APIXABAN

85/100 · Critical

Manufactured by Amneal Pharmaceuticals of New York LLC

High Safety Concerns with Apixaban, Particularly for Serious Adverse Events

106,298 FDA adverse event reports analyzed

Last updated: 2026-05-12

About APIXABAN

APIXABAN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amneal Pharmaceuticals of New York LLC. Based on analysis of 106,298 FDA adverse event reports, APIXABAN has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for APIXABAN include ATRIAL FIBRILLATION, DYSPNOEA, CEREBROVASCULAR ACCIDENT, THROMBOSIS, OFF LABEL USE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for APIXABAN.

AI Safety Analysis

Apixaban has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 106,298 adverse event reports for this medication, which is primarily manufactured by Amneal Pharmaceuticals Of New York Llc.

The most commonly reported adverse events include Atrial Fibrillation, Dyspnoea, Cerebrovascular Accident. Of classified reports, 95.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Apixaban is associated with a high number of serious adverse events, particularly thrombosis and hemorrhage.

The drug shows a wide range of reactions, indicating potential for diverse side effects. A significant portion of adverse events are related to cardiovascular issues, including atrial fibrillation and cardiac disorders.

Patients taking Apixaban should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Apixaban can interact with other anticoagulants and may increase the risk of bleeding. Patients should avoid certain drugs known to interact with it. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Apixaban received a safety concern score of 85/100 (high concern). This is based on a 95.7% serious event ratio across 62,646 classified reports. The score accounts for 106,298 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

ATRIAL FIBRILLATION3,970 reports
DYSPNOEA3,599 reports
CEREBROVASCULAR ACCIDENT3,508 reports
THROMBOSIS2,806 reports
OFF LABEL USE2,693 reports
CARDIAC DISORDER2,509 reports
DEATH2,332 reports
FALL2,287 reports
FATIGUE2,193 reports
DIZZINESS1,929 reports
ANAEMIA1,910 reports
DIARRHOEA1,768 reports
NAUSEA1,680 reports
ACUTE KIDNEY INJURY1,673 reports
DRUG INEFFECTIVE1,636 reports
HEADACHE1,591 reports
COVID 191,555 reports
PULMONARY EMBOLISM1,542 reports
GASTROINTESTINAL HAEMORRHAGE1,535 reports
DRUG INTERACTION1,525 reports
PNEUMONIA1,445 reports
MALAISE1,349 reports
HYPOTENSION1,346 reports
HAEMORRHAGE1,318 reports
VOMITING1,259 reports
MYOCARDIAL INFARCTION1,235 reports
PYREXIA1,218 reports
CARDIAC FAILURE1,217 reports
ARTHRALGIA1,208 reports
PAIN1,144 reports
CONDITION AGGRAVATED1,131 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,127 reports
HYPERTENSION1,074 reports
ASTHENIA1,072 reports
CHEST PAIN1,000 reports
PERIPHERAL SWELLING990 reports
HAEMOGLOBIN DECREASED984 reports
DEEP VEIN THROMBOSIS943 reports
DEHYDRATION937 reports
COUGH922 reports
INTENTIONAL PRODUCT USE ISSUE920 reports
PRURITUS916 reports
OEDEMA PERIPHERAL915 reports
DEMENTIA892 reports
ASTHMA871 reports
NEOPLASM MALIGNANT860 reports
TACHYCARDIA849 reports
PAIN IN EXTREMITY819 reports
BACK PAIN816 reports
ANXIETY809 reports
RASH791 reports
EPISTAXIS740 reports
INSOMNIA740 reports
ABDOMINAL PAIN UPPER738 reports
ABDOMINAL PAIN735 reports
PALPITATIONS725 reports
WEIGHT DECREASED720 reports
WHEEZING697 reports
HAEMATOCHEZIA696 reports
HYPOACUSIS695 reports
CARDIAC FAILURE CONGESTIVE693 reports
CONFUSIONAL STATE679 reports
HEART RATE INCREASED676 reports
RENAL IMPAIRMENT673 reports
MUSCULAR WEAKNESS669 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE656 reports
SUBARACHNOID HAEMORRHAGE655 reports
SYNCOPE653 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES650 reports
BLINDNESS647 reports
TRANSIENT ISCHAEMIC ATTACK644 reports
CEREBRAL HAEMORRHAGE642 reports
ABDOMINAL DISCOMFORT630 reports
BRADYCARDIA627 reports
VISUAL IMPAIRMENT626 reports
FEELING ABNORMAL605 reports
HAEMATURIA601 reports
MEMORY IMPAIRMENT596 reports
RENAL DISORDER568 reports
TOXICITY TO VARIOUS AGENTS559 reports
ARTHROPATHY558 reports
CONTUSION553 reports
URINARY TRACT INFECTION553 reports
DECREASED APPETITE548 reports
CONSTIPATION546 reports
HYPERHIDROSIS540 reports
ALOPECIA531 reports
ARRHYTHMIA528 reports
VASCULITIS527 reports
COGNITIVE DISORDER524 reports
MELAENA523 reports
AMNESIA520 reports
INTENTIONAL PRODUCT MISUSE512 reports
VENTRICULAR TACHYCARDIA507 reports
GASTROOESOPHAGEAL REFLUX DISEASE504 reports
HALLUCINATION500 reports
THROMBOCYTOPENIA499 reports
HOSPITALISATION492 reports
RENAL FAILURE490 reports
WEIGHT INCREASED490 reports

Key Safety Signals

  • High incidence of thrombosis and hemorrhage, indicating potential for serious cardiovascular events.
  • Atrial fibrillation and cardiac disorders are frequent, suggesting a risk of arrhythmias and heart failure.
  • A wide range of reactions, including gastrointestinal and respiratory issues, indicating a broad safety profile.

