Country: Australia
Language: English
Source: Department of Health (Therapeutic Goods Administration)
Apixaban
Bristol-Myers Squibb Australia Pty Ltd
Medicine Registered
ELIQUIS ® (ELLE-E-KUIS) _apixaban_ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Eliquis. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking Eliquis against the benefits it is expected to have for you. IF YOU HAVE ANY CONCERNS ABOUT TAKING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT ELIQUIS IS USED FOR _WHAT ELIQUIS DOES_ This medicine is used to prevent blood clots in your veins after a hip or knee replacement surgery. After an operation you are at an increased risk of getting blood clots. It is also used to prevent stroke and blood clots in a condition called atrial fibrillation, which is a type of abnormal heart rhythm. With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming and increase your risk of having a stroke. _HOW ELIQUIS WORKS_ The active substance in Eliquis is apixaban. It belongs to a group of medicines called antithrombotic agents. It works by inhibiting a blood clot forming substance called Factor Xa. ASK YOUR DOCTOR IF YOU HAVE ANY QUESTIONS ABOUT WHY THIS MEDICINE HAS BEEN PRESCRIBED FOR YOU. Your doctor may have prescribed it for another reason. This medicine is not addictive. This medicine is available only with a doctor's prescription. This medicine is not expected to affect your ability to drive a car or operate machinery. _USE IN CHILDREN_ There is not enough information to recommend the use of this medicine in children and adolescents under the age of 18 years. BEFORE YOU TAKE ELIQUIS _WHEN YOU MUST NOT TAKE IT_ DO NOT TAKE ELIQUIS IF YOU HAVE AN ALLERGY TO: • any medicine containing apixaban • any of the ingredients listed at the end of this leaflet. Some of the symptoms of an allergic reaction may include: • shortness of brea Read the complete document
Version:bgpeliqu10713 Supersedes: bgpeliqu10413 Page 1 of 42 PRODUCT INFORMATION ELIQUIS ® APIXABAN NAME OF THE MEDICINE Apixaban, a selective inhibitor of the coagulation Factor Xa (FXa), is chemically described as 1-(4-Methoxyphenyl)-7-oxo-6-[4-(2-oxopiperidin-1-yl)phenyl]-4,5,6,7- tetrahydro-1_H_-pyrazolo[3,4-_c_]pyridine-3-carboxamide. Its molecular formula is C 25 H 25 N 5 O 4 , which corresponds to a molecular weight of 459.5. Apixaban has the following structural formula: N N N H 3 CO H 2 N O O N O CAS Number: 503612-47-3 DESCRIPTION Apixaban is a white to pale yellow powder. At physiological pH (1.2 - 6.8), apixaban does not ionize; its aqueous solubility across the physiological pH range is ~0.04 mg/mL. The octanol/water partition coefficient is 44.7 at pH 7.4. ELIQUIS film-coated tablets are available for oral administration in strengths of 2.5 mg and 5 mg apixaban with the following inactive ingredients: anhydrous lactose, cellulose - microcrystalline, croscarmellose sodium, sodium lauryl sulfate, and magnesium stearate. The film coating contains lactose monohydrate, hypromellose, titanium dioxide, glycerol triacetate and yellow iron oxide (2.5 mg tablets) or red iron oxide (5 mg tablets). PHARMACOLOGY PHARMACODYNAMICS The pharmacodynamic effects of apixaban are reflective of the mechanism of action (FXa inhibition). As a result of FXa inhibition, apixaban prolongs clotting tests such Version:bgpeliqu10713 Supersedes: bgpeliqu10413 Page 2 of 42 as prothrombin time (PT), INR and activated partial thromboplastin time (aPTT). Changes observed in these clotti Read the complete document