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5mg or 2.5?
Hi. I was recently diagnosed with AFib and immediately put on a 5mg dossage of Eliquis twice daily, I am getting very lightheaded and tired and somewhat weezy with phisical activity. Prior yo the Eliquis I swam and walked daily with no issues. I see my cardiology-trained primary doctor tomorrow and an EP next week and then a cardiologist soon after that. Do you thionk that 2.5 mg would be a better dossage?
gretske, December 14, 2020 4:42pm EST
When I had an afib incident, I was also put on Eliquis and had the same symptoms. Then I had a cardioversion and later, an ablation. I didn't have a fib for over 3 years and went off the Eliquis. I felt great! Earlier this year, I went in for a knee replacement in March, and they said I was in a fib, so the surgery was cancelled and I went back on Eliquis, which I am to this day. I don't like it at all! It sucks and has all the downsides you listed, plus a couple more. But, I don't want to have a stroke. I am assessing what to do next and would love to stay in touch with you and anyone else in the same position. There must be alternatives, other than blood thinners or anti-coagulants.
dsavoie1953, December 14, 2020 11:49pm EST
My reply. Yes. There is an alternative. Find out what is the root cause of AFIB? Is it blood pressure? Is it upper artria or lower ventricle? Is it sleep apnea? Insommia? Blood work - thyroid? What test have you taken to determine root cause? Did you you have an RF Ablation? It is not uncommon to have another RF Ablation.
Get a good EP to perform an RF Ablation.
Go to StopAfib.org and https://www.healthyseminars.com/bio/marlene-merritt
MellanieSAF, December 15, 2020 8:05am EST
The 5 mg dose is the standard approved dose of Eliquis for preventing afib strokes whereas the 2.5 mg dose is the standard approved dose for VTE. Only in rare cases is 2.5 mg approved for afib stroke prevention - it requires two of these three conditions to do so: (1) Age 80+; (2) Kidney disease; (3) Very low weight. If you do not meet two of those three criteria, your cardiologist is unlikely to consider it appropriate to change you to the lower dose as doing so without those conditions may mean that you are not protected from stroke.
Generally, fatigue and light-headedness are due to afib, or to beta blockers, but not Eliquis. It could also be due to low blood pressure or dehydration. But, if that is the only thing that has changed, it is worth discussing with your doctor.
If you truly do not like taking a blood thinner, then a left atrial appendage occlusion device is an option to consider and discuss with your doctor.
And, as Dennis suggested, eliminating afib through a procedure may also be an option.
Thumper2, December 15, 2020 8:09am EST
Sweatsox, yes, there are "blood thinners" other than Eliquis (Pradaxa and a couple of others). I have been on Warfarin (coumadin) for 15 years,and it is not only inexpensive but works well for me -- I am tested once a month and do not have to limit my diet or anything else. However, coumadin does not work well for everyone, as Mellanie says. Your EP should be able to suggest options for you. And I agree with DSavoie that an ablation would probably be a good idea. As I've said elsewhere, it's the closest thing there is, to a "cure" for AFib. However, finding the root cause of your AFib is something which almost none of us know! But it's a good thing to be aware of what "triggers" set off your episodes. In the meantime, stay well-hydrated (6-8 cups of water per day), and let us know how things are going!
Sweatsox, December 16, 2020 9:10am EST
Hello Everyone. I met with my primary yesterday and she discussed an ablation or a cardioversion. She works closely with an EP and a cardiologist and consulted with both. Since my daignosis one month ago, I have lost 20 pounds and stopped all alcohol and for that reason the primary believes that the first course of action should be a cardioversion with a possible ablation if it doesn't work. She is consulting with the cardiologist, under who she trained, today, I will eremain on the 5 mg dose of Eliquis but she reduced my Lisinopril (BP) dosage to to 5 mg. Thank you all for your input, it is greatly appreciated. I will keep you informed.
Thumper2, December 17, 2020 8:38am EST
Sweatsox, that sounds like a good course of action! We look forward to hearing more about how things go.