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APIXABAN TEVA 2.5 mg FILM-COATED TABLETS

APIXABAN TEVA 2.5 mg FILM-COATED TABLETS

Ask a doctor about a prescription for APIXABAN TEVA 2.5 mg FILM-COATED TABLETS

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use APIXABAN TEVA 2.5 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the Patient

Apixaban Teva 2.5 mg film-coated tablets EFG

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Apixaban Teva and what is it used for
  2. What you need to know before taking Apixaban Teva
  3. How to take Apixaban Teva
  4. Possible side effects
  5. Storage of Apixaban Teva
  6. Contents of the pack and further information

1. What is Apixaban Teva and what is it used for

This medication contains the active substance apixaban and belongs to a group of medications called anticoagulants. Apixaban helps prevent the formation of blood clots by blocking Factor Xa, an important element in blood coagulation.

Apixaban is used in adults:

  • to prevent the formation of blood clots (deep vein thrombosis [DVT]) after hip or knee replacement surgery. After hip or knee replacement surgery, you may have a higher risk of developing blood clots in the veins of your legs. This can cause swelling in the legs, with or without pain. If a blood clot travels from your leg to your lungs, it can block blood flow, causing difficulty breathing, with or without chest pain. This medical condition (pulmonary embolism) can be life-threatening and requires immediate medical attention.
  • to prevent the formation of a blood clot in the heart in patients with an irregular heartbeat (atrial fibrillation) and at least one additional risk factor. Blood clots can break loose, move to the brain, and cause a stroke, or move to other organs, preventing proper irrigation (also known as systemic embolism). A stroke can be life-threatening and requires immediate medical attention.
  • to treat blood clots in the veins of the legs (deep vein thrombosis) and in the blood vessels of the lungs (pulmonary embolism), and to prevent these blood clots from recurring in the blood vessels of the legs and/or lungs.

Apixaban Teva is used in children from 28 days to less than 18 years of age to treat blood clots and to prevent these blood clots from recurring in the veins and blood vessels of the lungs.

For the recommended dose appropriate for body weight, see section 3.

2. What you need to know before taking Apixaban Teva

Do not take Apixaban Teva

  • if you are allergicto apixaban or any of the other ingredients of this medication (listed in section 6)
  • if you bleed excessively
  • if you have a disease in an organof the body that increases the risk of severe bleeding (such as an active or recent stomach or intestinal ulcer, or recent cerebral hemorrhage)
  • if you have a liver diseasethat increases the risk of bleeding (hepatic coagulopathy)
  • if you are taking medications to prevent blood coagulation(such as warfarin, rivaroxaban, dabigatran, or heparin), except when switching to another anticoagulant treatment, while having an arterial or venous line and being treated with heparin to keep the line open, or when having a tube inserted into a blood vessel (catheter ablation) to treat an irregular heartbeat (arrhythmia).

Warnings and precautions

Tell your doctor, pharmacist, or nurse before taking this medication if you have any of these conditions:

  • a increased risk of bleeding, such as:
    • bleeding disorders, including situations that result in a decrease in platelet activity
    • very high blood pressure, not controlled by medical treatment
    • you are over 75 years old
    • you weigh 60 kg or less
  • a severe kidney disease or if you are on dialysis
  • a liver problem or history of liver problems
    • This medication will be used with caution in patients with signs of altered liver function
  • you had a catheter or received an injection in your spine(for anesthesia or pain relief), your doctor will tell you to wait at least 5 hours after removing the catheter before taking this medication.
  • if you have a prosthetic heart valve
  • if your doctor determines that your blood pressure is unstable or you are scheduled to receive another treatment or undergo surgery to remove the blood clot from your lungs.

Be careful with Apixaban Teva

  • if you know you have a disease called antiphospholipid syndrome (an immune system disorder that increases the risk of blood clots), inform your doctor to decide if it may be necessary to modify the treatment.

If you need to have surgery or a procedure that may cause bleeding, your doctor will tell you to temporarily stop taking this medication for a while. If you are not sure if a procedure may cause bleeding, consult your doctor.

Children and adolescents

The use of this medication is not recommended in children and adolescents with a body weight below 35 kg.

Other medications and Apixaban Teva

Tell your doctor, pharmacist, or nurse if you are taking, have recently taken, or might take other medications.

Some medications may increase the effects of apixaban, and other medications may decrease its effects. Your doctor will decide if you should be treated with apixaban if you are taking these medications and if you should be monitored more closely.

