Patient was educated on contraindications for using Apixaban as follows: Apixaban is mainly metabolized by the liver. Individuals with history of compromised liver function cannot metabolize Apixaban and this can lead to increased blood levels of Apixaban for longer duration, leading to toxicity and episodes of bleeding. Apixaban should be avoided or used with extreme caution in such individuals. Apixaban is mainly excreted in the bile and urine. Individuals with history of biliary obstruction, stasis [...]

Patient was educated on the side effects of using Apixaban as follows: Internal bleeds Patients taking Apixaban can occasionally present with episodes of internal bleeding, resulting in coughing up of blood, vomit that looks like coffee grounds, red colored urine, bleeding per rectum that is either bright red or brown black in color. Hemorrhagic stroke Patients taking Apixaban can occasionally present with episodes of internal bleeding from cerebral blood vessels, resulting in episodes of headache, [...]

Patient was educated on the side effects of using Apixaban as follows: Nausea and vomiting These are some of the most common side effects of Apixaban. Taking Apixaban with some food can minimize the effects of nausea and vomiting. Anaphylaxis A rare, but serious anaphylactic response can occur for Apixaban. Patients can present with extreme itching and rash, swelling of the face and throat, dizziness, bronchoconstriction, and difficulty breathing. This is an emergency and medical [...]

Patient was educated on how to take Apixaban as follows: Maintain strict compliance with intake of Apixaban as ordered, with regards to dosage and frequency, to derive the benefit of the medication. Noncompliance with this recommendation can result in episodes of bleeding or clot formation. So, do not change your dose of Apixaban, without your doctor’s recommendation. Take Apixaban pill with or without food along with a full 8 oz. glass of water. Taking the [...]

Patient was educated on Apixaban and its mechanism of action as follows: Apixaban is an anticoagulant inhibiting some proteins that help clotting. Apixaban inhibits factor Xa along the coagulation pathway. Apixaban helps individuals with atrial fibrillation, by preventing formation of clot and consequent stroke. Inhibition of clot formation also offers protection against deep venous thrombosis, consequent development of pulmonary embolism and episodes of myocardial infarction and chest pain. So, Apixaban is widely used in individuals [...]