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    Blood Thinner Guide

    Prevents strokes. Manage carefully.

    Common blood thinners

    • Eliquis (apixaban) — most popular. 2x daily.
    • Xarelto (rivaroxaban) — daily.
    • Pradaxa (dabigatran) — 2x daily.
    • Warfarin (Coumadin) — older, requires INR monitoring.
    • Aspirin — different mechanism, milder.
    • For: AFib, blood clots, valve replacements.

    Watch for bleeding

    • Easy bruising — common.
    • Nosebleeds.
    • Bleeding gums.
    • Heavy menstrual.
    • Pink urine.
    • Black stools — call doctor.
    • Prolonged bleeding from cuts.
    • Severe bleeding — ER.

    Daily safety

    • Wear medical ID bracelet.
    • Tell ALL doctors + dentists.
    • Use electric razor (not blade).
    • Soft toothbrush.
    • Don't miss doses.
    • Don't double up if missed.
    • Avoid contact sports.
    • Be careful walking/falling.

    Warfarin diet (if on it)

    • Vitamin K affects how it works.
    • Don't suddenly change leafy greens.
    • Consistent intake = stable INR.
    • Tell doctor about diet changes.
    • NEW thinners (Eliquis, etc.) — no diet restrictions.
    • Many switch from warfarin for ease.

    Cost help

    • Eliquis $500-700/mo brand.
    • Manufacturer assistance programs.
    • Generic apixaban arriving 2026.
    • Warfarin generic $4/mo.
    • Medicare D coverage varies.
    • Cost Plus Drugs (Mark Cuban) lower.

    Surgery prep

    Most surgeries require stopping blood thinner days before. NEVER stop without doctor. Some procedures (cataract surgery) safe to continue. Always tell every doctor + dentist about blood thinner. Carry list of medications.