Patient Demographics

Adverse event reports by sex: Male: 30,594, Female: 27,064, Unknown: 20. The most frequently reported age groups are age 76 (1,604 reports), age 79 (1,543 reports), age 75 (1,535 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 62,646 classified reports for APIXABAN:

  • Serious: 59,940 reports (95.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 2,706 reports (4.3%)
Serious 95.7%Non-Serious 4.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male30,594 (53.0%)
Female27,064 (46.9%)
Unknown20 (0.0%)

Reports by Age

Age 761,604 reports
Age 791,543 reports
Age 751,535 reports
Age 771,531 reports
Age 801,513 reports
Age 781,511 reports
Age 721,439 reports
Age 731,423 reports
Age 741,407 reports
Age 821,371 reports
Age 811,366 reports
Age 711,239 reports
Age 831,226 reports
Age 861,190 reports
Age 691,174 reports
Age 701,157 reports
Age 681,133 reports
Age 661,112 reports
Age 851,111 reports
Age 841,098 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Apixaban can interact with other anticoagulants and may increase the risk of bleeding. Patients should avoid certain drugs known to interact with it.

What You Should Know

If you are taking Apixaban, here are important things to know. The most commonly reported side effects include atrial fibrillation, dyspnoea, cerebrovascular accident, thrombosis, off label use. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Consult healthcare providers before starting or stopping Apixaban to discuss potential risks and benefits. Be aware of signs of serious adverse events such as unexplained bleeding, chest pain, or shortness of breath, and seek medical attention immediately. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor Apixaban's safety profile, and regulatory actions may be taken based on ongoing data.

Frequently Asked Questions

How many adverse event reports has the FDA received for Apixaban?

The FDA has received approximately 106,298 adverse event reports associated with Apixaban. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Apixaban?

The most frequently reported adverse events for Apixaban include Atrial Fibrillation, Dyspnoea, Cerebrovascular Accident, Thrombosis, Off Label Use. By volume, the top reported reactions are: Atrial Fibrillation (3,970 reports), Dyspnoea (3,599 reports), Cerebrovascular Accident (3,508 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Apixaban.

What percentage of Apixaban adverse event reports are serious?

Out of 62,646 classified reports, 59,940 (95.7%) were classified as serious and 2,706 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Apixaban (by sex)?

Adverse event reports for Apixaban break down by patient sex as follows: Male: 30,594, Female: 27,064, Unknown: 20. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Apixaban?

The most frequently reported age groups for Apixaban adverse events are: age 76: 1,604 reports, age 79: 1,543 reports, age 75: 1,535 reports, age 77: 1,531 reports, age 80: 1,513 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Apixaban?

The primary manufacturer associated with Apixaban adverse event reports is Amneal Pharmaceuticals Of New York Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Apixaban?

Beyond the most common reactions, other reported adverse events for Apixaban include: Cardiac Disorder, Death, Fall, Fatigue, Dizziness. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Apixaban?

You can report adverse events from Apixaban to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Apixaban's safety score and what does it mean?

Apixaban has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Apixaban is associated with a high number of serious adverse events, particularly thrombosis and hemorrhage.

What are the key safety signals for Apixaban?

Key safety signals identified in Apixaban's adverse event data include: High incidence of thrombosis and hemorrhage, indicating potential for serious cardiovascular events.. Atrial fibrillation and cardiac disorders are frequent, suggesting a risk of arrhythmias and heart failure.. A wide range of reactions, including gastrointestinal and respiratory issues, indicating a broad safety profile.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Apixaban interact with other drugs?

Apixaban can interact with other anticoagulants and may increase the risk of bleeding. Patients should avoid certain drugs known to interact with it. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Apixaban.

What should patients know before taking Apixaban?

Consult healthcare providers before starting or stopping Apixaban to discuss potential risks and benefits. Be aware of signs of serious adverse events such as unexplained bleeding, chest pain, or shortness of breath, and seek medical attention immediately.

Are Apixaban side effects well-documented?

Apixaban has 106,298 adverse event reports on file with the FDA. The drug shows a wide range of reactions, indicating potential for diverse side effects. The volume of reports for Apixaban reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Apixaban?

The FDA continues to monitor Apixaban's safety profile, and regulatory actions may be taken based on ongoing data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to APIXABAN based on therapeutic use, drug class, or shared indications:

WarfarinDabigatranClopidogrelAspirinIbuprofen
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.