They swallow such pills to ease joint pain, calm a headache or lessen the discomfort of strains and sprains. When you are tired all the time, you are fatigued, which is also referred to as a lack of energy. Dont Miss: Over The Counter Medication For Ulcerative Colitis. Insomnia is defined as difficulty falling asleep or staying asleep, waking up too early, or feeling unrefreshed after sleep. I'm even nervous of asking to see another GP! Its not just aspirin. When I was due for a repeat prescription I asked my GP to switch me over to Apixaban, which he did quite happily and I have been on Apix for two weeks now. Long may that last, I have been on apixaban 5 months take 6 o'clock on morning then have breakfast 1 hour later the 6 at night then tea 1 hour after and no problem so far. Despite the fact that Eliquis works well, some side effects can be avoided with immediate medical attention. To provide you with the most relevant and helpful information, and understand which Some recent and ongoing studies are currently trying to address the specific question of whether prescribing a PPI reduces the risk of bleeding in those patients on multiple blood thinners, he adds. Apixaban for 2 yrs no problem. The Pros And Cons Of Sleeping With A Pillow: Is It Right For You? Advertising revenue supports our not-for-profit mission. About 50% of the worlds population is infected with H. pylori. Misoprostol is contraindicated in women who are pregnant or could become pregnant because it can cause miscarriage. I'm on Rivaroxaban and was told in the hospital it works more effectively when taken with food. I thought I'd try to find out about the comparative costs of anticoagulants . and bingo! dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position. His research team is currently testing this within the Michigan Anticoagulation Quality Improvement Initiative. Avoid caffeine and alcohol before bed, as they can keep you awake. Along with PPIs, misoprostol may decrease the risk of ulcer. With taking twice a day, I don't really want to have to eat early & late. BTW, Im impressed you manage to wake at 6am to take it and go back to sleep- i think id be forever wondering if Id dreamt taking it! (1 drink = 1 beer, or 1 glass of wine, or 1 cocktail, or 1 shot.) Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you are a Mayo Clinic patient, this could Does Hydrocodone Hurt Stomach Ulcers During treatment, this medicine can cause ulcers and bleeding in the stomach and intestines. If Youre On Any Of These Medications, DO NOT USE APPLE CIDER VINEGAR!! Could Xarelto have taken her life? PPIs include Prilosec , Aciphex, Prevacid, Protonix, and Nexium. Then repeat prescriptions via GP. I'll certainly ask. They are commonly used for cardiovascular conditions such as heart failure, arrhythmias, chest pains, and high blood pressure. Tho my GP might not be as accommodating as yours - he's a bit stubborn and old school and HATES patients 'interfering' The research I'd done led me to ask for apixaban to begin with, but he pooh poohed the research. Meloxicam may cause other side effects. We know PPIs can reduce the risk for ulcers by around 80 percent.. The chemical structure of newer medications does not match that of benzodiazepines, but they exert similar effects in the brain. Last updated on Dec 4, 2022. You should ask your doctor for specific instructions on when to stop your medications. What about patients that actually do need to take multiple blood thinners, such as warfarin and clopidogrel? Along with its needed effects, a medicine may cause some unwanted effects. If you are considering taking Eliquis, you should discuss any potential side effects with your doctor. Bloating or swelling of the face, arms, hands, lower legs, or feet chest tightness cough decreased urine output difficult or labored breathing difficulty with speaking dilated neck veins disturbed color perception double vision fast, pounding, or racing heartbeat or pulse halos around lights headache The brand name Eliquis (alzippyaban) is used to treat blood thinning. And yes my GP would DEFINITELY go for the cheaper alternative. To determine which one is safer, you would need to speak with a healthcare professional. The prevalence in children is around 0.5% in industrialized nations, where rates continue to decline. Liver damage leading to serious health effects like liver failure and death can happen over a few days. I have seen my EP now and he immediately swapped me from rivaroxaban to apixaban (I didnt even have to ask about it) as he felt it is statistically safer for someone like me who has had GI problems in the past. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. I have been on apixaban for over a year now I take my morning one at 6 on empty tummy just with water go back to sleep and eat when I get up then night time one take at 6 not with my meal as might not eat till 7 but your answer is I take on empty tummy or if I have tea earl take tab just after but never upset my tummy hope this helps. People with symptoms of a peptic ulcer may undergo a test known as an upper endoscopy. include protected health information. Your 7pm when do you have food befor and after and how many hours befor and after, Take it at 7am then brekky about 8am dinner6 pm pill 7pm no probs, When do you eat with you takeing apixaban at that times, I take mine 7am and 7pm the morning one is taken on an empty stomach..no problems and no problems in the evening with my meal. Meloxicam is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis and rheumatoid arthritis . When a doctor diagnoses a person with a H.pylori infection, they will prescribe antibiotics and other medicines to kill the bacteria. It is possible to increase your risk of developing cancer by taking this medicine for a long time. Copyright 2023 IBM Watson Health. If you have any side effects, especially if they persist or are bothersome, you should consult a doctor. After the bleeding stops and the area of the body where the bleed occurred is healed, the body breaks down and removes the clot naturally. As a result, the heart beats slower and decreases the blood pressure. information submitted for this request. I think that, in itself, shows that the medication is kinder to the stomach. The bacteria are nearly always acquired during childhood and persist throughout life if not treated. Conclusion: Knowing what you're talking about gives one a bit of an 'edge' during any consultation. health information, we will treat all of that information as protected health It is not entirely clear how the bacteria are transmitted. Apixaban is a substrate of both CYP3A4 and P-gp. That's good to hear! From our vantage point the risk is relatively low, but because so many individuals take aspirin it can amount to a large number of people. These drugs can interact with aspirin, so you should check with your doctor before taking them. There is no evidence of tiredness in clinical trials of Eliquis. Esomeprazole magnesium may increase the levels of saquinavir in your body. Migraines, headaches, muscle aches, constipation, dry mouth, difficulty concentrating, dizziness, and unsteadiness are common side effects. While Eliquis is generally well-tolerated, insomnia is a common side effect. Because of the sedating effects, some antidepressants are prescribed off-label. If you are a Mayo Clinic patient, this could Its inexpensive and as effective as any other OTC pain reliever on the market. During treatment, this medicine can cause ulcers and bleeding in the stomach and intestines. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Refer to the FDA for more drug information. Contact your doctor if you are concerned about bleeding because ELIQUIS has the potential to cause bleeding. For those who remain on warfarin plus an antiplatelet drug, a PPI is appropriate to reduce the risk of gastrointestinal bleeding, says first author Jacob Kurlander, M.D., M.Sc., a gastroenterologist at Michigan Medicine and clinical lecturer in internal medicine at the U-M Medical School. There is no definitive answer to this question as everyone experiences different side effects when taking eliquis. Also Check: What Foods To Avoid When You Have An Ulcer. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. All rights reserved. If you are experiencing depression or anxiety while taking eliquis, speak to your doctor to see if another medication may be more suitable for you. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. The prescription sleeping pill is extremely addictive, making it difficult to stop taking it. There is a chance that this could lead to death if it is not detected. All rights reserved. Some patients may also experience additional side effects that are not listed. It's restless legs syndrome (RLS), a neurological and sleep disorder that causes discomfort and sometimes pain in the legs, particularly at night. Ask your pharmacist any questions you have about refilling your prescription. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Psychotherapy is the modification of negative emotions, thoughts, and behaviors as part of cognitive behavioral therapy (CBT). This content does not have an Arabic version. I seem to remember having to take it 30-60 mins before my other tabs. Disclosure: Barnes has received grant support from Pfizer/Bristol-Myers Squibb, NHLBI, and Blue Cross Blue Shield of Michigan. I said no, but that I did belong to the AF Association and that they produced much helpful/informative literature. Yet little is known about exactly how these bacteria are transmitted. O 0. But the use of two blood antithrombotics might be increasing some patients risks of GI hemorrhage without further reducing their risk of having a stroke, researchers say. Thank you lizzie - that's a good thinking - and really interesting, as it's so close to my experience. up to 90 percent of peptic ulcers are caused by H. pylori and NSAID use. Sometimes this is combined with clopidogrel. fast, slow, or irregular heartbeat. other information we have about you. This content does not have an English version. Review/update the Beta blockers have been linked to sleep disturbances in the past, including night wakings and nightmares. This product needs to be taken 4 times/day with food to achieve maximum protection, but some protection occurs when taken twice daily. lightheadedness, dizziness, or fainting. One way or another I am costing the NHS a small fortune!) There is no definitive answer when it comes to whether or not eliquis and sleep aids are compatible. Aspirin is not suitable for everyone. It seems from the replies here that most people are finding they don't have to eat anything with apixaban to make it easier on the stomach, which sounds promising to me. Report a Problem Your e-mail : Does taking Eliquis cause nausea, Some supplements can activate this enzyme, Such clots when prevented reduce the risk of stroke caused due to atrial fibrillation, Also brain fog and memory problems, and red or dark tarry stools, It is used by adults who have recently had knee or hip replacement surgery . By the time I saw her again she was in a coma. (And I understand it's quite an easy switch between the two, both ways round.). Go to bed and get up at the same time every day, even on weekends. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you are taking anticoagulants and have a haemorrhagic stroke, youll be given medicine to stop the anticoagulants from working. chills cold sweats cough dizziness or lightheadedness fainting fast heartbeat leg pain noisy breathing slow or irregular heartbeat sudden shortness of breath or troubled breathing Rare Bloody urine decreased frequency or amount of urine increased blood pressure increased thirst loss of appetite lower back or side pain nausea It may also cause depression, nausea, dizziness, headaches, increased bleeding risk, and an easy bruising reaction. My elderly mother is experiencing depression, but a pharmacist denied that it was a side effect. Really appreciate your advice xx I'll let you know what happens! Thats a very interesting question! I normally take one with breakfast and the second later in the evening on an empty stomach.no problems with either. Speak to your GP or cardiologist and maybe try a different ent NOAC. Can I ask if you're actually taking the omeprazole at the same time as the apixaban, or earlier? (Don't worry if you don't know what's best - I can ask a pharmacist. FlapJack 6 years ago Not an easy decision because your stomach issues may be caused by unrelated issues and also, we all react differently to medication. health information, we will treat all of that information as protected health Both medications share similar side effects. other information we have about you. Blood thinners have been linked to stomach upset, nausea, and diarrhea as well as the possibility of an upset stomach. One wrote: My mother was prescribed Xarelto. include protected health information. In addition to mild bleeding issues like bruising easily, Eliquis can cause more severe bleeding side effects such as skull bleeding. Mayo Clinic does not endorse companies or products. information and will only use or disclose that information as set forth in our notice of There is a chance of bleeding in rare cases, but it is more common in people with kidney disease or those taking other medications that reduce the effectiveness of the blood clot. Check with your doctor immediately if any of the following side effects occur while taking apixaban: The most common adverse events were related to bleeding. There is a chance that this could lead to death if it is not detected. Portions of this document last updated: March 01, 2023. Ask an Expert Medical Questions Dr. A, Board Certified MD 1,132 Satisfied Customers US trained and licensed physician Dr. A is online now Related Medical Questions Since November 13th I have been experiencing skipped heart Since November 13th I have been experiencing skipped heart beats read more Medically reviewed by Drugs.com. Hey beryl, it's great to hear you're getting on fine with Rivaroxaban and with so little to line your stomach My patient info leaflet says to take with a main meal so I don't think I'd dare have only milk - but it seems your stomach is happy Thats