Edoxaban Side Effects

Medically reviewed by Drugs.com. Last updated on May 2, 2024.

Applies to edoxaban: oral tablet.

Important warnings This medicine can cause some serious health issues

Oral route (tablet)

Reduced Efficacy in Nonvalvular Atrial Fibrillation Patients with a Creatinine Clearance (Cr. Cl) Greater than 95 mL/minute; Premature Discontinuation of Edoxaban Increases the Risk of Ischemic Events; Spinal/Epidural Hematoma. Reduced Efficacy in Nonvalvular Atrial Fibrillation Patients with Cr. Cl greater than 95 mL/min: Edoxaban should not be used in patients with Cr. Cl greater than 95 mL/min.

In the ENGAGE AF-TIMI 48 study, nonvalvular atrial fibrillation patients with Cr. Cl greater than 95 mL/min had an increased rate of ischemic stroke with edoxaban 60 mg once daily compared to patients treated with warfarin.

In these patients another anticoagulant should be used.Premature Discontinuation of Edoxaban Increases the Risk of Ischemic Events: Premature discontinuation of any oral anticoagulant in the absence of adequate alternative anticoagulation increases the risk of ischemic events.

If edoxaban is discontinued for a reason other than pathological bleeding or completion of a course of therapy, consider coverage with another anticoagulant as described in the transition guidance.Spinal/Epidural Hematoma: Epidural or spinal hematomas may occur in patients treated with edoxaban who are receiving neuraxial anesthesia or undergoing spinal puncture.

These hematomas may result in long-term or permanent paralysis.

Consider these risks when scheduling patients for spinal procedures.

Serious side effects of edoxaban

Along with its needed effects, edoxaban may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking edoxaban:

More common

• bloody nose
• heavy non-menstrual vaginal bleeding
• pale skin
• trouble breathing
• unusual bleeding or bruising
• unusual tiredness or weakness

Less common

• bloody or black, tarry stools
• vomiting of blood or material that looks like coffee grounds

Rare

• confusion
• cough
• difficulty with speaking
• double vision
• fever
• headache, sudden, severe
• inability to move the arms, legs, or facial muscles
• inability to speak
• nausea
• slow speech
• vomiting

Incidence not known

• back pain
• bleeding gums
• bloody or cloudy urine
• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
• chest tightness
• difficult or painful urination
• fast heartbeat
• hives, itching, rash, redness of the skin
• hoarseness
• irritation
• joint pain, stiffness or swelling
• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, sex organs
• leg weakness
• loss of bladder or bowel control
• paralysis
• pinpoint red spots on the skin
• stomach pain
• sudden decrease in amount of urine
• swelling of the eyelids, face, lips, hands, or feet
• trouble swallowing

Other side effects of edoxaban

Some side effects of edoxaban may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

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:

Incidence not known

• dizziness

For healthcare professionals

Applies to edoxaban: oral tablet.

General

During nonvalvular atrial fibrillation treatment, the most common adverse reactions were bleeding and anemia. During deep venous thromboembolism and pulmonary embolism treatment, the most common adverse reactions were bleeding, rash, abnormal liver function tests, and anemia.^[Ref]

Hematologic

• Very common (10% or more): Any bleeding (21.7%), clinically-relevant non-major bleeding (up to 18.1%)
• Common (1% to 10%): Major bleeding, anemia-related adverse events, non-fatal non-critical organ bleeding, clinically relevant bleeding, anemia
• Uncommon (0.1% to 1%): Fatal bleeding, non-fatal critical organ bleeding, a 2 g/dL or greater decrease in hemoglobin, blood loss requiring transfusion of 2 or more units of RBC, thrombocytopenia
• Rare (less than 0.1%): Fatal non-intracranial bleeding^[Ref]

Major bleeding included intracranial hemorrhage (ICH), gastrointestinal hemorrhage, and fatal bleeds. A major bleeding event was defined as clinically overt bleeding that met one of the following criteria: fatal bleeding, symptomatic bleeding in a critical site (e.g. spine, eye), drop in hemoglobin of at least 2 g/dL, or a drop in hematocrit of at least 6%. A clinically relevant non-major bleed was defined as overt bleeding that required medical intervention.^[Ref]

Gastrointestinal

• Common (1% to 10%): Major gastrointestinal (GI) bleeding, upper GI bleeding, lower GI bleeding (including anorectal bleeding), oral and pharyngeal bleeding, abdominal pain, nausea
• Uncommon (0.1% to 1%): GUSTO severe GI bleeding
• Rare (less than 0.1%): Fatal GI bleed, retroperitoneal hemorrhage^[Ref]

Major GI bleeds included both upper and lower GI bleeds. A GUSTO severe GI bleed is defined as a severe or life-threatening bleed that causes hemodynamic compromise and requires intervention.^[Ref]

Nervous system

• Common (1% to 10%): Dizziness, headache
• Uncommon (0.1% to 1%): Any intracranial hemorrhage (ICH), hemorrhagic stroke, ICH other than hemorrhagic stroke, fatal ICH^[Ref]

ICH included hemorrhagic stroke, subarachnoid hemorrhage, epidural/subdural hemorrhage, and ischemic stroke with major hemorrhage.^[Ref]

Genitourinary

• Common (1% to 10%): Vaginal bleeding, macroscopic hematuria, urethral bleeding^[Ref]

Dermatologic

• Common (1% to 10%): Cutaneous soft tissue bleeding, rash, pruritus
• Uncommon (0.1% to 1%): Urticaria^[Ref]

Hepatic

• Common (1% to 10%): Abnormal liver function tests, blood bilirubin increased, gamma-glutamyltransferase increased
• Uncommon (0.1% to 1%): Blood alkaline phosphatase increased, transaminases increased^[Ref]

Respiratory

• Common (1% to 10%): Epistaxis
• Uncommon (0.1% to 1%): Interstitial lung disease (ILD), hemoptysis^[Ref]

Most cases of ILD were confounded by concurrent amiodarone, which is known to cause ILD, or infectious pneumonia. Overall, 5 patients out of 5417 died of ILD during the course of the study.^[Ref]

Other

• Common (1% to 10%): Puncture site bleeding
• Uncommon (0.1% to 1%): Surgical site hemorrhage
• Rare (less than 0.1%): Procedural hemorrhage^[Ref]

Immunologic

• Uncommon (0.1% to 1%): Hypersensitivity
• Rare (less than 0.1%): Anaphylactic reaction, allergic edema^[Ref]

Ocular

• Uncommon (0.1% to 1%): Conjunctival/scleral hemorrhage, intraocular hemorrhage^[Ref]

Musculoskeletal

• Rare (less than 0.1%): Intramuscular hemorrhage (no compartment syndrome), intra-articular hemorrhage
• Frequency not reported: Compartment syndrome^[Ref]

Cardiovascular

• Rare (less than 0.1%): Pericardial hemorrhage
• Frequency not reported: Hypoperfusion^[Ref]

Renal

• Frequency not reported: Renal failure^[Ref]

Further information

Edoxaban side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.

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