Is it safe for me to get the Covishield vaccine if I have an irregular heartbeat and an overactive thyroid, experience morning fluctuations in my blood pressure and heart rate, and take the blood thinner Eliquis? | Apollo Pharmacy

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Is it safe for me to get the Covishield vaccine if I have an irregular heartbeat and an overactive thyroid, experience morning fluctuations in my blood pressure and heart rate, and take the blood thinner Eliquis?

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Is it safe for me to get the Covishield vaccine if I have an irregular heartbeat and an overactive thyroid, experience morning fluctuations in my blood pressure and heart rate, and take the blood thinner Eliquis?

Asked by Male, 45 · 2 days ago

Veda Maddala

M Pharmacy

2 days ago

. Generally, it is safe for individuals with thyroid issues and irregular heartbeats to receive the Covishield vaccine, provided your conditions are currently stable. Since you are taking Eliquis (apixaban), there is a minor risk of bruising or bleeding at the injection site. To manage this safely, the healthcare provider should use a fine needle and apply firm pressure to the area for at least five minutes after the injection, without rubbing. I highly recommend discussing this with your doctor or cardiologist first to ensure your heart rate and blood pressure fluctuations are well-monitored before you get vaccinated.

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Is it safe for me to get the Covishield vaccine if I have an irregular heartbeat and an overactive thyroid, experience morning fluctuations in my blood pressure and heart rate, and take the blood thinner Eliquis?

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Should I, a 33-year-old who recently recovered from COVID-19, take the blood thinner Eliquis 2.5 mg as prescribed for my blood clot test (D-dimer) result of 345, and does my 27-year-old breastfeeding wife need any medication for her blood clot test result of 325?

A D-dimer level below 500 is generally considered normal. Your result of 345 and your wife's result of 325 are both within this safe range, suggesting a low risk of active blood clots. For you, please discuss this normal result with your doctor before stopping your prescribed apixaban (Eliquis), as they know your full post-COVID history. For your breastfeeding wife, her normal level means she likely does not need medication, which is wonderful. Please consult her healthcare provider to confirm she remains safe to breastfeed without worry.

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When can I get the COVID-19 vaccine, and should I choose Covishield or Covaxin, given that I recently recovered from a mild case of COVID-19 and just finished a one-month course of Curzest (500 mg twice daily) and the blood thinner Eliquis (5 mg once daily) prescribed for a slightly elevated blood clot test (D-dimer)?

Generally, it is advised to wait about 3 months after recovering from COVID-19 before getting vaccinated. Both Covishield and Covaxin are safe and highly effective, so you may choose either. Since you recently completed your course of Eliquis (apixaban) and Curzest, you are safe to proceed. However, because you were on a blood thinner, please inform the vaccination provider; they will use a fine needle and apply firm pressure to the injection site for a few minutes to minimize any bruising. Please check with your doctor for a final personalized clearance.

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What should be done if my father's blood inflammation level (CRP) has risen back up to 24 after finishing a 10-day course of steroids, even though he is currently taking Eliquis 5 mg, feels generally well, and his recent detailed chest scans and lung blood vessel imaging showed no major issues?

A C-reactive protein (CRP) level of 24 indicates mild inflammation, and it is common for this level to rise temporarily after finishing a steroid course, a phenomenon known as a rebound effect. Since he is safely taking apixaban (Eliquis) and has no worrying symptoms, there is no immediate cause for panic. However, it is important to contact his doctor. They can determine if he needs a slower steroid taper, further monitoring, or simple tests to rule out a mild infection or other underlying cause for the inflammation.

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After taking antibiotics for 7 days and stopping Eliquis 2.5 mg 15 days ago, is it normal to still have a trace of blood and 2 to 4 red blood cells in my urine test?

Finding a trace of blood (2 to 4 red blood cells) is actually quite common after a recent urinary tract infection. Even though you finished your antibiotics and stopped Eliquis (apixaban) 15 days ago, the lining of your urinary tract can take some time to fully heal, occasionally leaving microscopic traces of blood behind. Since the apixaban is already out of your system, this is likely just residual inflammation from the infection. I recommend repeating the urine test in a few weeks to ensure it clears completely. Please follow up with your doctor to monitor your recovery.

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Could my lower belly pain and brown urine (which contains red blood cells) be caused by taking the blood thinner Eliquis 2.5 mg, and is it safe to take alongside my other medications, Saaz-DS, Folitrax, and Fol5?

Eliquis (apixaban) is a blood thinner, and it can sometimes cause bleeding, which can lead to red blood cells in your urine and make it appear brown. Your lower belly pain might also be related to this. While Eliquis is generally safe to take alongside Saaz-DS (sulfasalazine), Folitrax (methotrexate), and Fol5 (folic acid), any sign of potential bleeding while on a blood thinner needs to be evaluated. Please contact your doctor or seek medical attention promptly so they can safely check your symptoms, ensure your kidneys are healthy, and provide peace of mind.

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Is it safe for my mother to finish the final week of her Eliquis 2.5 mg twice-daily treatment now that her blood clotting test (D-dimer) has returned to normal after having COVID-19, and are there any risks of bleeding or negative interactions with her Metformin 500 mg and AtoZ Gold multivitamin?

It is very important that she completes the final week of her Eliquis (apixaban) treatment as prescribed, rather than stopping early, to ensure she remains fully protected against clots. There are no known negative interactions between Eliquis, her Metformin, and the AtoZ Gold multivitamin. While all blood thinners carry a small risk of bleeding, her 2.5 mg dose is low. Just keep an eye out for any unusual bruising or bleeding, and please consult her doctor before making any changes to her medication schedule.

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Is it safe for me to get the Covishield vaccine if I have an irregular heartbeat and an overactive thyroid, experience morning fluctuations in my blood pressure and heart rate, and take the blood thinner Eliquis? | Apollo Pharmacy