a thumbs up for Rivaroxaban and your digestion then! You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. It is also important information to carry with you in case of emergencies. While some people may experience depression or anxiety while taking eliquis, it is not known if the medication is directly responsible for these side effects. (I know the guidelines say don't need food but is that your experience?) Common (1% to 10%): Constipation, vomiting, diarrhea, abdominal pain upper, abdominal pain, dyspepsia, gastritis, gastroenteritis, toothache, gingival bleeding, rectal hemorrhage, dyspepsia, gastrointestinal hemorrhage (including hematemesis and melena), Uncommon (0.1% to 1%): Major gastrointestinal bleed, hematochezia, hemorrhoidal hemorrhage, hematemesis, melena, anal hemorrhage, occult blood positive, occult blood, intra-abdominal hemorrhage, mouth hemorrhage, Rare (less than 0.1%): Retroperitoneal hemorrhage[Ref], Common (1% to 10%): Hypotension, peripheral edema, atrial fibrillation, cardiac failure, hypertension, deep vein thrombosis, tachycardia, cardiac failure congestive, palpitations, thrombosis, angina pectoris, bradycardia, blood pressure increased, procedural hypotension, unstable angina, tachycardia[Ref], Common (1% to 10%): Dizziness, headache, fatigue, syncope, ischemic stroke, vertigo, Uncommon (0.1% to 1%): Somnolence, cerebrovascular accident, transient ischemic attack, major intracranial bleed, brain hemorrhage, other intracranial or intraspinal hemorrhage (including subdural hematoma, subarachnoid hemorrhage, and spinal hematoma), Common (1% to 10%): Hematoma, wound hemorrhage, wound secretion, Uncommon (0.1% to 1%): Incision-site hemorrhage, operative hemorrhage, traumatic hematoma, injection site hematoma, vessel puncture site hematoma, application site bleeding, traumatic hemorrhage[Ref], Common (1% to 10%): Cataract, conjunctival hemorrhage, eye hemorrhage, Uncommon (0.1% to 1%): Major intraocular bleed, periorbital hematoma, conjunctival hemorrhage, retinal hemorrhage, Frequency not reported: Ocular hemorrhage[Ref], Common (1% to 10%): Nasopharyngitis, dyspnea, epistaxis, bronchitis, cough, upper respiratory tract infection, influenza, pneumonia, sinusitis, chronic obstructive pulmonary disease, lower respiratory tract infection, hemoptysis, dyspnea exertional, respiratory tract infection, Rare (less than 0.1%): Pulmonary embolism, respiratory tract hemorrhage (including pulmonary alveolar hemorrhage, laryngeal hemorrhage, and pharyngeal hemorrhage)[Ref], Very common (10% or more): Procedural pain (10.3%), Common (1% to 10%): Pyrexia, chest pain, fall, asthenia, blood creatine phosphokinase increased, pain, body temperature increased, laceration, chest discomfort, tooth extraction, Uncommon (0.1% to 1%): Herpes zoster[Ref], Common (1% to 10%): Urinary tract infection, menorrhagia, Uncommon (0.1% to 1%): vaginal hemorrhage, metrorrhagia, menometrorrhagia, genital hemorrhage, blood urine present, red blood cells urine positive, abnormal vaginal hemorrhage, urogenital hemorrhage[Ref], Common (1% to 10%): Hematuria, blood creatinine increased, renal failure[Ref], Common (1% to 10%): Arthralgia, back pain, pain in extremity, osteoarthritis, muscle spasms, musculoskeletal pain, myalgia, arthritis, Uncommon (0.1% to 1%): Muscle hemorrhage, joint swelling[Ref], Common (1% to 10%): Gout, diabetes mellitus, blood glucose increased, hyperglycemia, hypokalemia, decreased appetite[Ref], Uncommon (0.1% to 1%): Hypersensitivity (including drug hypersensitivity such as skin rash and anaphylactic reaction such as allergic edema)[Ref], Uncommon (0.1% to 1%): Transaminases increased, AST increased, ALT increased, gamma-glutamyl transferase increased, liver function test abnormal, blood alkaline phosphatase increased, blood bilirubin increased[Ref], Common (1% to 10%): Pruritus, contusion, rash, cellulitis, ecchymosis, erythema, blister, Uncommon (0.1% to 1%): Skin hemorrhage, petechiae, skin rash[Ref], Uncommon (0.1% to 1%): Basal cell carcinoma[Ref], 1. information and will only use or disclose that information as set forth in our notice of A few years back I was placed on amlodopine and started to experience visual disturbances, thought I was insane, and had terrible kidney pain. Do not take more or less of it or take it more often than prescribed by your doctor. Sleeping pills containing benzodiazepine are commonly used to treat insomnia. Cerner Multum, Inc. "Australian Product Information." For some patients on blood thinners, gastrointestinal bleeding caused by those medications is an adverse event that can be disabling or even fatal. Intense pressure headache. As you will see, Apixaban is the most expensive (at October 2016 prices) at 691.60 pa (oh gosh! The FDA has not approved antidepressants for the treatment of insomnia. Serotonin is a byproduct of serotonin, a hormone that changes into L-tryptophan when the body converts to serotonin. All rights reserved. This may present as bloody pink/red/brown urine, bloody red/black tarry stool, bloody vomit or vomit that looks like coffee grounds, coughing up blood, prolonged nosebleeds , and severe headaches. You can also visit us online. Always contact your GP for advice before stopping. A few fluttery runs and ectopicd only. Some people may experience stomach problems while taking Eliquis, while others may not. since I used 'proper' terminology and asked pertinent questions. If you abruptly stop taking sleeping pills, you may experience withdrawal symptoms such as nausea, sweating, and trembling. This may cause more side effects from saquinavir. But when the blood clots too much or abnormally, or when certain conditions prevent the body from dissolving blood clots properly, blood clotting can become excessive and dangerous. Some dosage forms listed on this page may not apply to the brand name Eliquis. I take it in the morning, usually with breakfast and it's fine, and at the same time in the evening about an hour before my evening meal, and it's fine then too. However, in the long term, your prescription is likely to change to clopidogrel alone, or aspirin and dipyridamole together, unless theres a reason why you cant take one of them. Valerian root is a sedating herb that has been used to treat insomnia and anxiety since the second century A.D. Chamomile can help to calm jet lag and shift work, both of which can interfere with sleep. Absolutely and I can also say that I have been much more relaxed and far less anxious when AF strikes knowing that I am as protected as one can be. the unsubscribe link in the e-mail. health information, we will treat all of that information as protected health Certain medications should never be taken with Eliquis. Using SNRIs like Cymbalta or efrexor in conjunction with other antidepressants can help relieve depression. They had to take her back into surgery and cauterize her arteries. In that case, you may be given aspirin on its own, or dipyridamole on its own. The risks associated with taking ELIQUIS are clearly outweigh the benefits, such as a reduction in the risk of blood clots; however, you should be aware of these risks in order to make the best decision. Glad it's not causing you any problems. I have been taking 2 Apixaban daily for last 6 weeks and have had no side effects from them. We like aspirin. A recent study pointed out that even low-dose aspirin can lead to dangerous bleeding in older people . If we combine this information with your protected But the specialist nurse I saw said that the cardiologists all favour apixaban. Thankfully no! There is a problem with Identifying these patients can be a challenge, which could be a great opportunity for anticoagulation clinics to play a role, Barnes says. You may opt-out of email communications at any time by clicking on Actually feeling " short of breath" on Eliquis can be a side effect. In the aspirin group it was 3.8%. I hope your GP will be willing to let you try apixaban. Call your doctor for medical advice about side effects. According to research, Beta-blockers are generally safe for psychological health. Advertising revenue supports our not-for-profit mission. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administrations MedWatch Adverse Event Reporting program online or by phone . Although there have been no reported side effects from the drug during clinical trials, a number of patients report feeling lost of energy after taking it. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, sores, ulcers, or white spots on the lips or in the mouth, blistering, peeling, or loosening of the skin, burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, changes in skin color, pain, tenderness, or swelling of the foot or leg, continuing ringing or buzzing or other unexplained noise in the ears, dizziness, faintness, or lightheadedness when getting up from a lying or sitting position, greatly decreased frequency of urination or amount of urine, pains in the stomach, side, or abdomen, possibly radiating to the back, spots on your skin resembling a blister or pimple, numbness, tingling, pain, or weakness in the hands, feet, or lips, Feeling of constant movement of self or surroundings, increased sensitivity of the skin to sunlight, redness or other discoloration of the skin. Along with its needed effects, apixaban (the active ingredient contained in Eliquis) may cause some unwanted effects. My meal times are 8am and 6pm. Oh thank you, souljacs- that's really helpful - I'll check them out, I have been on Rivaroxaban for