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HealthRX.com · Printable medication review sheet

Eliquis stack check and bleeding log

Sort every product you take alongside apixaban into the label's groups, log any bleeding signs with dates, and keep a procedure plan with the time of your last dose. Bring it to the clinician who manages your anticoagulation.

Companion to “NMN/NR and Apixaban Interaction: What the Evidence Actually Shows” · healthrx.com/interactions-nad-nmn/with-apixaban · Facts checked 2026-10-18

Your apixaban

Dose and timesfor example 5 mg or 2.5 mg, twice daily
Why you take itatrial fibrillation, clot treatment, after hip or knee surgery
Age 80 or older, weight 60 kg or less, creatinine 1.5 mg/dL or moretick each that applies
Prescriber and phone number

Every other product, sorted by label group

Product and daily amountStrong P-gp and CYP3A4 inhibitor?Strong inducer, such as St. John's wort?Adds bleeding risk (aspirin, NSAID, SSRI or SNRI, another blood thinner)?Prescriber told (date)

Bleeding signs

DateSign (bruising, gum or nose bleeding, red or black stool, pink or brown urine)How long it lastedWho you told

Before a planned procedure

Procedure and date
Bleeding-risk level the surgeon gave
Date and time of the last apixaban dose
Supplements the surgical team has been told about
When and how to restart

Eliquis label points

  • Combined P-gp and strong CYP3A4 inhibitors: the dose is cut by 50% on 5 mg or 10 mg twice daily, and the combination avoided on 2.5 mg twice daily.[1]
  • Combined P-gp and strong CYP3A4 inducers, including St. John's wort: avoid.[1]
  • Stop at least 48 hours before a procedure with moderate or high bleeding risk, or at least 24 hours before a low-risk one.[1]
  • A missed dose is taken as soon as possible the same day; the dose is never doubled.[1]
  • Stopping early without other anticoagulation raises the risk of clots.[1]

Call your provider or get medical help right away

  • Unexpected bleeding or bruising, or bleeding that lasts a long time, such as unusual gum bleeding or frequent nosebleeds.[1]
  • Bleeding that is severe or will not stop, red, pink or brown urine, or red or black, tar-like stools.[1]

For the clinician who manages your anticoagulation

  1. Does any product on my list fall into a group that changes my apixaban dose?
  2. Do I meet two of the criteria for the 2.5 mg dose?
  3. Before my procedure, how long before should my last dose be, and when do I restart?
  4. Should I pause NMN or NR around the procedure?
  5. Which bruising or bleeding should make me call now, and which can wait for my visit?
Sources for the facts on this sheet
  1. E.R. Squibb & Sons, L.L.C. (Bristol-Myers Squibb), via DailyMed. Eliquis (apixaban) tablets, tablets for oral suspension and Eliquis Sprinkle: prescribing information and Medication Guide. Effective 2025-04-17. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e9481622-7cc6-418a-acb6-c5450daae9b0

This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.