The following medications may increase the effects of apixaban and increase the risk of unwanted bleeding:

  • some medications for fungal infections(such as ketoconazole, etc.),
  • some antiviral medications for HIV/AIDS(such as ritonavir),
  • other medications to reduce blood coagulation(such as enoxaparin, etc.),
  • anti-inflammatory medicationsor medications for pain relief(such as acetylsalicylic acid or naproxen). In particular, if you are over 75 years old and take acetylsalicylic acid, there is a higher likelihood of bleeding,
  • medications for high blood pressure or heart problems(such as diltiazem),
  • antidepressantscalled selective serotonin reuptake inhibitorsor serotonin-norepinephrine reuptake inhibitors.

The following medications may reduce the ability of apixaban to prevent blood clots.

  • medications for the treatment of epilepsy or seizures(such as phenytoin, etc.),
  • St. John's Wort(a herbal medication for the treatment of depression),
  • medications for the treatment of tuberculosis or other infections(such as rifampicin).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

The effects of apixaban on pregnancy and the fetus are unknown. You should not take this medication if you are pregnant. Tell your doctor immediately if you become pregnant while taking this medication.

It is unknown if apixaban is excreted in human milk. Ask your doctor or pharmacist before taking this medication during breastfeeding. They will tell you whether to interrupt breastfeeding or whether to stop or not start taking this medication.

Driving and using machines

Apixaban has no influence on the ability to drive or use machines.

Apixaban Teva contains lactose (a type of sugar) and sodium.

If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

This medication contains less than 1 mmol of sodium (23 mg) per tablet, which is essentially "sodium-free".

3. How to take Apixaban Teva

Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor, pharmacist, or nurse again.

Dosage

Take the tablet with water. This medication can be taken with or without food.

Try to take the tablets at the same time every day to achieve a better treatment effect.

If you have difficulty swallowing the whole tablet, talk to your doctor about other possible ways to take this medication. The tablet can be crushed and mixed with water, 5% glucose in water, apple juice, or apple puree, immediately before taking it.

Crushing instructions:

  • Crush the tablets with a mortar.
  • Transfer all the powder carefully into a suitable container, mixing the powder with a small amount, for example, 30 ml (2 tablespoons), of water or any of the other liquids mentioned to make the mixture.
  • Take the mixture.
  • Rinse the mortar and pestle used to crush the tablet and the container with a small amount of water or one of the other liquids (for example, 30 ml), and take that liquid.

If necessary, your doctor may also administer the crushed apixaban tablet mixed in 60 ml of water or 5% glucose in water through a nasogastric tube.

Take Apixaban Teva according to the following recommendations:

To prevent the formation of blood clots in hip or knee replacement surgery.

The recommended dose is one 2.5 mg tablet twice a day.

For example, take one tablet in the morning and another in the evening.

You should take the first tablet between 12 to 24 hours after surgery.

If you have undergone major hipsurgery, you will generally take the tablets for a period of 32 to 38 days.

If you have undergone major kneesurgery, you will generally take the tablets for a period of 10 to 14 days.

To prevent the formation of a blood clot in the heart in patients with an irregular heartbeat and at least one additional risk factor.

The recommended dose is one 5 mgtablet twice a day.

The recommended dose is one 2.5 mgtablet twice a day if:

  • you have severely decreased kidney function
  • two or more of the following factors apply to you:
  • your blood test results suggest poor kidney function (the serum creatinine value is 1.5 mg/dl (133 micromoles/l) or higher),
  • you are 80 years of age or older,
  • your weight is 60 kg or less.

The recommended dose is one tablet twice a day, for example, take one tablet in the morning and another in the evening. Your doctor will indicate how long you should continue the treatment.

To treat blood clots in the veins of the legs and in the blood vessels of the lungs

The recommended dose is two 5 mg tabletstwice a day for the first 7 days, for example, two tablets in the morning and two tablets in the evening.

After 7 days, the recommended dose is one 5 mg tablettwice a day, for example, one tablet in the morning and another in the evening.

To prevent blood clots from happening again after 6 months of treatment

The recommended dose is one 2.5 mgtablet twice a day, for example, one tablet in the morning and another in the evening.

Your doctor will indicate how long you should continue the treatment.

Use in children and adolescents

For the treatment of blood clots and to prevent these blood clots from happening again in the veins and blood vessels of the lungs.

Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor, pharmacist, or nurse.

Try to take or administer the dose at the same time every day to achieve a better treatment effect.

The dose of apixaban depends on body weight and will be calculated by your doctor. The recommended dose for children and adolescents with a weight of at least 35 kg is four 2.5 mg apixaban tabletstwice a day for the first 7 days, for example, four tablets in the morning and four in the evening.

After 7 days, the recommended dose is two 2.5 mg apixaban tabletstwice a day, for example, two tablets in the morning and two in the evening.

For parents and caregivers: observe the child to ensure they take the complete dose.

It is essential to respect scheduled visits to the doctor, as it may be necessary to adjust the dose based on weight changes.

Your doctor may change your anticoagulant treatment as follows:

  • Changing from Apixaban Teva to anticoagulant medications

Stop taking this medication. Start treatment with anticoagulant medications (for example, heparin) at the time you would take the next tablet.

  • Changing from anticoagulant medications to Apixaban Teva

Stop taking anticoagulant medications. Start treatment with apixaban at the time you would take the next dose of an anticoagulant medication, and then continue normally.

  • Changing from a treatment with anticoagulants that contain Vitamin K antagonists (for example, warfarin) to Apixaban Teva

Stop taking the medication that contains a Vitamin K antagonist. Your doctor will need to perform blood tests and indicate when to start taking apixaban.

  • Changing from Apixaban Teva to a treatment with anticoagulants that contain a Vitamin K antagonist (for example, warfarin).

If your doctor indicates that you should start taking a medication that contains a Vitamin K antagonist, continue taking apixaban for at least 2 days after the first dose of the medication that contains a Vitamin K antagonist. Your doctor will need to perform blood tests and indicate when to stop taking apixaban.

Patients undergoing cardioversion

If your heart rhythm needs to be restored through a process called cardioversion, take this medication at the times indicated by your doctor to prevent blood clots in the blood vessels of the brain and other blood vessels in the body.

If you take more Apixaban Teva than you should

Inform your doctor immediatelyif you have taken a dose greater than the prescribed dose of this medication.

Take the medication packaging to your doctor, even if there are no tablets left.

If you take more apixaban than the recommended dose, you may increase the risk of bleeding. If bleeding occurs, surgery, blood transfusions, or other treatments that can reverse anti-factor Xa activity may be necessary.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take Apixaban Teva

  • If you forget a morning dose, take it as soon as you remember and you can take it with the evening dose.
  • If you forget an evening dose, you can only take it during that same night. Do not take two doses the next morning, but instead, continue taking the medication the next day as usual, twice a day as recommended.

If you have doubts about what to do or if you forget to take more than one dose,ask your doctor, pharmacist, or nurse.

If you interrupt treatment with Apixaban Teva

DO NOT interrupt treatment with this medication without first talking to your doctor, because the risk of developing a blood clot may be greater if you interrupt treatment too soon.

If you have any other doubts about the use of this medication, ask your doctor, pharmacist, or nurse.

4. Possible Adverse Effects

Like all medicines, apixaban can cause adverse effects, although not all people suffer from them. This medicine can be administered for three different diseases. The known adverse effects and their frequency may be different and are therefore indicated separately below. For these conditions, the most frequent adverse effect of this medicine is bleeding, which can endanger the patient's life and requires immediate medical attention.

The following adverse effects have been reported when taking apixaban for the preventionof the formationof blood clots after hip or knee replacement surgery.

Frequent Adverse Effects (may affect up to 1 in 10 people)

  • Anemia, which can cause fatigue or paleness
  • Bleeding, including:
    • hematoma and swelling
  • Nausea (feeling of discomfort)

Uncommon Adverse Effects (may affect up to 1 in 100 people)

  • Decrease in the number of platelets in the blood (which can affect coagulation)
  • Bleeding:
  • after surgery, including hematoma and swelling, blood or fluid secretion from the wound/surgical incision (suppuration), or injection site
  • in the stomach, intestine, or bright red blood in the stool
  • blood in the urine
  • from the nose
  • vaginal
  • Low blood pressure that can cause fainting or a faster heart rate
  • Blood tests may show:
  • abnormal liver function
  • increase in some liver enzymes
  • increase in bilirubin, a byproduct of red blood cells, which can cause yellowing of the skin and eyes.
  • Itching

Rare Adverse Effects (may affect up to 1 in 1,000 people)

