Is Smoking Tobacco or Cannabis Safe While on Eliquis? Bleeding Risks

Evaluating the Risks: Can You Smoke Tobacco or Marijuana While Taking Eliquis?

Eliquis (apixaban) is a popular anticoagulant medication used to treat and prevent dangerous blood clots. But people taking this vital medication often wonder - is it safe to smoke tobacco or cannabis products while using Eliquis?

Understanding Eliquis and Its Function

First, lets overview how Eliquis works within the body:

• Eliquis is an anticoagulant, meaning it slows clot formation and prevents existing clots from growing larger.
• Its prescribed to lower risk of stroke in atrial fibrillation patients and prevent blood clots after surgeries or in high risk groups.
• The drug functions by blocking Factor Xa, a protein involved in the blood coagulation cascade.
• This blood thinning effect helps mitigate future clot EVENTS but also comes with an increased risk of excessive bleeding.

How Smoking Impacts Blood Clotting

Cigarette smoking already poses cardiovascular risks, but these concerns become amplified when combined with a blood thinner mediation like Eliquis. Heres how smoking tobacco impacts clotting function:

• The chemicals in cigarette smoke promote clot formation and make blood stickier and more viscous.
• Smoking causes inflammation and damage to blood vessels, setting the stage for plaque, atheroclerosis and blood clots.
• Carbon monoxide from cigarette smoke reduces oxygen levels in blood, again encouraging clots.

Heightened Risk of Bleeding Episodes

This clot-promoting influence counteracts the therapeutic mechanism of Eliquis. Doctors warn that concurrent smoking with Eliquis use significantly heightens dangers of excess bleeding events. Some increased risks include:

• Hemorrhagic strokes - bleeding occurs in brain.
• Serious GI bleeding - stomach, intestines, etc.
• Critical blood loss during surgeries and major trauma.
• Severe bleeding from relatively minor cuts, wounds or injuries.

Using Cannabis Products With Eliquis

Does the same bleeding risk apply when using marijuana products? Here are key considerations regarding cannabis use with concurrent Eliquis treatment:

• Marijuana impacts blood pressure, heart rate and vascular flow - effects influenced by THC potency.
• Cannabinoids inhibit platelet aggregation, so cannabis may compound bleeding risks.
• Inhalation methods may be riskier than oral due to respiratory irritation and coughing.
• Patients on Eliquis should avoid cannabis until more research establishes definitive drug interaction guidelines.

Mitigating Bleeding Risk - Practical Steps for Patients

If you are set on continuing tobacco or marijuana use during Eliquis treatment, here are some harm reduction tips:

Carefully Monitor Cannabis Strength

Seeking out low-THC strains may help somewhat curb cardiovascular effects. Tinctures and oils allow easier dosing control as well.

Change Smoking Methods

Avoid cough-inducing smoking methods that could worsen bleeding. Consider lower temperature vape devices or edibles instead.

Use Extensive Caution With Any Injuries

Take precautions to avoid cuts, wounds or accidents that threaten significant blood loss. Urgently seek treatment for concerning bleeds.

Have Emergency Protocols In Place

Ensure emergency contacts understand your higher bleeding risk and Eliquis usage so they can respond promptly if complications develop.

Never Quit Eliquis Suddenly

Stopping Eliquis treatment is extremely dangerous and can trigger new blood clots. Only adjust medication per doctors explicit guidance.

The Role of Honest Patient-Doctor Dialogue

Rather than hiding smoking or cannabis use from medical providers, engage in transparent discussions so they can best advise you on bleeding risks with Eliquis.

Doctors need accurate information to make appropriate clinical judgements and warn patients on potential drug interactions. This ensures patient safety remains the top priority.

Additionally, your physician may have supplemental options beyond Eliquis if the bleeding risks of concurrent smoking prove unmanageable. This further underscores the importance of open patient-doctor communications.

Key Takeaways - Smoking with Eliquis Use

• Combining tobacco/cannabis with Eliquis significantly increases odds of dangerous bleeding events.
• Risks include GI bleeds, hemorrhagic strokes, surgical complications, and more.
• If unable to quit smoking, take harm reduction steps to lower chances of bleeds.
• Transparent dialogue with doctors allows them to best manage elevated bleeding risks in smokers on anticoagulant medications.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.