HealthRX.com · Printable medication review sheet
Ozempic and apixaban interaction review sheet
Use this sheet before a visit with your prescriber or pharmacist when you take Ozempic and apixaban together. Fill it in by hand, bring it along, and track any symptoms or events between visits.
My medicines and care team
Copy names and doses exactly as they appear on your labels and pharmacy bottles.
Ozempic prescriber nameDoctor or nurse who prescribed Ozempic
Apixaban prescriber nameDoctor who prescribed Eliquis or apixaban
Ozempic dose on my labelCopy from the pen or pharmacy label
Apixaban dose on my labelCopy from the bottle or pharmacy label
Pharmacy name and phonePharmacy that fills both medicines
Other medicines and supplementsInclude antibiotics, antifungals, pain relievers and herbal products
Before the visit
Gather these items so the visit covers everything that matters to you.
- Bring all pill bottles, pens and supplement containers
- Bring the printed Ozempic and Eliquis information you received
- List any new medicine started by any prescriber since the last visit
- Note any antifungal or antibiotic you were given recently
- Check with your pharmacist whether both medicines are filled at one pharmacy
- Note any recent surgery, dental work or planned procedure
- Write down any bleeding, bruising or stomach symptoms you noticed
- Confirm the name of the insurer and plan that covers each medicine
Questions to ask
- Does the Ozempic label apply to how my apixaban is absorbed?
- Should my apixaban dose be checked again after any change to Ozempic?
- Which of my other medicines or supplements could affect apixaban?
- What signs of bleeding should I report to you right away?
- Does my planned surgery or spinal procedure need a plan for apixaban?
- Who should I contact if my nausea, vomiting or diarrhea becomes severe?
Symptoms and events diary
Record each event as it happens and bring this page to your next visit.
| Date | Medicine | Symptom or event | Who I told |
|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.