Antidote

An anecdote is a funny little story; an antidote counteracts poison. Tell someone an anecdote about your close encounter with a rattlesnake and how the cute park ranger had to get you the antidote for snake venom right away.

An anecdote is a story someone tells about themselves or people they know. It's often short and unreliable. That rattlesnake encounter? Well, maybe you embellished a bit — you saw a rattlesnake, but it didn't bite you. Anecdotes can be true or false; they're revealing little tales:

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Antidote (or Antipoison) are made by mixing irit and magic roots in a vial of coconut milk, requiring 79 Herblore and giving 177.5 Herblore experience. Antidote potions cure poison and provide the second longest possible immunity to poison, which is 12 minutes ( anti-venom+ provides immunity to poison for 15 minutes). Antidote Lyrics: Don't you open up that window / Don't you let out that antidote (Yeah) / Poppin' pills is all we know (Ooh) / In the hills is all we know (Hollywood) / Don't go through the front.

Antidote is a clinical trial patient recruitment and patient engagement company bridging the gap between new treatments and the patients who need them.

All the little anecdotes I had heard of him pleased me very much. (Miranda Eliot Swan)

The pages are thick with freaky anecdotes: One patient suffers permanent brain damage after an anesthesiologist causes him to nearly suffocate. (Washington Post)

Mr. Smith offered only anecdotes to back his beliefs. (New York Times)

An antidote cures what ails you. It's an actual counteragent to a poison, like snake venom. It's what you need if your wife tries to kill you, like poor Wang below, or when you just need to turn that frown upside down:

Then he told the physician there was only one way to save Wang's life — an antidote called Prussian Blue. (Daily Mail.uk)

Forced blossoms are an antidote to the gloomy winter months (Digthedirt.com)

An anecdote is a memoir sound bite, a little story. They're fun, but they don't change your destiny. But antidote, is anti-poison, so dote on situations that require antidotes — your life may be on the line.

anecdote

A short, amusing true story is an anecdote. You might come back from a crazy spring break with a lot of anecdotes to tell. Continue reading...

antidote

An antidote is a remedy that relieves. So if you get headaches from long bus rides, it's best to travel equipped with the key pain alleviating antidotes: Tylenol, lots of water and soothing music. Continue reading...

Medically reviewed by Carmen Fookes, BPharm. Last updated on Jan 16, 2019.

Antidote Lyrics

Tips

1. How it works

Eliquis is a brand (trade) name for apixaban which is used to reduce the risk of blood clot formation. Apixaban is a selective inhibitor of factor Xa (FXa), an enzyme that plays a key role in the formation of substances that cause blood clotting. Through its action on FXa, apixaban makes blood less likely to clot.
Eliquis belongs to the class of drugs known as factor Xa inhibitors. Eliquis may also be called an anticoagulant.

2. Upsides

Used to reduce the risk of stroke and blood clot formation in people with nonvalvular Atrial Fibrillation (AF).
Also used to protect against the development of deep vein thrombosis (DVT) (blood clots in the deep veins) following hip or knee replacement surgery.
Eliquis is also used in the treatment of DVT and pulmonary embolism (PE) (where blood clots lodge in the lungs), and to lower the risk of recurrent DVT and PE.
Does not require regular blood tests.
An antidote was approved in 2018, called andexanet alfa. However, the actual risk of major bleeding is low.
Is less likely than warfarin to interact with other drugs or foods; however, it does interact with some medicines.

3. Downsides

If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:

Minor bleeding, nausea, anemia, and hemorrhage are the most common side effects. Gastrointestinal side effects such as constipation, vomiting, diarrhea, or abdominal pain may also occur.
Call 911 if you experience severe or unstoppable bleeding, pink or brown urine, red or black tar-like stools, coughing or vomiting up blood or blood clots (may look like coffee grounds). Also seek urgent medical help with any symptoms of a stroke (such as sudden dizziness, headache or loss of vision; difficulty with speech or slurring of your words, one-sided facial drooping) or signs of a blood clot (sudden, severe shortness of breath; pain, heat or swelling in a limb).
Consider coverage with another anticoagulant if Eliquis needs to be stopped for any reason other than significant bleeding or completion of the course of therapy because premature discontinuation has been associated with thrombotic events (the formation of a blood clot within a blood vessel).
There is an increased risk of spinal or epidural hematomas resulting in long-term or permanent paralysis forming in people taking Eliquis who are also undergoing spinal puncture or epidural or spinal anesthesia. The risk is greater in those taking other medications that affect blood clotting (such as NSAIDs, aspirin), with a history of traumatic or repeated spinal procedures or a history of spinal deformity or surgery.
May not be suitable for some people including those with artificial heart valves or with active bleeding.
May be difficult to confirm if the 'one dosage fits all' regimen suits everybody, because there is not a commercial blood test available to check the actual effect Eliquis is having on each individual taking it.
May interact with a number of other drugs including ketoconazole, carbamazepine, phenytoin, rifampin and St John's Wort.
There is no generic version of Eliquis.

Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. View complete list of side effects

4. Bottom Line

Eliquis reduces the clotting ability of the blood and is used in the treatment and prevention of a number of medical conditions associated with blood clots. It does not require monitoring, and an antidote, called andexanet alfa, is available if severe bleeding occurs.

5. Tips

May be taken with or without food.
Tablets may be crushed and mixed with water or apple juice/sauce to make swallowing easier. Swallow mixture straight away and do not save for later use.
Eliquis is usually dosed twice daily. Check with your doctor what dosage is recommended for you.
Tell all healthcare providers that you are taking Eliquis. Eliquis may need to be temporarily discontinued at least 48 hours prior to surgery that carries a moderate-to-high risk of unacceptable or clinically significant bleeding; 24 hours before surgery with a low risk of bleeding or if bleeding likely to be noncritical. Bridging therapy is not usually required and Eliquis should be re-started once the risk of bleeding post-surgery has returned to normal.
Eliquis may also increase your risk of bleeding from a minor fall or bump on the head. Contact your doctor if you experience an injury or have bleeding that will not stop.
Your doctor may require you to undertake extra monitoring when switching to or from Eliquis.
Do not stop taking Eliquis suddenly. Your doctor will advise you on how to discontinue Eliquis when or if you no longer require it.

6. Response and Effectiveness

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Peak concentrations of Eliquis appear within 3 to 4 hours of an oral dose. Absorption is not affected by food or by crushing the tablets but the rate of absorption is reduced at higher dosages.
Effect on blood clotting factors happens within a few hours of taking a single dose of Eliquis. When Eliquis is stopped, its effect on clotting begins to wear off within 24 hours.

7. Interactions

Medicines that interact with Eliquis may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with Eliquis. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions should be managed.

Common medications that may interact with Eliquis include:

amiodarone
antibiotics, such as erythromycin,
anticonvulsants such as carbamazepine, phenobarbital, phenytoin or valproic acid
antimicrobial agents, such as ciprofloxacin, clarithromycin, erythromycin, metronidazole
antivirals, such as boceprevir, or delavirdine
aspirin
cancer medications, such as zanubrutinib
cyclosporine
dabigatran
dextran
echinacea
garlic
ginseng
heparin
HIV medications such as saquinavir
medications that inhibit or induce CYP3A4 enzymes, such as fluconazole, ketoconazole, or ritonavir
methotrexate
mifepristone
NSAIDs, such as ibuprofen, celecoxib, diclofenac, etodolac, and naproxen
rifampin
St John's Wort
tinzaparin
warfarin.

In general, any medicine that can increase the risk of bleeding (such as abciximab, clopidogrel, SSRI antidepressants [eg, citalopram, duloxetine, fluoxetine, venlafaxine], fish oils) may interact with Eliquis.

Alcohol may increase the risk of stomach bleeding with Eliquis.

Note that this list is not all-inclusive and includes only common medications that may interact with Eliquis. You should refer to the prescribing information for Eliquis for a complete list of interactions.

More about Eliquis (apixaban)

During Pregnancy or Breastfeeding

Consumer resources

Professional resources

Related treatment guides

References

Antidote For Xarelto

Eliquis (apixaban) [Package Insert] Revised 06/2019. E.R. Squibb & Sons, L.L.C https://www.drugs.com/pro/eliquis.html

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Eliquis only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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