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Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor (MD/DO)
Category: Health
Satisfied Customers: 7117
Experience:  MBBS, MD, ECFMG certified. 11 year experience in dealing with cases related to all fields of medicine
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I am getting a hip replacement on 11/21/16 and currently

Customer Question

Hi. Yes, I am getting a hip replacement on 11/21/16 and currently taking Eliquis. Ortho wants me off eliquis 5 days before surgery. then he is moving me to warfarin for weeks. how much risk is involved going off the eliquis for 5 days?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Just eliquis and baby aspirin prescribed for dvt 6 months ago. dvt is now gone. Cardiologist signed off on the "5 days off eliquis"
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Muneeb Ali replied 10 months ago.


Thanks for this question. Actually going off eliquis for just 5 days does not significantly increase the risk of you developing another episode of DVT. The reason being that it will take atleast 2-3 days for the effects of eliquis to wear off and that effectively means that you will be without anticoagulation for only 48 hours. Being off anticoagulation for an effective period of 48 hours does not increase the risk of developing another blood clot especially since you will be started back on anticouagulation with LMWH initially after surgery anhd then shifted onto warfarin soon. I would put your risk of developing a blood clot in this time period at anywhere between 1-5% which is extremely low. So you dont need to worry too much about getting a blood clot when you are off eliquis.

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Expert:  Dr. Muneeb Ali replied 10 months ago.

Would you like to know anything else? Any clarifications or additional information you require, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating.