I am asking each and every practitioner to make sure to double or triple counsel each and every patient you are putting on Pradaxa and any caregiver(s) they are going to have involved in their drug routine.
Pradaxa is extremely sensitive to humidity and should be taken as prescribed every day for 30 days after the seal on the original bottle is broken. Pradaxa SHOULD ONLY BE DISPENSED AND STORED IN ITS ORIGINAL CONTAINER!!!!! Absolutely under no circumstances should this drug be taken out of the bottle or foil pack and put in a pill minder unless you have a foil pack and cut off the cap still in the sealed compartment and put that whole unit in the pill minder.
Pradaxa caps should NOT be opened and the pellets taken by themselves or sprinkled on food because the bioavailability goes from 3 to 7% from the intact capsule and increases another 75% with no capsule. This can lead to a potentially fatal bleed.
Please make sure to go over this info multiple times with each patient and caregiver(s) because this med can easily be misused and when it comes to clot fatality vs bleed out I believe everyone will benefit from some good old education.