months now and take it last thing at night with a slug of milkjust a couple of mouth fullsno problems. Please do not hesitate to contact me if you have any further questions about your experience with Hawthorn. This is because there is the potential for drug interactions when taking multiple medications at the same time. That's very encouraging - thanks Mazza. Call your doctor for medical advice about side effects. Our posts may contain affiliate links and we may receive a small commission, at no additional cost to the buyer for products purchased through the links on our site or other applicable pages. Mayo Clinic does not endorse companies or products. Beta blockers, a class of medications, reduce the amount of blood that the heart pumps. Presumably not with food (necessarily) at those times? Barnes and other researchers studied 6,907 patients who started using the popular anticoagulant warfarin (also known as Coumadin or Jantoven), between 2011 and 2018, and went to a clinic as part of the Michigan Anticoagulation Quality Improvement Initiative a multicenter quality improvement collaborative of anticoagulation clinics across the state sponsored by Blue Cross Blue Shield of Michigan. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. Nearly half faced an avoidable danger: Forty-five percent of the patients on warfarin were also using anti-platelet therapy such as aspirin, which increases the risk of bleeding. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. feeling of constant movement of self or surroundings feeling sad or empty increase in body movements loss of bladder control loss of memory mood or mental changes outburst of anger pain or tenderness around the eyes and cheekbones problems with memory redness or swelling in the ear seizures sensation of spinning shakiness and unsteady walk Never stop taking your medication if you feel unwell. Sleeping pills and sleep aids have the best effect when used sparingly in short-term situations. Making Your Own Flax Seed Heat Therapy Pillow: An Easy Natural Way To Soothe Aches And Pains, Discover The Benefits Of CPAP Pillows: How To Choose & Use For Comfort & Support. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. As an aside . whilst in hospital briefly recently I was asked by the most senior of the Drs I saw if I had a medical background. Researchers cite a decade-old expert consensus that recommends something just a minority of clinicians are doing: adding a proton pump inhibitor such as omeprazole (also known as Prilosec) to help suppress acid production in the stomach. Drug information provided by: IBM Micromedex. It works by stopping the bodys production of a substance that causes pain, fever, and inflammation. Brilliant! They know when patients are on one or multiple blood thinners.. In comparison to other blood-clotting treatments, Eliquis and Xarelto are both effective in terms of reducing the risk of blood clotting. It is best to avoid alcohol while taking apixaban. If we combine this information with your protected However, you should speak with your doctor if the following side effects dont go away: Bruising easily Spinal or epidural blood clots Increased risk of blood clots or stroke if Eliquis is discontinued abruptly Future studies should look at the feasibility of the anticoagulation clinic to identify patients at high risk for GI bleeding and recommending medication changes that could reduce the risk of bleeding, Barnes says. The FDA (n.d.) advises lower recommended doses for certain drugs containing zolpidem (Ambien, Ambien CR, Edluar, and Zolpimist). This content does not have an English version. excess air or gas in the stomach or bowels excessive muscle tone fear feeling faint feeling of constant movement of self or surroundings feeling of warmth or heat feeling sad or empty flushing or redness of the skin, especially on the face and neck general feeling of discomfort or illness heartburn lack of appetite lack or loss of strength A new paper identifies strategies that providers might use to help their patients better balance the risks and benefits of anticoagulants. Drug information provided by: IBM Micromedex. I'm wondering if I should ask my dr if I can swap to Apixaban, or if it's not likely to make any difference? If you have bleeding internally, you should see a doctor as soon as possible. In some cases, sleeping pills are used to induce sleep, while others are used to keep the patient awake. All rights reserved. H. pylori bacteria are most likely transmitted directly from person to person. So if you cut or injure yourself, it may take slightly longer than usual for the bleeding to stop. Only they can provide the right medical advice for your condition.
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