Colonoscopy procedure scheduled January 17, 2023 01:27PM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 17, 2023 02:21PM |
Registered: 1 year ago Posts: 790 |
Re: Colonoscopy procedure scheduled January 17, 2023 02:38PM |
Admin Registered: 6 years ago Posts: 5,358 |
Re: Colonoscopy procedure scheduled January 17, 2023 07:03PM |
Registered: 1 year ago Posts: 790 |
Re: Colonoscopy procedure scheduled January 17, 2023 08:07PM |
Registered: 4 years ago Posts: 738 |
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smackman
Dr. Natale said I could be off my Eliquis for ONE day. I take my Eliquis at 8 2X a day. My colonoscopy is scheduled for 8 AM On a Friday. When do I stop my Eliquis? I am thinking I will have to stop it after Wednesday nights dose. For some reason it’s confusing and my Anxiety is ramped.
I cannot do the cologuard due to family history making me “risky”.
Thanks for the help.
Re: Colonoscopy procedure scheduled January 17, 2023 08:44PM |
Admin Registered: 6 years ago Posts: 5,358 |
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gloaming
Carey, what can I say. It was how it went for me during an angiography last March (I have to correct myself, it was during an angiogram, not during my CA. The protocol was the same, though, except for the Plavix). It seemed weird to me as well, but I wasn't in a position to arm-wrestle with the nurses and surgeon. Not flat on my back, anyway.
Re: Colonoscopy procedure scheduled January 17, 2023 09:42PM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 17, 2023 10:38PM |
Registered: 4 years ago Posts: 738 |
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smackman
LAA is isolated (2016) and No Watchman. I tried one time in 2019 for watchman but did not get approved.
Anyway, It is what it is.
The process and BS to get approval in 2019 was big time stressful and time consuming.
Re: Colonoscopy procedure scheduled January 17, 2023 11:45PM |
Admin Registered: 6 years ago Posts: 5,358 |
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Daisy
Are you tempted to try for a watchman again? It seems like if your LAA is isolated and you flunk your TEE that Medicare is approving a watchman these days.
Re: Colonoscopy procedure scheduled January 18, 2023 11:56AM |
Registered: 10 years ago Posts: 836 |
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Carey
I agree with gloaming about stopping the night before.
But I don't think substituting aspirin makes sense with a colonoscopy. The whole point is that if the doctor needs to snip a polyp, you don't end up with a prolonged bleed, and aspirin does a fine job of prolonging bleeding. I don't think I've ever heard of an EP or surgeon recommending the protocol with aspirin and Plavix that you describe. Over 400 mg of aspirin followed by Plavix? I think that would prolong bleeding more than Eliquis would.
Re: Colonoscopy procedure scheduled January 18, 2023 01:58PM |
Registered: 4 years ago Posts: 738 |
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smackman
What you are saying is only 12 hours off Eliquis not 24. I know the half life but 1 day is 24 hours right? I guess I could lie when I get there but if they snip a polyp or two, is that a risk? It took me 2 months to get approval for this Colonoscopy over this blood thinner.
Re: Colonoscopy procedure scheduled January 18, 2023 02:35PM |
Registered: 1 year ago Posts: 790 |
Re: Colonoscopy procedure scheduled January 18, 2023 05:18PM |
Admin Registered: 6 years ago Posts: 5,358 |
Quote
smackman
What you are saying is only 12 hours off Eliquis not 24. I know the half life but 1 day is 24 hours right? I guess I could lie when I get there but if they snip a polyp or two, is that a risk? It took me 2 months to get approval for this Colonoscopy over this blood thinner.
Re: Colonoscopy procedure scheduled January 18, 2023 10:22PM |
Registered: 10 years ago Posts: 2,520 |
Quote
Carey
Are you tempted to try for a watchman again? It seems like if your LAA is isolated and you flunk your TEE that Medicare is approving a watchman these days.
Definitely try again. The criteria have changed completely since 2019. I doubt you'll run into any major roadblocks this time. If you had a Watchman, Natale's answer would have been "Just stop the Eliquis for as long as the doctor wants."
Re: Colonoscopy procedure scheduled January 19, 2023 02:14AM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 19, 2023 10:04AM |
Admin Registered: 6 years ago Posts: 5,358 |
Quote
smackman
My Colonoscopy is scheduled for 8 am Friday morning. If I take Thursday 8am dose of Eliquis, It will work till 8 pm Thursday night. 8 pm Thursday night to the scheduled 8 am colonoscopy on Friday at. 8 am is only 12 hours off Eliquis which is 1/2 of a day. Right? Not 24 hours
Re: Colonoscopy procedure scheduled January 19, 2023 11:27AM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 19, 2023 11:37AM |
Admin Registered: 6 years ago Posts: 5,358 |
Re: Colonoscopy procedure scheduled January 19, 2023 01:07PM |
Registered: 1 year ago Posts: 790 |
Re: Colonoscopy procedure scheduled January 19, 2023 04:25PM |
Registered: 10 years ago Posts: 836 |
Quote
gloaming
smackman, why have you discounted what I have explained to you rather clearly....twice now? I'm going to guess that it is because you are not familiar with the concepts of 'bioavailability' and of 'half-life'. Or, maybe you're just squeamish about using those concepts as indicators of the effects of a drug. I assure you, as will others who have done the pondering, that it is as valid a concept biologically as it is for the half-life of a radio-isotope like Strontium 90.
If one takes a single, first-ever, dose of 5 mg of apixaban, and follows up with no more tablets, the pill's effect is not going to be over 12 hours, nor over 18 hours. It will last over 36 hours. This is because with each 12-hour period that passes after ingesting it, it will lose only 50% of its effect. Fifty percent is 'half' of what came originally. Then, over the second 12-hour period (now we're a whole 24 hours after the single ingested, first-ever, dose), the drug will drop another 50% of its efficacy. This means that after 24 hours you still have 25% left of the drug bioavailable to do what you need it to do. Thirty-six hours after ingesting the tablet, the serum availability will be small, but still 12% of the original dose.
As I stated earlier, there is also a residual effect over time because the successive dose is ingested, with a prescription requiring periodic doses, BEFORE the preceding dose has reduced to the 25% bioavailability mark at 24 hours. IOW, you are asked, by the prescribing authority, to dose yourself before the previous pill has reduced its bioavailability below the 50% mark, and you do this day after day, week after week. Once the ethical and caring medical staff are assured that you are dosing yourself properly, and have been for some time, they'll be comfortable directing you to cease your second dose on the previous day.
I hope this is clear to you. You are worrying needlessly. The math, and the chemistry, are very much on your side, and your care-givers know this. Enjoy the surgery worry-free. This is what they would like for you.
Re: Colonoscopy procedure scheduled January 22, 2023 10:29AM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 22, 2023 11:06AM |
Admin Registered: 6 years ago Posts: 5,358 |
Re: Colonoscopy procedure scheduled January 23, 2023 11:02AM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 27, 2023 04:01PM |
Registered: 10 years ago Posts: 836 |
Re: Colonoscopy procedure scheduled January 28, 2023 05:43PM |
Registered: 1 year ago Posts: 790 |