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        <title>I forgot my Xarelto last night</title>
        <description> Hello,

I tried to look on the forum for this answer but nothing came up, so sorry if this is repetitive.

Last night I forgot to take my Xarelto 20mg at 9pm, realised this morning and took it at 8am

Now, tonight do I take it as usual at 9pm or wait for the next day at 9pm? (which seems really long 36 hours...)

I have contacted my doctor but he&amp;#039;s not answering...

Any advice would be great the the Internet is giving me conflicting reports

Regards
Rebecca, Paris, France</description>
        <link>https://www.afibbers.org/forum/read.php?9,169126,169126#msg-169126</link>
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            <guid>https://www.afibbers.org/forum/read.php?9,169126,169204#msg-169204</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169204#msg-169204</link>
            <description><![CDATA[ I&#039;ve tried 3 OAC to date.<br />
Pradaxa, Xarelto, Lixiana (= Savaysa).<br />
I&#039;m doing better with Pradaxa, which must be taken 2*/day. Both Xarelto and Lixiana are taken 1*/day, and both gave me stomach pain and benign anal bleeding.<br />
I&#039;ve not tried Eliquis, but the fact it&#039;s to take 2*/day is probably less aggressive on the GI tract.]]></description>
            <dc:creator>Pompon</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Mon, 15 Apr 2019 16:41:47 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169200#msg-169200</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169200#msg-169200</link>
            <description><![CDATA[ I&#039;ve read also that Xarelto causes a lot more severe nosebleeds possibly due to it being strong enough to last a whole day.]]></description>
            <dc:creator>Brian_og</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Mon, 15 Apr 2019 08:54:41 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169140#msg-169140</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169140#msg-169140</link>
            <description><![CDATA[ Initial conditions, I expect. If, in fact, it decays more quickly than Eliquis then the starting point must be higher so that it stays in therapeutic range for a day.<br />
<br />
As I recall there was a minor bit of skullduggery regarding Xarelto&#039;s clinical trials. Johnson &amp; Johnson contracted Duke University&#039;s Clinical Research Institute (DCRI) to do the trials and they specifically skipped the 2x/day option. DCRI may sound academic but it&#039;s not. It&#039;s for-profit. Much like the shining tower of Quintiles just a few miles down I-40 from the Durham exits, near the airport. Heck, they may even have been sub-contracted in on it. I don&#039;t know. But those organizations exist to answer the questions that their paying customers ask of them, not the questions that broader science may ask.<br />
<br />
Bottom line, I&#039;d prefer Eliquis if it were me. But if I were only on it for an ablation for a few months I wouldn&#039;t worry too much. The caveat being that if you&#039;ve ever had a GI bleed then push for the Eliquis. And stay away from Pradaxa at all costs.]]></description>
            <dc:creator>wolfpack</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 21:50:51 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169137#msg-169137</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169137#msg-169137</link>
            <description><![CDATA[ <blockquote class="bbcode"><div><small>Quote<br /></small><strong>wolfpack</strong><br />
Therefore Xarelto has a longer serum half-life. </div></blockquote>
<br />
This is something that has long puzzled me about Xarelto. It actually has a shorter half-life than Eliquis so I&#039;ve never understood how it can be a single dose drug while Eliquis is twice daily. Xarelto&#039;s half-life is 5-9 hours in younger patients and 12 hours in the elderly, whereas Eliquis is 12 hours (after repeated doses). I can only guess that Xarelto&#039;s effects must last longer than its physical presence in the body.]]></description>
            <dc:creator>Carey</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 20:01:56 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169135#msg-169135</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169135#msg-169135</link>
            <description><![CDATA[ Xarelto is one-a-day versus the two-a-day for Eliquis. Therefore Xarelto has a longer serum half-life. Missing or shifting a dose by 12 hours isn&#039;t going to change much. I wouldn&#039;t get too terribly worried as long as you get back on schedule.]]></description>
            <dc:creator>wolfpack</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 14:31:26 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169133#msg-169133</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169133#msg-169133</link>
            <description><![CDATA[ Just go back to your usual schedule and take the next dose at 9pm tonight.]]></description>
            <dc:creator>Carey</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 13:57:46 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169127#msg-169127</guid>
            <title>Re: I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169127#msg-169127</link>
            <description><![CDATA[ I&#039;m sure it&#039;s explained on the accompanying sheet of paper.<br />
Usually, it&#039;s written something like:<br />
<br />
If you forget a dose, take it as soon as possible, then follow as usual.<br />
If it&#039;s already time for the next dose, don&#039;t take a double dose.<br />
<br />
In your case, take your next dose this evening as usual.]]></description>
            <dc:creator>Pompon</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 07:39:03 +0000</pubDate>
        </item>
        <item>
            <guid>https://www.afibbers.org/forum/read.php?9,169126,169126#msg-169126</guid>
            <title>I forgot my Xarelto last night</title>
            <link>https://www.afibbers.org/forum/read.php?9,169126,169126#msg-169126</link>
            <description><![CDATA[ Hello,<br />
<br />
I tried to look on the forum for this answer but nothing came up, so sorry if this is repetitive.<br />
<br />
Last night I forgot to take my Xarelto 20mg at 9pm, realised this morning and took it at 8am<br />
<br />
Now, tonight do I take it as usual at 9pm or wait for the next day at 9pm? (which seems really long 36 hours...)<br />
<br />
I have contacted my doctor but he&#039;s not answering...<br />
<br />
Any advice would be great the the Internet is giving me conflicting reports<br />
<br />
Regards<br />
Rebecca, Paris, France]]></description>
            <dc:creator>kibe</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Wed, 10 Apr 2019 07:31:16 +0000</pubDate>
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