1 Year Review - Choice of coming off Apixaban

I would imagine the crux of the matter may be "what caused the clot in your leg?".

It looks like the PEs were provoked (by the leg clot), but was the clot in the leg provoked or unprovoked?  If they can explain what caused that (surgery, injury, immobility etc.) then I would be inclined to come off the Apaxiban. If not, it is a harder choice.

The found pes in me in November of 2016. Ive been on eliquis. Mine was unprovoked too and they never found the source. Im 35. My hematologist says in april if the ct scan comes back without pes i can get off the eliquis. She said treatment for a first time pe is 6 months. Its a harsh drug to be on the rest of your life. Do you know if your factor V or have problems with protein c?

Hi, I'm on Warfarin since last May, as I have a small blood clot at the bottom of my right lung. I had a pneumonia before that, so my blood clot probably formed because the pneumonia. I didn't have any symptoms that I could think I have had a blood clot. I visited the GP last year quite often because of my chest infection, she checked my carves, asked about breathlessness shortness of breath sharp pain in the chest, but there was nothing. I had a CT scan 2 weeks ago, and I visited my GP yesterday and she told me that the CT result come back but I'm about to see my lung consultant, but I don't know when will I see him as I don't have any appointment letter, so the CT result still shows that the clot is there. My lung healed, but the clot is still there. My INR was almost always between the target, it happened only 2 times that it dropped a bit, so I am really thinking to come off Warfarin and try Nattokinase, as I am quite young only 34 male to take the bloodthinner life long. It is a Japanese suppliment which is act as bloodthinner. I found an article online which sais: research shows that the nattokinase enzyme has 4 times the clot-dissolving power of plasmin and supports heart health. Also sais that the synthetic bloodthinners dissolve bloodclots for few minutes to half an hour. Nattokinase on the other hand stays active in the body for 8-12hours. I was told that the bloodthinner medicines is good for 24 hours.. So regarding the article what I found it is not true. I am not telling you to stop your bloodthinner and take nattokinase, just this is another way. And somebody told me as I opened a forum about experiences of nattokinase that this is foodsuppliment you can take more and your blood will be thinner if you take not enough your blood will be too thick, I think the bloodthinner what you take doesn't need INR check so you don't know what is your INR, so for you it wouldn't be too big deal. I  asked 2 doctors what they think  of Nattokinase, of course they told me to keep taking the Warfarin as they get money if they prescibe me the medicine... But I read on amazon review of somebody stared taking nattokinase, he wrote that he had bloodclot, took bloodthinners and stop taking them when the blood clot disappeared and started to feel pain in his chest again, and stared to take nattokinase and his chest pain has gone. That's why I'm thinking coming off warfarin as I am taking it for 9 months and that small blood clot is still there... At the bottom of the lung how big the vessels are? I think 1-3mm big only so the clot is/was quite small. Also I am only 34 years old, I can't take any pain  killer with this bloodthinner as they interact with it, I had groin/loin pain for quite a long time and I couldn't use nurofen cream as it contains ibroprufen which interacts with warfarin. I couldn't take immune system booster as it contains vitamin k which interacts with warfarin. If I would need I couldn't get every kind of antibiotics as most of them interacts with warfarin. Sorry to write you all this, but you can search of the Nattokinase and can decide what you see better option for yourself.