage. Should she stop Eliquis?
doctor
Answered by Dr. Sagar Makode (1 hour later)
Brief Answer:
She may continue

Detailed Answer:

Hi,

She may continue as this is not a contraindication for continuation. She should also check for such spots elsewhere on the body and if there then she may get dose reduced or stop temporarily. Take a pic of it. Also, she should monitor her stool color for fresh or dark blood.


In the first place, is it a spontaneous bleeding or is there a possibility of trauma or insect bite? Because sharp pain doesn't occur in spontaneous skin bleeding.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Could Taking Eliquis Lead To Possible Bleeding When Diagnosed With Atrial Fibrillation?

Brief Answer: Yes, she should take it Detailed Answer: Hi, Yes, she should have it. Because there is a risk of blood clot formation and risk of stroke. This risk is persistent even if there are no obvious episodes because episode keep on occurring for very short periods without being noticed, so it has to be taken. The benefit of having it is much more than the risk of not having it. Majority of the patients tolerate it well without any significant bleeding, so it's to have it. Hope this helps you and get back if you have any doubts. Regards