Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/18/2025

Bleeding Risk Associated with Apixaban and NSAID Use

Introduction to Bleeding Risk

  • The American Academy of Otolaryngology-Head and Neck Surgery identifies anticoagulants and antiplatelet medications, including NSAIDs, as causing increased bleeding episodes, larger blood loss volumes, and higher transfusion requirements 1

Patient Management

  • The American College of Cardiology recommends avoiding NSAID use in high-risk scenarios, including elderly patients (>75 years) and those with renal impairment (CrCl <50 mL/min) 2

REFERENCES