  • Allergic reactions (hypersensitivity) that can cause: swelling of the face, lips, mouth, tongue, and/or throat, and difficulty breathing. Inform your doctor immediatelyif you experience any of these symptoms.
  • Bleeding:
  • in a muscle
  • in the eyes
  • from the gums and coughing up blood
  • from the rectum
  • Hair loss

Unknown Frequency (cannot be estimated from available data)

  • Bleeding:
  • in the brain or spinal cord
  • in the lungs or throat
  • in the mouth
  • in the abdomen or the space behind the abdominal cavity
  • hemorrhoidal
  • tests that show blood in the stool or urine
  • Skin rash that can form blisters and resemble small targets (dark spots in the center surrounded by a paler area, with a dark ring around) (erythema multiforme).
  • Inflammation of the blood vessels (vasculitis) that can cause skin rash, appearance of round and smooth red spots under the skin surface, or hematomas.
  • Bleeding in the kidney, sometimes with blood in the urine, which can cause the kidneys to fail to function properly (anticoagulant-related nephropathy).

The following adverse effects have been reported when taking apixaban to prevent the formationof blood clots in the heart in patients with irregular heart rhythm and at least one additional risk factor.

Frequent Adverse Effects (may affect up to 1 in 10 people)

  • Bleeding, including:
  • in the eyes
  • in the stomach or intestine
  • from the rectum
  • blood in the urine
  • from the nose
  • from the gums
  • hematoma and swelling
  • Anemia, which can cause fatigue or paleness
  • Low blood pressure that can cause fainting or a faster heart rate
  • Nausea (general discomfort)
  • Blood tests may show:
  • an increase in gamma glutamyl transferase (GGT)

Uncommon Adverse Effects (may affect up to 1 in 100 people)

  • Bleeding:
    • in the brain or spinal cord
    • in the mouth or coughing up blood
    • in the abdomen, or vagina
    • bright red blood in the stool
    • bleeding after surgery, including hematoma and swelling, blood or fluid secretion from the wound/surgical incision (suppuration), or injection site
    • hemorrhoidal
    • tests that show blood in the stool or urine
  • Decrease in the number of platelets in the blood (which can affect coagulation)
  • Blood tests may show:
    • abnormal liver function
    • increase in some liver enzymes
    • increase in bilirubin, a byproduct of red blood cells, which can cause yellowing of the skin and eyes.
  • Skin rash
  • Itching
  • Hair loss
  • Allergic reactions (hypersensitivity) that can cause: swelling of the face, lips, mouth, tongue, and/or throat, and difficulty breathing. Inform your doctor immediatelyif you experience any of these symptoms.

Rare Adverse Effects (may affect up to 1 in 1,000 people)

  • Bleeding:
  • in the lungs or throat
  • inside the space behind the abdominal cavity
  • in a muscle

Very Rare Adverse Effects (may affect up to 1 in 10,000 people)

  • Skin rash that can form blisters and resemble small targets (dark spots in the center surrounded by a paler area, with a dark ring around) (erythema multiforme).

Unknown Frequency (cannot be estimated from available data)

  • Inflammation of the blood vessels (vasculitis) that can cause skin rash, appearance of round and smooth red spots under the skin surface, or hematomas
  • Bleeding in the kidney, sometimes with blood in the urine, which can cause the kidneys to fail to function properly (anticoagulant-related nephropathy).

The following adverse effects have been reported when taking apixaban to treat or prevent the recurrence of blood clots in the veins of the legs and in the blood vessels of the lungs.

Frequent Adverse Effects (may affect up to 1 in 10 people)

  • Bleeding, including:
  • from the nose
  • from the gums
  • blood in the urine
  • hematoma and swelling
  • from the stomach, intestine, or rectum
  • in the mouth
  • vaginal
  • Anemia, which can cause fatigue or paleness
  • Decrease in the number of platelets in the blood (which can affect coagulation)
  • Nausea (feeling of discomfort)
  • Skin rash
  • Blood tests may show:
    • an increase in gamma glutamyl transferase (GGT) or alanine aminotransferase (ALT)

Uncommon Adverse Effects (may affect up to 1 in 100 people)

  • Low blood pressure that can cause fainting or a faster heart rate
  • Bleeding:
  • in the eyes
  • in the mouth or coughing up blood
  • bright red blood in the stool
  • tests that show blood in the stool or urine
  • bleeding after surgery, including hematoma and swelling, blood or fluid secretion from the wound/surgical incision (suppuration), or injection site
  • hemorrhoidal
  • in a muscle
  • Itching
  • Hair loss
  • Allergic reactions (hypersensitivity) that can cause: swelling of the face, lips, mouth, tongue, and/or throat, and difficulty breathing. Contact your doctor immediatelyif you experience any of these symptoms.
  • Blood tests may show:
  • abnormal liver function
  • increase in some liver enzymes
  • increase in bilirubin, a byproduct of red blood cells, which can cause yellowing of the skin and eyes.

