COVID-19 SERVICE UPDATE – JANUARY 2021

HAPPY NEW YEAR AND ALL THE BEST IN 2021


Shipping Update

We are now seeing improvements in our shipping times. However, things are not yet back to normal and there are still some delays occurring.

Our normal shipping time averages 1 - 2 weeks. Shipments may potentially take an additional 2 – 4 weeks to arrive, depending on the source country of your order. Shipments from the United Kingdom and Canada are generally quicker than from other countries.

Please note that these times are averages and individual shipping times will vary. We highly recommend that you place your order at least 2 – 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

These delays are temporary, and we thank the shipping and delivery personnel who are working hard for all of us during this global crisis.

Please Note: We have resumed our normal 30-Day Shipping Guarantee. We will provide updates as the situation changes.

Call Center

Our call center hours of operation are 6:00 am – 9:00 pm Central Time on Monday to Friday, and 7:00 am – 7:00 pm Central Time on Saturday and Sunday.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.


Management and Staff
Medix Pharmacy

Eliquis
(Apixaban)

Prescription Settings Edit

Brand Name Choices

Eliquis 2.5mg
Eliquis 2.5mg

Apixaban

Manufactured by Bristol Myers Squibb

Product of Canada

Dispensed by an approved Canadian pharmacy partner

Prescription Required

Eliquis 2.5mg
Eliquis 2.5mg

Apixaban

Manufactured by Bristol Myers Squibb

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Eliquis 5mg
Eliquis 5mg

Apixaban

Manufactured by Bristol Myers Squibb

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Eliquis 5mg
Eliquis 5mg

Apixaban

Manufactured by Bristol Myers Squibb

Product of Canada

Dispensed by an approved Canadian pharmacy partner

Prescription Required

More Brand Name Choices

Generic Choices

No generic medication is available for Eliquis (Apixaban)

What Eliquis is and what it is used for

Eliquis contains the active substance apixaban and belongs to a group of medicines called anticoagulants. This medicine helps to prevent blood clots from forming by blocking Factor Xa, which is an important component of blood clotting.Eliquis is used in adults:
•to prevent blood clots (deep vein thrombosis [DVT]) from forming after hip or knee replacement operations. After an operation to the hip or knee you may be at a higher risk of developing blood clots in your leg veins. This can cause the legs to swell, with or without pain. If a blood clot travels from your leg to your lungs, it can block blood flow causing breathlessness, with or without chest pain. This condition (pulmonary embolism) can be life-threatening and requires immediate medical attention.
•to prevent a blood clot from forming in the heart in patients with an irregular heart beat (atrial fibrillation) and at least one additional risk factor. Blood clots may break off and travel to the brain and lead to a stroke or to other organs and prevent normal blood flow to that organ (also known as a systemic embolism). A stroke can be life-threatening and requires immediate medical attention.
•to treat blood clots in the veins of your legs (deep vein thrombosis) and in the blood vessels of your lungs (pulmonary embolism), and to prevent blood clots from re-occurring in the blood vessels of your legs and/or lungs.

How to take Eliquis

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor, pharmacist or nurse if you are not sure. Dose Swallow the tablet with a drink of water. Eliquis can be taken with or without food. Try to take the tablets at the same times every day to have the best treatment effect. If you have difficulty swallowing the tablet whole, talk to your doctor about other ways to take Eliquis. The tablet may be crushed and mixed with water, or 5% dextrose in water, or apple juice or apple puree, immediately before you take it. Instructions for crushing:
• Crush the tablets with a pestle and mortar.
• Transfer all the powder carefully into a suitable container then mix the powder with a little e.g., 30 mL (2 tablespoons), water or one of the other liquids mentioned above to make a mixture.
• Swallow the mixture.
• Rinse the pestle and mortar you used for crushing the tablet and the container, with a little water or one of the other liquids (e.g., 30 mL), and swallow the rinse. If necessary, your doctor may also give you the crushed Eliquis tablet mixed in 60 mL of water or 5% dextrose in water, through a nasogastric tube. Take Eliquis as recommended for the following: To prevent blood clots from forming after hip or knee replacement operations. The recommended dose is one tablet of Eliquis 2.5 mg twice a day. For example, one in the morning and one in the evening. You should take the first tablet 12 to 24 hours after your operation.If you have had a major hip operation you will usually take the tablets for 32 to38 days If you have had a major knee operation you will usually take the tablets for 10 to 14 days To prevent a blood clot from forming in the heart in patients with an irregular heart beat and at least one additional risk factor. The recommended dose is one tablet of Eliquis 5 mg twice a day. The recommended dose is one tablet of Eliquis 2.5 mg twice a day if:
•you have severely reduced kidney function
•two or more of the following apply to you:
•your blood test results suggest poor kidney function (value of serum creatinine is 1.5 mg/dL (133 micromole/L) or greater)
•you are 80 years old or older
•your weight is 60 kg or lower. The recommended dose is one tablet twice a day, for example, one in the morning and one in the evening. Your doctor will decide how long you must continue treatment for. To treat blood clots in the veins of your legs and blood clots in the blood vessels of your lungs The recommended dose is two tablets of Eliquis 5 mg twice a day for the first 7 days, for example, two in the morning and two in the evening. After 7 days the recommended dose is one tablet of Eliquis 5 mg twice a day, for example, one in the morning and one in the evening. For preventing blood clots from re-occurring following completion of 6 months of treatment The recommended dose is one tablet of Eliquis 2.5 mg twice a day for example, one in the morning and one in the evening. Your doctor will decide how long you must continue treatment for. Your doctor might change your anticoagulant treatment as follows:
•Changing from Eliquis to anticoagulant medicines Stop taking Eliquis. Start treatment with the anticoagulant medicines (for example heparin) at the time you would have taken the next tablet.
•Changing from anticoagulant medicines to Eliquis Stop taking the anticoagulant medicines. Start treatment with Eliquis at the time you would have had the next dose of anticoagulant medicine, then continue as normal.
•Changing from treatment with anticoagulant containing vitamin K antagonist (e.g., warfarin) to Eliquis Stop taking the medicine containing a vitamin K antagonist. Your doctor needs to do blood-measurements and instruct you when to start taking Eliquis.
•Changing from Eliquis to anticoagulant treatment containing vitamin K antagonist (e.g., warfarin). If your doctor tells you that you have to start taking the medicine containing a vitamin K antagonist, continue to take Eliquis for at least 2 days after your first dose of the medicine containing a vitamin K antagonist. Your doctor needs to do blood-measurements and instruct you when to stop taking Eliquis. Patients undergoing cardioversion If your abnormal heartbeat needs to be restored to normal by a procedure called cardioversion, take Eliquis at the times your doctor tells you, to prevent blood clots in blood vessels in your brain and other blood vessels in your body.If you take more Eliquis than you should Tell your doctor immediately if you have taken more than the prescribed dose of Eliquis. Take the medicine pack with you, even if there are no tablets left. If you take more Eliquis than recommended, you may have an increased risk of bleeding. If bleeding occurs, surgery or blood transfusions may be required. If you forget to take Eliquis
•Take the dose as soon as you remember and:
•take the next dose of Eliquis at the usual time
•then continue as normal. If you are not sure what to do or have missed more than one dose, ask your doctor, pharmacist or nurse. If you stop taking Eliquis Do not stop taking Eliquis without talking to your doctor first, because the risk of developing a blood clot could be higher if you stop treatment too early. If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Eliquis can be given for three different medical conditions. The known side effects and how frequently they occur for each of these medical conditions may differ and are listed separately below.For these conditions, the most common general side effect of Eliquis is bleeding which may be potentially life threatening and require immediate medical attention.

The following side effects are known if you take Eliquis to prevent blood clots from forming after hip or knee replacement operations.

Common side effects (may affect up to 1 in 10 people)
•Anaemia which may cause tiredness or paleness
•Bleeding including:
•bruising and swelling
•Nausea (feeling sick)

Uncommon side effects (may affect up to 1 in 100 people)
•Reduced number of platelets in your blood (which can affect clotting)
•Bleeding:
•occurring after your operation including bruising and swelling, blood or liquid leaking from the surgical wound/incision (wound secretion) or injection site
•in your stomach, bowel or bright/red blood in the stools
•blood in the urine
•from your nose
•from the vagina
•Low blood pressure which may make you feel faint or have a quickened heartbeat
•Blood tests may show:
•abnormal liver function
•an increase in some liver enzymes
•an increase in bilirubin, a breakdown product of red blood cells, which can cause yellowing of the skin and eyes.
•Itching

Rare side effects (may affect up to 1 in 1,000 people)
•Allergic reactions (hypersensitivity) which may cause: swelling of the face, lips, mouth, tongue and/or throat and difficulty breathing. Contact your doctor immediately if you experience any of these symptoms.
•Bleeding:
•into a muscle
•in your eyes
•from your gums and blood in your spit when coughing
•from your rectum

Not known (frequency cannot be estimated from the available data)
•Bleeding:
•in your brain or in your spinal column,
•in your lungs or your throat
•in your mouth
•into your abdomen or space behind your abdominal cavity
•from a haemorrhoid
•tests showing blood in the stools or in the urine
•Skin rash

The following side effects are known if you take Eliquis to prevent a blood clot from forming in the heart in patients with an irregular heart beat and at least one additional risk factor.

Common side effects (may affect up to 1 in 10 people)
•Bleeding including:
•in your eyes
•in your stomach or bowel
•from your rectum
•blood in the urine
•from your nose
•from your gums
•bruising and swelling
•Anaemia which may cause tiredness or paleness
•Low blood pressure which may make you feel faint or have a quickened heartbeat
•Nausea (feeling sick)
•Blood tests may show:
•an increase in gamma-glutamyltransferase (GGT)

Uncommon side effects (may affect up to 1 in 100 people)
•Bleeding:
•in your brain or in your spinal column
•in your mouth or blood in your spit when coughing
•into your abdomen, or from the vagina
•bright/red blood in the stools
•bleeding occurring after your operation including bruising and swelling, blood or liquid leaking from the surgical wound/incision (wound secretion) or injection site
•from a haemorrhoid
•tests showing blood in the stools or in the urine
•Reduced number of platelets in your blood (which can affect clotting)
•Blood tests may show:
•abnormal liver function
•an increase in some liver enzymes
•an increase in bilirubin, a breakdown product of red blood cells, which can cause yellowing of the skin and eyes
•Skin rash
•Itching
•Allergic reactions (hypersensitivity) which may cause: swelling of the face, lips, mouth, tongue and/or throat and difficulty breathing. Contact your doctor immediately if you experience any of these symptoms.

Rare side effects (may affect up to 1 in 1,000 people)
•Bleeding:
•in your lungs or your throat
•into the space behind your abdominal cavity
•into a muscle

The following side effects are known if you take Eliquis to treat or prevent re-occurrence of blood clots in the veins of your legs and blood clots in the blood vessels of your lungs.

Common side effects (may affect up to 1 in 10 people)
•Bleeding including:
•from your nose
•from your gums
•blood in the urine
•bruising and swelling
•in your stomach, your bowel, from your rectum
•in your mouth
•from the vagina
•Anaemia which may cause tiredness or paleness
•Reduced number of platelets in your blood (which can affect clotting)
•Nausea (feeling sick)
•Skin rash
•Blood tests may show:
•an increase in gamma-glutamyltransferase (GGT) or alanine aminotransferase (ALT)

Uncommon side effects (may affect up to 1 in 100 people)
•Low blood pressure which may make you feel faint or have a quickened heartbeat
•Bleeding:
•in your eyes
•in your mouth or blood in your spit when coughing
•bright/red blood in the stools
•tests showing blood in the stools or in the urine
•bleeding occurring after your operation including bruising and swelling, blood or liquid leaking from the surgical wound/incision (wound secretion) or injection site
•from a haemorrhoid
•into a muscle
•Itching
•Allergic reactions (hypersensitivity) which may cause: swelling of the face, lips, mouth, tongue and/or throat and difficulty breathing. Contact your doctor immediately if you experience any of these symptoms.
•Blood tests may show:
•abnormal liver function
•an increase in some liver enzymes
•an increase in bilirubin, a breakdown product of red blood cells, which can cause yellowing of the skin and eyes.

Rare side effects (may affect up to 1 in 1,000 people) Bleeding:
•in your brain or in your spinal column
•in your lungs

Not known (frequency cannot be estimated from the available data) Bleeding:
•into your abdomen or the space behind your abdominal cavity

Reporting of side effects If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine. Ireland HPRA Pharmacovigilance Earlsfort Terrace IRL
•Dublin 2 Tel: +353 1 6764971 Fax: +353 1 6762517 Website: www.hpra.ie e-mail: [email protected] Malta ADR Reporting Website: www.medicinesauthority.gov.mt/adrportal United Kingdom Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store

How to Store Eliquis

Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton and on the blister after EXP. The expiry date refers to the last day of that month. This medicine does not require any special storage conditions. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Fast Shipping

2 to 3 weeks on average

The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.

Price Match Guarantee

If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. All orders are backed with a price match and satisfaction guarantee.

Your Trusted Pharmacy Referral Service

Medix Pharmacy is an international pharmacy referral service. With a network of licensed pharmacy partners in Canada, United Kingdom, Australia, and New Zealand, we are able to help you lower the costs of your medications.

Our pharmacy partners are all thoroughly vetted and qualified to ensure that the medication you receive is cost effective, safe and effective. Because we only work with licensed pharmacies, you can rest assured that your medication is safe, effective, and genuine.

  • Free standard delivery to your door, to any international address
  • Option to add Tracked Deliveries
  • Handy reminders to re-order so you do not run out
  • Professional & Knowledgeable Customer Services Team
  • Save time, with no need for repeated trips to your physician or local drugstore

With a dedicated customer service team, free standard shipping, and a record of providing significant saving for our customers, we believe that you do not need to compromise quality or safety in your search for value.

If you are unable to find your prescribed medicine on our website, please fill out the form below and we will confirm pricing and availability within 1 business day. You may also call us at 1-866-500-6633 and one of our patient care representatives will be happy to assist you.