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Is Apixaban 5mg BD Safe After ORIF Of The Tibia?

Posted on Wed, 22 Nov 2017

Question: I recently have had an ORIF of tibia and fib after a fall. I was put on dabigatran (in Mexico where I had my accident) and at home in the uk have been put onto apixaban 5mg bd. I'm terrified of it . What if I fall ? What if I bleed and there's nothing to reverse it ?
Then last night I had a bath which may have been too hot , and when I got out with help from my husband I fainted ! Dropped my systolic bp. I was sick and thought I had a PE or something . I'm really scared

In addition my accident was 3 weeks ago .
Also how will they get me off this drug will it be weaned ?

Answered by Dr. Ivo Ditah (23 minutes later)

Brief Answer:
THe benefits of taking this drug out weights any side effects!

Detailed Answer:
Hi and thanks so much for this query.

After an ORIF procedure, being on a blood thinner is really not an option but a must. We have enough products to address any bleeding should it occur. However, that is very unlikely as this is a controlled intervention.

Hot baths cause excessive sweating and fluid loss. That will closely mimic heat exhaustion like working excessively in hot climate. Kindly refrain from that as it leads to fluid loss, drop in blood pressure, decrease blood flow to the brain with symptoms of dizziness, fainting, vertigo, etc. In such events, drink as much water as possible.

I hope this helps and guides. I wish you well. Feel free to follow up with me if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (6 minutes later)

Thankyou for your prompt reply.
There is no reason why my brain will spontaneously just bleed is there while taking this drug . ? I'm other wise fit and healthy ? Thanks again

Answered by Dr. Ivo Ditah (10 minutes later)

Brief Answer:
No!

Detailed Answer:
Hi,

This is a controlled process. Bleeding in the brain would be a very rare and uncommon side effect. In all, the benefits outweigh any potential consequences.

I hope this helps. I wish you well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (3 minutes later)

Thankyou . No doubt I will contact again at some point when my overactive thought process prompts the need

Answered by Dr. Ivo Ditah (20 minutes later)

Brief Answer:
Am at your service, 24/7!

Detailed Answer:
HI,

Am at your service and your satisfaction is my LONE goal. I will always go above and beyond to address your worries and exceed your expectations.

Until next, I wish you well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (3 hours later)

I have bought a supplement which is called osteocare contains glucosamine , chondroitin,calcium,magnesium, vitamin d, zinc, and d3 to help my bone heeling. Will that be ok to be taken with apixaban ? I don't take any other medications

Answered by Dr. Ivo Ditah (10 hours later)

Brief Answer:
Yes, you can!

Detailed Answer:
Hi,

There is no contraindication taking apixaban and osteocare together. Feel free to go ahead as planned.

I wish you well.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar