Can You Take Biotin With Eliquis?

In our latest question and answer, the pharmacist discusses whether or not there is a drug interaction between biotin and Eliquis.

Question

Can I take a biotin supplement when I’m taking Eliquis?

Asked by Henri On Oct 08, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Oct 12, 2022
Last updated May 04, 2024

Key points

  • There is no known drug interaction between biotin (vitamin B7) and Eliquis.

Answer

Biotin, also known as vitamin B7, is an essential water-soluble vitamin that is not known to have any drug interactions or affect blood coagulation. It is considered safe to take with Eliquis.

It is important to note that some drugs can decrease biotin levels, and your doctor may recommend supplementing with it for this reason. For example, several antiepileptic drugs (e.g., carbamazepine) can cause low levels of biotin.

Are There Any Precautions For Taking Biotin?

Biotin is present in small amounts in many different types of food and is a very popular over-the-counter supplement for improving the look, growth, and structure of hair, skin, and nails.

As mentioned, biotin is not thought to have any drug interactions, but it can interfere with several different lab tests, including thyroid function tests and common immunoassay tests (e.g., troponin, digoxin, ferritin, testosterone, brain natriuretic peptide, and progesterone).

It is unknown exactly how much biotin one has to take for it to interfere with labs, but one study suggests that doses as low as 5-10 mg daily can cause interference. Therefore, it is generally recommended to avoid biotin supplements for 48 to 72 hours prior to laboratory testing.

Although studies are limited, there are no reported interactions between biotin and other drugs.

Final Words

Thanks so much for your question and reach back out anytime!

References

  • Biotin, StatPearls
  • Factitious Graves' Disease Due to Biotin Immunoassay Interference-A Case and Review of the Literature, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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