Can somebody explain to me the deal with Eliquis?
Eliquis is one of the new anticoagulants that is starting to take the place of Coumadin. It's a wonderful thing, because Coumadin has to be monitored so carefully with blood tests and interacts with everything. The newer anticoagulants don't need to be monitored in the same way and have lower risk of bleeding. Win-win, right?
Except the problem with Eliquis is that it's not reversible. If you're on Coumadin and you have a big bleed in your head or GI tract, they can give you Vitamin K to reverse it and hopefully stop bleeding. If you're on Eliquis, you just have to wait for it to get out of your system.
I could accept this risk because of the benefits of Eliquis except that there are other newer anticoagulants such as Pradaxa that have lower risk of bleeding, don't need to be monitored, and they are reversible.
I can't figure out why people keep prescribing Eliquis instead of a reversible alternative. It's the most prescribed of the newer anticoagulants, yet I've never heard a physician give a really good reason why they would pick that over something reversible. I casually looked up the literature and I don't see anything compelling there either.
I don't get it. Can somebody please explain this to me?