Difference between revisions of "Apixaban (Eliquis)"

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'''FDA approved 12/28/2012'''. 
 
 
 
==General information==
 
==General information==
 
Class/mechanism: Selective and reversible factor Xa inhibitor.  By inhibiting free and clotbound factor Xa in the coagulation cascade, apixaban inhibits prothrombinase activity, the conversion of prothrombin to thrombin, and the subsequent conversion of fibrinogen to fibrin.  It does not need antithrombin III to exert its antithrombotic activity.<ref name="insert">[http://packageinserts.bms.com/pi/pi_eliquis.pdf Apixaban (Eliquis) package insert]</ref><ref>[[Media:Apixaban.pdf | Apixaban (Eliquis) package insert (locally hosted backup)]]</ref><ref>[http://www.eliquis.com Eliquis manufacturer's website]</ref>
 
Class/mechanism: Selective and reversible factor Xa inhibitor.  By inhibiting free and clotbound factor Xa in the coagulation cascade, apixaban inhibits prothrombinase activity, the conversion of prothrombin to thrombin, and the subsequent conversion of fibrinogen to fibrin.  It does not need antithrombin III to exert its antithrombotic activity.<ref name="insert">[http://packageinserts.bms.com/pi/pi_eliquis.pdf Apixaban (Eliquis) package insert]</ref><ref>[[Media:Apixaban.pdf | Apixaban (Eliquis) package insert (locally hosted backup)]]</ref><ref>[http://www.eliquis.com Eliquis manufacturer's website]</ref>
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==Patient drug information==
 
==Patient drug information==
*[http://packageinserts.bms.com/pi/pi_eliquis.pdf#page=7 Apixaban (Eliquis) package insert pages 7-8]<ref name="insert"></ref>
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*[http://packageinserts.bms.com/pi/pi_eliquis.pdf Apixaban (Eliquis) package insert]<ref name="insert"></ref>
 
*[http://www.uptodate.com/contents/apixaban-patient-drug-information Apixaban (Eliquis) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/apixaban-patient-drug-information Apixaban (Eliquis) patient drug information (UpToDate)]</ref>
 
*[http://www.uptodate.com/contents/apixaban-patient-drug-information Apixaban (Eliquis) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/apixaban-patient-drug-information Apixaban (Eliquis) patient drug information (UpToDate)]</ref>
  

Revision as of 05:42, 1 January 2016

General information

Class/mechanism: Selective and reversible factor Xa inhibitor. By inhibiting free and clotbound factor Xa in the coagulation cascade, apixaban inhibits prothrombinase activity, the conversion of prothrombin to thrombin, and the subsequent conversion of fibrinogen to fibrin. It does not need antithrombin III to exert its antithrombotic activity.[1][2][3]
Route: PO
Extravasation: n/a

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it is used

  • Atrial fibrillation

Patient drug information

History of changes in FDA indication

  • 12/28/2012: FDA approves Apixaban (Eliquis) "to reduce the risk of stroke and dangerous blood clots (systemic embolism) in patients with atrial fibrillation that is not caused by a heart valve problem."[5]

References