From the Research
You should not give Eliquis to someone with a hernia without a doctor's prescription and supervision, as it may increase the risk of bleeding complications, especially if the patient is already on anticoagulation therapy. Eliquis (apixaban) is a powerful blood thinner (anticoagulant) prescribed for specific conditions like preventing blood clots in atrial fibrillation or treating deep vein thrombosis, and it has no role in treating hernias, which are protrusions of tissue through a weakness in the abdominal wall. According to a study published in 2022 1, laparoscopic inguinal hernia repair appears to be safe in patients receiving antithrombotic therapy, but the decision to continue or stop anticoagulation therapy should be made on a case-by-case basis.
The management of hernias typically requires evaluation by a healthcare provider who may recommend monitoring, lifestyle modifications, or surgical repair depending on its severity. If someone with a hernia is experiencing pain or complications like incarceration (trapped tissue), they should seek immediate medical attention rather than taking medications not prescribed for their condition. A study published in 2019 2 found that cessation of antiplatelets was reported in three studies and continuation of antiplatelets was used in six studies, and they all demonstrated similar incidence of bleeding complications, as compared with controls. However, the study also noted that the continuation or cessation of anticoagulation with Warfarin should be tailored on a case-by-case basis.
Some key points to consider when managing hernias in patients on anticoagulation therapy include:
- The risk of bleeding complications is higher in patients on anticoagulation therapy, especially if the international normalized ratio (INR) is greater than 3 3
- Laparoscopic inguinal hernia repair may be a safe option for patients on anticoagulation therapy, but the decision to continue or stop anticoagulation therapy should be made on a case-by-case basis 1
- The management of hernias should be individualized based on the patient's specific condition, medical history, and other factors, and should only be done under the supervision of a healthcare provider.
In summary, Eliquis should not be given to someone with a hernia without a doctor's prescription and supervision, and the management of hernias in patients on anticoagulation therapy should be individualized and done under the supervision of a healthcare provider.