Side Effects Of ApixabanNHS medicines information on side effects of apixaban and what you can do to cope.Like all medicines, apixaban can cause side effects, although not everyone gets them. Bleeding and what to do about itWhile apixaban has enormous benefits, the downside is that it can make you bleed more than normal. This is because while you're taking apixaban your blood will not clot as easily. Less serious bleedingIt's usual to bleed more easily than normal while you're taking apixaban. The kind of bleeding you might have includes: - periods that are heavier and last longer than usual
- bleeding for a little longer than usual if you cut yourself
- occasional nosebleeds (that last for less than 10 minutes)
- bleeding from your gums when you brush your teeth
- bruises that come up more easily and take longer to fade than usual
This type of bleeding is not dangerous and should stop by itself. If it happens, keep taking the apixaban, but tell your doctor if the bleeding bothers you or does not stop. Things you can do to help yourself: - Cuts - press on the cut for 10 minutes with a clean cloth.
- Nosebleeds - sit or stand upright (do not lie down), pinch your nose just above your nostrils for 10 to 15 minutes, lean forward and breathe through your mouth, and place an icepack (or a bag of frozen peas wrapped in a teatowel) at the top of your nose.
- Bleeding gums - try using a soft toothbrush and waxed dental floss to clean your teeth.
- Bruises - these are harmless, but can be unsightly. It might help to make them fade more quickly if you put an ice pack wrapped in a towel over the bruise for 10 minutes at a time several times a day.
What you can do to prevent bleedingWhile you're taking apixaban, be careful when you do activities that might cause an injury or a cut or bruising. It can help to: - stop playing contact sports or other activities than can cause an injury, such as football, rugby, hockey and horse riding
- wear gloves when you use sharp objects like scissors, knives and gardening tools
- stop wet shaving or removing hair with wax - use an electric razor or hair-removing cream instead
- take dentures (false teeth) or retainers out for a few hours a day, if you wear them, to give your gums a rest - do not wear dentures or retainers that do not fit properly
- tell your doctor, dentist or nurse that you take apixaban before you have any medical or dental procedures or surgery - this includes vaccinations and routine appointments with the dental hygienist
Other common side effectsThese common side effects of apixaban happen in more than 1 in 100 people. There are things you can do to help cope with them: If this advice does not help and any of these side effects bother you or do not go away, tell your doctor or pharmacist. Serious side effectsSerious bleedingOccasionally, you can have heavy bleeding from taking apixaban. This can be dangerous and needs urgent medical attention. Contact 111 for advice now if:
- you have red pee or black poo
- you get bruises that happen for no reason, or bruises that are larger than you'd expect or keep growing in size
Go to 111.nhs.uk or call 111
Go to A&E now if:
- you get nosebleeds that last longer than 10 minutes, despite trying to stop it
- you have blood in your vomit or you're coughing up blood
- you get severe headaches
- you have any bleeding from a cut or injury that will not stop or slow down
These are symptoms of serious bleeding. If you get serious bleeding, stop taking apixaban.
Bleeding in the brainVery rarely, apixaban can lead to bleeding in the brain. Call 999 or go to A&E if:
you get any of these symptoms: - sudden severe headache unlike anything you've experienced before
- fits or seizures
- sudden loss of vision or blurred vision
- a feeling of numbness or tingling in your arms or legs
You may also feel very tired, weak or sick.
Serious allergic reactionIn rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to apixaban. Other side effectsThese are not all the side effects of apixaban. For a full list, see the leaflet inside your medicine packet.
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