Rare Adverse Effects (may affect up to 1 in 1,000 people)

  • Bleeding:
  • in the brain or spinal cord
  • in the lungs

Unknown Frequency (cannot be estimated from available data)

  • Bleeding:
  • in the abdomen or the space behind the abdominal cavity
  • Skin rash that can form blisters and resemble small targets (dark spots in the center surrounded by a paler area, with a dark ring around) (erythema multiforme).
  • Inflammation of the blood vessels (vasculitis) that can cause skin rash, appearance of round and smooth red spots under the skin surface, or hematomas.
  • Bleeding in the kidney, sometimes with blood in the urine, which can cause the kidneys to fail to function properly (anticoagulant-related nephropathy).

Additional Adverse Effects in Children and Adolescents

Inform your child's doctor immediatelyif you observe any of these symptoms:

  • Allergic reactions (hypersensitivity) that can cause: swelling of the face, lips, mouth, tongue, and/or throat, and difficulty breathing. These adverse effects are frequent (may affect up to 1 in 10 people).

In general, the adverse effects observed in children and adolescents treated with apixaban were similar to those observed in adults and were mainly mild to moderate in intensity. The most frequent adverse effects observed in children and adolescents were nosebleeds and abnormal vaginal bleeding.

Very Frequent Adverse Effects (may affect more than 1 in 10 people)

  • Bleeding, including:
    • Vaginal
    • Nasal

Frequent Adverse Effects (may affect up to 1 in 10 people)

  • Bleeding, including:
    • from the gums;
    • blood in the urine;
    • hematoma and swelling;
    • from the intestine or rectum;
    • bright red blood in the stool;
    • bleeding after surgery, including hematoma and swelling, blood or fluid secretion from the wound/surgical incision (suppuration) or injection site;
  • Hair loss;
  • Anemia, which can cause fatigue or paleness;
  • Decrease in the number of platelets in the blood (which can affect coagulation);
  • Nausea (general discomfort);
  • Skin rash;
  • Itching;
  • Low blood pressure that can cause fainting or a faster heart rate in the child
  • Blood tests may show:
    • abnormal liver function;
    • increase in some liver enzymes;
    • increase in alanine aminotransferase (GPT).

Unknown Frequency (cannot be estimated from available data)

  • Bleeding:
    • in the abdomen or the space behind the abdominal cavity;
    • in the stomach;
    • in the eyes;
    • in the mouth;
    • hemorrhoidal;
    • in the mouth or coughing up blood;
    • in the brain or spinal cord;
    • in the lungs;
    • in a muscle;
  • Skin rash that can form blisters and resemble small targets (dark spots in the center surrounded by a paler area, with a dark ring around) (erythema multiforme);
  • Inflammation of the blood vessels (vasculitis) that can cause skin rash, appearance of round and smooth red spots under the skin surface, or hematomas;
  • Blood tests may show:
    • an increase in gamma glutamyl transferase (GGT);
    • tests that show blood in the stool or urine
  • Bleeding in the kidney, sometimes with blood in the urine, which can cause the kidneys to fail to function properly (anticoagulant-related nephropathy).

Reporting of Adverse Effects

If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that is not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency's (AEMPS) online system: https://www.notificaram.es. By reporting adverse effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Apixaban Teva

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date stated on the carton, blister, and bottle after "EXP". The expiration date is the last day of the month indicated.

This medicine does not require special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Return the packaging and any unused medicine to a pharmacy for proper disposal. If you have any questions, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Apixaban Teva

The active ingredient is apixaban. Each tablet contains 2.5 mg of apixaban.

The other ingredients are:

  • Core of the tablet: lactose (see section 2), microcrystalline cellulose, sodium croscarmellose, sodium lauryl sulfate, magnesium stearate.
  • Coating: lactose monohydrate (see section 2), hypromellose (E464), titanium dioxide (E171), macrogol 3350, triacetin, red iron oxide (E172), yellow iron oxide (E172).

