Apixaban Accord

The European Medicines Agency concluded that, in accordance with EU requirements, Apixaban Accord has been shown to be comparable to Eliquis. Therefore, the Agency’s view was that, as for Eliquis, the benefits of Apixaban Accord outweigh the identified risks and it can be authorised for use in the EU.

The company that markets Apixaban Accord will provide educational material for healthcare professionals expected to prescribe Apixaban Accord that addresses the risk of bleeding during treatment.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Apixaban Accord have also been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Apixaban Accord are continuously monitored. Side effects reported with Apixaban Accord are carefully evaluated and any necessary action taken to protect patients.

Because Apixaban Accord is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.

Studies on the benefits and risks of the active substance in the authorised uses have already been carried out with the reference medicine, Eliquis, and do not need to be repeated for Apixaban Accord.

As for every medicine, the company provided studies on the quality of Apixaban Accord. The company also carried out a study that showed that it is ‘bioequivalent’ to the reference medicine. Two medicines are bioequivalent when they produce the same levels of the active substance in the body and are therefore expected to have the same effect.

Apixaban Accord can only be obtained with a prescription. It is available as tablets, granules in capsules that can be opened, and coated granules in sachets for making a suspension given by mouth.

For adults, the dose depends on what the medicines is used for and the patient’s age, kidney function and weight. For adults who have had a hip or knee replacement, treatment with Apixaban Accord should be started 12 to 24 hours after the operation. Treatment is taken twice a day, usually for over one month (32 to 38 days) after a hip replacement or for 10 to 14 days after a knee replacement. A higher dose of Apixaban Accord is recommended for patients with atrial fibrillation at risk of stroke or blood clots.

For the treatment of deep vein thrombosis and pulmonary embolism in adults, a higher dose of Apixaban Accord is taken twice a day for the first week, followed by a lower dose taken twice a day for at least 3 months. To prevent the recurrence of deep vein thrombosis and pulmonary embolism in adults, a low dose is given twice a day.

To treat and prevent the recurrence of VTE in children aged from 28 days to less than 18 years, Apixaban Accord should be started after the patient has received at least 5 days of anti-coagulation (blood thinning) therapy given by injection or infusion (drip). Apixaban Accord is given twice a day; the dose depends on the patient’s body weight.

For more information about using Apixaban Accord, see the package leaflet or contact your doctor or pharmacist.

Patients undergoing hip or knee replacement surgery, who have had a recent trauma, or are confined to bed are at a high risk of blood clots forming in the veins. This can be dangerous and even fatal if the blood clots move to another part of the body such as the lungs. Similarly, patients with atrial fibrillation are at high risk of clots forming in the heart, which can reach the brain where they can cause a stroke.

The active substance in Apixaban Accord, apixaban, is a ‘factor Xa inhibitor’. This means that it blocks factor Xa, an enzyme that is involved in the production of thrombin. Thrombin is central to the process of blood clotting. By blocking factor Xa, apixaban reduces the levels of thrombin in the blood, which reduces the risk of blood clots forming in the arteries and veins.

Apixaban Accord received a marketing authorisation valid throughout the EU on 23 July 2020.

Further information on Apixaban Accord can be found on the Agency’s website: ema.europa.eu/medicines/human/EPAR/apixaban-accord. Information on the reference medicine can also be found on the Agency’s website.

This overview was last updated in 08-2025.