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Carey
Short-term use of NSAIDs is okay according to two of my EPs. By short-term they meant a few days, not weeks.

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Carey

I chose warfarin over the other anti-coagulants because it is fairly tried and true, and can be reversed.

There are now reversal agents for Pradaxa, Eliquis and Xarelto. The only NOACs that don't have a reversal agent are Savaysa and Bevyxxa, but they will soon.

Two things that people need to keep in mind with reversing anticoagulants are that 1) it has a much longer half life than the NOACs and 2) reversing warfarin takes upwards of 24 hours. That means that the NOACs can now be reversed faster than warfarin so that advantage has been erased.

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bolimasa
I chose warfarin over the other anti-coagulants because it is fairly tried and true, and can be reversed.

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smackman



I would love to talk with you by PM on the Eliquis you have and are not using.

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Erin
When I asked the original question, I was thinking of my brother whose cardiologist told him he could not use xarelto. This was four years ago. He was battling a rare aggressive form of leukemia and I would imagine that is why they chose warfarin. He had thrown a clot before warfarin because a surgeon did not think blood thinner was warranted after cervical surgery. I realize everyone is going to react differently.

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jpeters




That's a 12-year old article written before finger stick testing existed. Doctors aren't switching to NOACs because it's more convenient for them. They're switching because the NOACs are equally or more effective, have far fewer side effects, far fewer interactions with other drugs, no interactions with food, don't require monitoring and dosage adjustments, and have a lower bleed risk.

Once again, warfarin's only advantage is cost.

Finger stick testing? You're joking, right? Once again, you're entitled to your own opinion, but for many people (like myself) who have no problems with warfarin, eliquis certainly has no advantages.

BTW/ I have at least a year's supply of Eliquis...samples dumped on the clinic to get everyone using it. I switched to warfarin because Eliquis wasn't able to remove a clot.

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smackman
I will follow Dr. Natalie’s orders any day over a layman’s opinion.
Have a nice day 😎

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jpeters




Overall, neither blood thinner bothers me except easy to bleed. Taking only 2.5 mg of Eliquis 2X a day has helped out.

.

The lower dose, however, has substantial increased stroke risk.

Not true for my situation. Dr. Natale is my EP and his professional opinion was 2.5 mg 2X a day of Eliquis. I am not in AFIB. It has to do with my P wave at the mitral valve.
Make sure you understand the diagnosis before blurting nonsense.

I would suggest you curb your arrogance, Smackman. I'm not an authority on the issue. Obviously, I don't know your "diagnosis".



"ARISTOTLE: Avoid Lower-Dose Apixaban in AF Patients With One Dose-Reduction Criterion"
"Patients should be treated with the effective doses as studied, because using the reduced 2.5-mg twice-daily dose of apixaban in this population could result in preventable strokes," Dr John H Alexander (Duke Clinical Research Institute, Duke Health, Durham, NC) and colleagues write in the analysis, published online July 27, 2016 in JAMA Cardiology.

[www.medscape.com]

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Carey

I think you're confusing facts with opinion and theory. Very little is understood about the intricacies of how medications interact within the human body. Making absolute statements like that is absurd and meaningless.

It's not theory or opinion. I understand that you personally prefer warfarin and that's fine.

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jpeters
I think you're confusing facts with opinion and theory. Very little is understood about the intricacies of how medications interact within the human body. Making absolute statements like that is absurd and meaningless.

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smackman



Overall, neither blood thinner bothers me except easy to bleed. Taking only 2.5 mg of Eliquis 2X a day has helped out.

.

The lower dose, however, has substantial increased stroke risk.

Not true for my situation. Dr. Natale is my EP and his professional opinion was 2.5 mg 2X a day of Eliquis. I am not in AFIB. It has to do with my P wave at the mitral valve.
Make sure you understand the diagnosis before blurting nonsense.

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jpeters


Overall, neither blood thinner bothers me except easy to bleed. Taking only 2.5 mg of Eliquis 2X a day has helped out.

.

The lower dose, however, has substantial increased stroke risk.

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Carey

What I said is the facts are that warfarin is an inferior drug when compared to the NOACs for most people.

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jpeters
Finger stick testing? You're joking, right? Once again, you're entitled to your own opinion, but for many people (like myself) who have no problems with warfarin, eliquis certainly has no advantages.