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HealthRX.com · Printable medication review sheet

MOTS-c and apixaban medication review sheet

Use this sheet before a visit with a prescriber or pharmacist if you take apixaban (Eliquis) and are considering or using MOTS-c. Fill it in by hand, bring it along, and track any bleeding or bruising between visits.

Companion to “MOTS-c and Apixaban Interaction: What Patients and Clinicians Need to Know” · healthrx.com/interactions-mots-c/with-apixaban · Facts checked 2026-11-11

Current medicines and products

Write every product you take, including ones bought without a prescription.

Apixaban (Eliquis) product and prescriberName on the pharmacy label and who prescribed it
MOTS-c product name and sourceBrand or compounder name, and where it was obtained
Other blood thinners or antiplateletsAspirin, heparin, or other anticoagulants
Pain relievers takenNSAIDs and any others you use regularly
Antidepressants takenSSRIs or SNRIs, if any
Antifungal, antibiotic or seizure medicinesAny medicine you were recently started on or stopped
Supplements and other peptidesAnything else you take, with product names

Gather before the visit

Bring this sheet and the items below to your appointment.

  • Bring all medicine bottles and product packaging, including MOTS-c.
  • Write down the date you last took apixaban and the date you last took MOTS-c.
  • Note any bleeding, bruising or dark stools you have noticed recently.
  • Confirm with your pharmacist which medicines you take that are on the apixaban label list.
  • Check with your prescriber whether an FDA review or label update has been shared with you.
  • Bring any written product information you received with MOTS-c.
  • Write down your upcoming procedures, dental work or surgery dates.
  • List any new doctors or clinics you have seen since your last apixaban check.

Questions to ask

  1. Is there any human study showing whether MOTS-c changes apixaban levels?
  2. Would my apixaban dose need to change if I start or continue MOTS-c?
  3. Do any of my current medicines add to bleeding risk with apixaban?
  4. Should I stop any pain relievers or supplements while I take apixaban?
  5. What bleeding signs should prompt me to call you right away?
  6. Can you check my apixaban levels or clotting tests if I use MOTS-c?
  7. Is MOTS-c on any approved list, and what does that mean for my prescription?
  8. Who should I contact if I miss a dose or have a procedure planned?

Bleeding and bruising diary

Record anything new between visits and show this log to your prescriber.

DateBleeding or bruisingWhereMedicines taken that day