Abnormal Bleeding on Eloquis? Consult a Doctor Immediately!

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

When taking DOACs (Direct Oral Anticoagulants) like Eloquis, it is important to be aware of the potential for bleeding complications. Abnormal uterine bleeding can be particularly concerning, and understanding when to seek emergent care is crucial. Life-threatening bleeding while on DOACs is a clear indication for the use of a reversal agent, such as Andexanet alfa injection. The urgency and need for a reversal agent depend on the severity of the bleeding, which can be categorized into mild, moderate, and severe. Mild bleeding might cause an elevated pulse rate but typically does not lead to significant drops in blood pressure or other severe symptoms. You might notice that the bleeding is more than usual, but it does not cause significant discomfort or weakness. Moderate bleeding can have more noticeable effects on your body. You may start to experience a lowered blood pressure, dizziness, and a high pulse rate. Additionally, you might feel excessively thirsty and have a dry mouth. These symptoms suggest that the bleeding is more serious and that your body is beginning to be affected by the blood loss. Severe bleeding is considered life-threatening and requires immediate emergency care. Symptoms of severe bleeding include a systolic blood pressure of less than 90 mmHg, severe dizziness, fainting, and signs of shock. If you experience any of these symptoms, you should seek emergent care immediately. The best way to make a decision about seeking emergent care is to balance the risk and benefit ratio. This means considering the risks associated with stopping or continuing Eloquis against the benefits of stopping or continuing its use.

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