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Trental vs. Eliquis

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Pentoxifylline ER (Trental) and Eliquis (apixaban) are both prescription medications, but they serve different purposes and work differently. Pentoxifylline ER is used to treat a condition called intermittent claudication, which is leg pain due to poor blood flow. It works by making your blood less thick, improving circulation. You need to take it multiple times a day with meals, and it is available as a lower-cost generic. On the other hand, Eliquis is used to prevent and treat blood clots, such as those in atrial fibrillation or after surgery. It works by blocking a specific clotting factor called factor Xa. Eliquis is typically taken twice daily and does not yet have a generic version available on the market. While both medications can increase bleeding risk, Eliquis is specifically noted for its potential to cause severe bleeding and requires careful monitoring if you stop taking it suddenly.

pentoxifylline ER

 

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Eliquis

(apixaban)

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Summary for Trental

Prescription only

Pentoxifylline ER (extended-release) is used to treat a condition called intermittent claudication. This happens when you feel leg pain and cramps after walking or exercising due to blockages in your blood vessels. Pentoxifylline ER can improve symptoms by causing better blood flow, but it needs to be taken multiple times a day. It's also only available as extended-release tablets. Some side effects include nausea and indigestion. Pentoxifylline ER can interact with other medications, and has warnings for people who take blood thinning medications or have a higher risk of bleeding.

Indications for Trental

Pros and Cons for Trental

Pros

  • Available as a lower-cost generic medication
  • Can improve pain in your legs due to exercise
  • An option to treat symptoms while waiting for surgery or other therapies
  • Benefits have been shown for as long as 6 months of use

Cons

  • Might need to be taken multiple times a day
  • Can take 2 weeks or longer before you see improvement in your symptoms
  • Shouldn't be taken if you had a reaction to medications such as caffeine, theophylline, or theobromine
  • Might raise bleeding risk

Common Side Effects for Trental

  • Indigestion (3%)
  • Nausea (2%)
  • Dizziness (2%)
  • Vomiting (1%)
  • Headache (1%)

Warnings for Trental

  • Higher bleeding risk
  • Interactions with other medications

Summary for Eliquis

Prescription only

Eliquis (apixaban) is an anticoagulant (blood thinner) used to prevent and treat blood clots. It can lower the risk of serious conditions like stroke, deep vein thrombosis (DVT), and pulmonary embolism (PE). The medication comes as a tablet or liquid and is taken by mouth twice a day. Common side effects include bleeding and bruising. Although generic versions have been approved by the FDA, they might not be available until 2026.

Indications for Eliquis

Adults:

Children:

  • Treat blood clots and lower the risk of new clots in children from birth and older

Pros and Cons for Eliquis

Pros

  • No regular blood monitoring required
  • Can be taken with or without food
  • Approved for both children and adults

Cons

  • Need to take it twice a day
  • Most common side effect is bleeding
  • Not easily reversible in life-threatening bleeds

Common Side Effects for Eliquis

Adults:

  • Any bleeding (up to 15%)

Children:

  • Any bleeding (up to 36%)
  • Headache (16%)
  • Vomiting (14%)

Warnings for Eliquis

  • Higher risk of blood clots if stopped too early
  • Paralysis in the spine
  • Bleeding
  • Not recommended in people with prosthetic heart valves
  • Not recommended in people with antiphospholipid syndrome

Prices with our coupons for Trental vs. Eliquis

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Pentoxifylline60 tablets / 400mg
$19.95$54.50
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Eliquis60 tablets / 5mg
$346.17$784.28
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