Appearance of the Product and Package Contents

The tablets are light yellow, film-coated, round, with "TV" engraved on one side and "G1" on the other side. Dimensions: 5.9 - 6.5 mm in diameter, 3.0 - 3.6 mm in thickness.

They are available in:

  • Single-dose blisters containing 10 x 1, 14 x 1, 20 x 1, 30 x 1, 56 x 1, 60 x 1, 100 x 1, 120 x 1, 168 x 1, 200 x 1 film-coated tablets.
  • Bottles containing 180, 200, and 500 film-coated tablets.
  • Bottles containing 180, 200, and 500 film-coated tablets, including cotton.

Not all pack sizes may be marketed.

Patient Information Card: Managing Information

Inside the package of this medicine, along with the leaflet, you will find a Patient Information Card or your doctor may give you a similar card.

This Patient Information Card includes useful information for you and will alert other doctors that you are being treated with apixaban. You must keep this card with you at all times.

  1. Take the card
  1. Complete the following sections or ask your doctor to complete them:
    • Name:
    • Date of birth:
    • Indication:
    • Dose: ........mg twice a day
    • Doctor's name:
    • Doctor's phone number:
  1. Fold the card and carry it with you at all times

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Teva Pharma, S.L.U

C/ Anabel Segura, 11, Edificio Albatros B, 1ª planta,

Alcobendas 28108

Madrid (Spain)

Manufacturer

Balkanpharma-Dupnitsa AD

3 Samokovsko Shosse Str.,

Dupnitsa, 2600.

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Austria:

Apixaban ratiopharm 2.5 mg Filmtabletten

Belgium:

Apixaban Teva 2.5 mg filmomhulde tabletten / comprimés pelliculés / Filmtabletten

Bulgaria:

????????? ???? 2,5 mg ????????? ????????

Czech Republic:

Apixaban Teva

Germany:

Apixaban-ratiopharm 2.5 mg Filmtabletten

Denmark:

Apixaban Teva

Estonia:

Apixaban Teva

Spain:

Apixaban Teva 2.5 mg comprimidos recubiertos con película EFG

Finland:

Apixaban ratiopharm 2.5 mg tabletti, kalvopäällysteinen

France:

Apixaban TEVA 2.5 mg, comprimé pelliculé

Croatia:

Apiksaban Teva 2.5 mg filmom obložene tablete

Hungary:

Apixaban-Teva 2.5 mg filmtabletta

Ireland:

Apixaban Teva 2.5 mg Filmcoated Tablets

Iceland:

Apixaban Teva

Italy:

APIXABAN TEVA

Lithuania:

Apixaban Teva 2,5 mg plevele dengtos tabletes

Latvia:

Apixaban Teva 2,5 mg apvalkotas tablets

Luxembourg:

Apixaban-ratiopharm 2.5 mg Filmtabletten

Netherlands:

Apixaban Teva 2,5 mg, filmomhulde tabletten Teva B.V.

Norway:

Apixaban Teva

Poland:

Apixaban Teva

Romania:

Apixaban Teva BV 2,5 mg comprimate filmate

Sweden:

Apixaban Teva 2,5mg filmdragerade tabletter

Slovenia:

Apiksaban Teva 2,5 mg filmsko obložene tablete

Slovakia:

Apixaban Teva 2,5 mg

United Kingdom:

Apixaban Teva 2.5 mg Filmcoated Tablets

Date of the last revision of this leaflet:July 2025

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) http://www.aemps.gob.es

You can access detailed and up-to-date information about this medicine by scanning the QR code included in the packaging with your smartphone. You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/85787/P_85787.html

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Active substance: apixaban
Prescription required

Online doctors for APIXABAN TEVA 2.5 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for APIXABAN TEVA 2.5 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

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Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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€55
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Doctor

Eteri Tabeshadze

Cardiology32 years of experience

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
  • Management of arrhythmias and conduction disorders, including paroxysmal events
  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
  • Treatment of vegetative dysfunction and autonomic disorders
  • Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)
Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
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€50
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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60
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Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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€50
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Doctor

Taisiya Minorskaya

Family medicine12 years of experience

Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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€65
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Doctor

Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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€60
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Doctor

Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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€59
November 1310:00
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Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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€55
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Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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€79
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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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€50
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