Can a Person Ever Get Off of Eliquis?
Eliquis or apixaban is a popular and powerful blood thinner that is used to reduce the risk of serious blood clots from forming. While often a long-term medication, there might be situations where stopping Eliquis becomes a consideration for some patients. Let’s explore when that might be possible, why it is crucial to do so only under medical guidance, and potential alternatives.
Why You Might Need Eliquis Long-Term
Eliquis is typically prescribed for conditions that carry an ongoing risk of clots:
- Atrial Fibrillation (AFib): This irregular heartbeat significantly increases stroke risk, often necessitating lifelong blood thinning.
- Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE): After an initial blood clot, Eliquis is used for an extended period to prevent recurrence.
Situations Where Stopping Might Be Considered
- Resolved Underlying Cause: In rare cases, if the condition that caused the increased clotting risk is completely treated and resolved, stopping Eliquis might become an option. Example: A temporary clot due to extensive immobility after surgery.
- Intolerable Side Effects: While Eliquis is generally well-tolerated, if side effects significantly impact your quality of life, your doctor might explore alternative medications or strategies.
- High Bleeding Risk: If you develop conditions or require procedures that carry a high bleeding risk, a temporary pause or switch in blood thinners might be necessary.
Why Doctor Supervision is CRUCIAL
Serious Rebound Risk
Abruptly stopping Eliquis can dramatically increase the risk of life-threatening blood clots. Your doctor will carefully assess your situation and guide you on any necessary tapering or switching to a different medication.
Individualized Assessment
The decision to stop Eliquis is never taken lightly. Your doctor will weigh multiple factors:
- Your original reason for needing blood thinners
- Your current risk of blood clots
- Any side effects you’re experiencing
- Your overall health profile
Potential Alternatives to Stopping Eliquis
Different Blood Thinner
If side effects are the issue, switching to another blood thinner (like warfarin or a different direct oral anticoagulant) might be considered.
Non-Medication Strategies
In some select cases with careful consideration, your doctor might explore:
- Aspirin Therapy: Lower potency, but might be suitable if your clot risk becomes lower.
- Interventional Procedures: Rarely, procedures to close off part of the heart (left atrial appendage closure) could be an option for select AFib patients, potentially negating the need for blood thinners.
Transitioning Off Blood Thinners: What to Expect
Sometimes, blood thinner therapy might not be lifelong. Reasons for stopping could include:
- Resolved Underlying Condition: If the reason for your blood clots is treated, your doctor might gradually taper you off.
- Bleeding Risk: If significant bleeding events occur or risk outweighs benefit, alternative strategies might be explored.
- Switching Medications: Sometimes, a different blood thinner or non-medication approach is a better fit long-term.
Important Considerations When Stopping Blood Thinners
- Eliquis is Life-Saving: For many, the benefits of preventing strokes and dangerous clots far outweigh the potential risks of the medication.
- Never Quit Abruptly: This dramatically increases your risk of serious clots. Always work with your doctor for a safe plan.
- Close Monitoring: Your doctor might recommend frequent blood tests to monitor clotting during and after discontinuation.
- Reassessing Your Risk: Understand why you initially needed blood thinners and if the risk of clots remains after stopping.
- Alternative Strategies: Your doctor might discuss options like aspirin or non-medication procedures to reduce clot risk if needed.
While stopping Eliquis may be possible in specific situations, it’s always a decision made under close medical supervision. Prioritizing your safety and long-term health means careful evaluation of your individual needs and the best strategies to mitigate your risk of blood clots.
Always Remember: Even after blood thinner therapy, prioritizing a heart-healthy lifestyle remains key in minimizing your risk of blood clots and optimizing your overall well-being for the long haul.
Final Thoughts
Getting off Eliquis isn’t a one-size-fits-all decision; it’s deeply personal and depends on your health, risk factors, and how your body responds over time. If you’re wondering whether stopping Eliquis is possible for you, the most important step is having an open conversation with your doctor. With the right guidance, alternatives, and ongoing support, there may be options ahead. Your safety comes first, and you’re not alone on this journey.
References and Further Reading
https://www.medicalnewstoday.com/articles/drugs-eliquis-side-effects
