rivaroxaban

Hi. My husband was put on R last Tuesday and is already complainung of tiredness, weakness and aching joints.

He went to archery today and had to give up as he couldn't pull the bow he used last week!

We will be in touch with his consultant tomorrow and may well go back onto warfarin...we can at least keep the inr under contro with the coaguchek machine

Hi just want you to hear my story. I had two stents fitted in two arteries and suffer from AF. A specialist told me he wanted me to go on warfarin. When I chatted this over with my Cardiac Nurse she strongly advised me to go on Apixaban. It too is one of the newer  anticoagulants but she said that Apixaban is far better than Rivaroxaban. I did not wish to go on Warfarin because of the constant blood tests. A doctor friend of my went on Apixaban over a year ago and he too recommended it to me. I can honestly say that since the beginning of January this year when I went on Apixaban, I have no side effects whatsoever. I have to be on it for life and will quite happily continue. I did have to push to get put on it but I was so determined I would not accept anything else!!!

Hi, I know how your husband feels, I am the same however doctor tells me its not the rivaroxaban so its a frustrating situation.  I am going to ask about the other new one apixaban when I go back in September and will let you know outcome.

Thank you for the information will ask about the antidote at anticoagulant clinic tomm take care Carroll 😊

I was speaking to cardiology consultant last month and he said that it was still being developed.

I heard to same but will double check tomm and let you all know 😊

Hello when I asked at anti coagulation clinic they knew of no antidote to Riveroxoban. ..but they were nurses and not doctors ..😊

My GP said that Apixaban would be his drug of choice if he ever needed that type of drug due to it's shorter life and being taken twice a day.

Thanks Derek, I will check with my doctor next time to see if I can try Apixaban

Would jjust llike to make a point ..yes warfarin in cheap but because warfarin requires regular monitoring and blood tests by qualified nurses who have to adjust your dose whenever Rivaroxaban does not i should imagine it would cost the nhs more money in the long term if you were on warfarin rather than the new anticoagulant. Regards Carroll

Hi Carol, thats absolutely correct lol I hadnt thought of that

Hi lots of people don't think of that 😊

Makes you really think doesn't it ...why would they be so eeager to give you a more eexpensive drug which we are told without an aantidote ...who does it rreally benefit in the longterm them or us. Sometimes better to stick to devil u know than devil you ddon't. This is my view wwhether right or wwrong regards Carroll 😊

I can remember warfarin making me feel ill, I felt like I was being poisoned.  After trying dabigatran which gave me bad headaches I am not doing well on rivaroxaban either.  I am tempted to try warfarin again though after what I know now.

Hi i have tried Rivaroxaban ..felt quite ill on it so went back to warfarin. Feel safer on warfarin. There are other new anti coagulation drugs not just Rivaroxaban there is another 1 beginning with A...heard that as less side effects but you have to fight with your gp to get it mine refused. You do what you feel is right for you ..😊

Apixaban is then name of it ...more expensive and fewer side effects than the rest ...up to you x

Warfarin is still cheaper even with weekly surgery visits. INR appointments evidendly get the Surgery about £10 a time.

Also you have to pay someone to workout your dosage and home vvisits. ..so why is warfarin cheaper in the longrun than the nnew Ones. ..do u know how much new Ones r? CCompared?

At our practice housebound patients get their own machine for self testing and phone their results in at an appointed time.

Cost to NHS

Tablets, warfarin sodium 500 micrograms (white), net price 28-tab pack = £1.66; 1 mg (brown), 28-tab pack = £1.04; 3 mg (blue), 28-tab pack = £1.07; 5 mg (pink), 28-tab pack = £1.08. 

Tablets, yellow, f/c, apixaban 2.5 mg, net price 10-tab pack = £10.98, 20-tab pack = £21.96, 60-tab pack = £65.90; 5 mg, 56-tab pack = £61.50

Tablets, f/c, rivaroxaban 2.5 mg (light yellow), net price 56-tab pack = £58.80; 10 mg (light red), 10-tab pack = £21.00, 30-tab pack = £63.00, 100-tab pack = £210.00; 15 mg (red), 14-tab pack = £29.40, 28-tab pack = £58.80, 42-tab pack = £88.20, 100-tab pack = £210.00; 20 mg (brown-red), 28-tab pack = £58.80, 100-tab pack = £210.00

Capsules, blue/ivory, dabigatran etexilate (as mesilate) 75 mg, net price 10-cap pack = £10.98, 60-cap pack = £65.90; 110 mg 10-cap pack = £10.98, 60-cap pack = £65.90; 150 mg, 60-cap pack = £65.90. Label: 25

Cost to nurses who look after patients on wwarfarin and work out correct ddosage?? U have oomitted that . TThank u ffor all the Iinformation you have aquired and letting us all know kindest regards Carroll

I'm told that the practice gets £10 or was it £12 per patient visit for INR testing.

They probably fit in five patients an hour if they are not Chatty like me:-)

 

Yes but they only ttake blood ..it is then sent to hospital to be aanalysed then your ddosage is either changed or rremains the ssame 😊

At the practice I go to it is just a pin prick test.

Hi Derek not in nottingham .

For pin pick have to go to qmc😊

It is changing around the country for example in Brighton hospitals and GP's no longer do it. You pick from a list of pharmacies and register with one. They take blood, send it off and the patient gets a phone call the next day.

When I told one nurse at my GP's she said, "I wish"

The GPs only do a pin prick test wih a coaguchek monitor. Its immediate. Only A full blood test out of a vein is sent to a hospital.

Get a machine...for £299 you are free of all the hassle...just phone the result to your GP every so often

It made a huge difference to our lives.

Now my huband as been on Riveroxiban for a week and the side effects are: dreadfully tired, aches all over, very weak suddenly. Not normal at all for him, as we are usually out doing stuff all the time.

May chang bak to warfarin if this continues, as at least we could keep it under some control with the coaguchek machine.

When I was on Rivaroxaban all my muscles ached and stomach not too good either so went back onto warfarin and ok now...at the anticoagulant clinic they said a few other people had returned to warfarin for the same reason