{"id":6835,"date":"2025-02-03T11:09:38","date_gmt":"2025-02-03T11:09:38","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-paxlovid-and-eliquis-interaction-what-to-know-in-2025\/"},"modified":"2025-02-03T11:09:38","modified_gmt":"2025-02-03T11:09:38","slug":"hmn-paxlovid-and-eliquis-interaction-what-to-know-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-paxlovid-and-eliquis-interaction-what-to-know-in-2025\/","title":{"rendered":"HMN: Paxlovid and Eliquis interaction: What to know in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Paxlovid and Eliquis interaction: What to know in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">Eliquis is a prescription medication that prevents or treats blood clots. Paxlovid is a drug prescribed to people with mild to moderate COVID-19 who are at a higher risk of getting a more serious infection.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Eliquis and Paxlovid can be taken together, but you may run the risk of experiencing increased bleeding, as Paxlovid can increase the effectiveness of blood thinners to unsafe levels.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">If you have to take both drugs simultaneously, you will likely have to be closely monitored by your healthcare provider in case you experience any adverse effects.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">If you experience any serious side effects from taking Paxlovid or Eliquis, seek medical attention immediately. <\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">Eliquis (apixaban) is a prescription drug approved by the U.S. Food and Drug Administration (FDA) to prevent or treat blood clots that could become serious medical complications. Paxlovid (nirmatrelvir\/ritonavir) is an antiviral prescription medicine developed by Pfizer that a healthcare provider may prescribe to treat mild to moderate COVID-19 in people at a higher risk of developing a more severe infection.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can take <\/span><span style=\"font-weight: 400;\">Paxlovid<\/span><span style=\"font-weight: 400;\"> with <\/span><span style=\"font-weight: 400;\">Eliquis<\/span><span style=\"font-weight: 400;\">, but there\u2019s a higher risk of complications when mixing these drugs. You may need dosage adjustments or close monitoring for potential drug interactions.<\/span><\/p>\n<h2 id=\"can-you-take-paxlovid-with-eliquis\"><span style=\"font-weight: 400;\">Can you take Paxlovid with Eliquis?<\/span><\/h2>\n<p><a href=\"https:\/\/www.linkedin.com\/in\/sazan-sylejmani-a6ba1080\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Sazan Sylejmani, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, the owner and pharmacy manager of <\/span><a href=\"https:\/\/www.westmontpharmacy.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Westmont Pharmacy<\/span><\/a><span style=\"font-weight: 400;\">, says it is okay to take Paxlovid and Eliquis, but close monitoring is recommended.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><a href=\"https:\/\/www.linkedin.com\/in\/jessicairoanya\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jessica Iroanya, Pharm.D., BCMTMS<\/span><\/a><span style=\"font-weight: 400;\">, an RPh adviser at CVS Health, says there are exceptions where taking Paxlovid and Eliquis isn\u2019t recommended.\u201cWhen Paxlovid is combined with Eliquis, increased anticoagulation effects can occur, which could lead to excessive bleeding in patients on these medications,\u201d she says.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anticoagulants<\/span><span style=\"font-weight: 400;\"> or blood thinners like Eliquis stop blood from <\/span><a href=\"https:\/\/medlineplus.gov\/bloodthinners.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">clotting or thickening<\/span><\/a><span style=\"font-weight: 400;\">. Paxlovid can <\/span><a href=\"https:\/\/www.yalemedicine.org\/news\/13-things-to-know-paxlovid-covid-19\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">decrease the metabolism<\/span><\/a><span style=\"font-weight: 400;\"> of anticoagulants, increasing their levels to a point where they are unsafe to use.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Iroanya says that because of the risks, combining Paxlovid with Eliquis should be avoided entirely and that other methods should be considered if possible. \u201cConsider alternative treatments that do not interact with anticoagulants Eliquis,\u201d she adds. \u201cIn some cases, dose adjustments or temporary discontinuation may be feasible.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although Paxlovid may increase the effects of Eliquis, Dr. Sylejmani says that some people may need to take this combination of drugs. \u201cFor high-risk COVID patients, Paxlovid\u2019s benefits often outweigh the risks,\u201d he says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aside from Eliquis, there are other <\/span><a href=\"https:\/\/www.covid19treatmentguidelines.nih.gov\/therapies\/antivirals-including-antibody-products\/ritonavir-boosted-nirmatrelvir--paxlovid-\/paxlovid-drug-drug-interactions\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Paxlovid drug-drug interactions<\/span><\/a><span style=\"font-weight: 400;\"> to be aware of. These medications include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Benign prostatic hyperplasia (BPH) treatments<\/span><span style=\"font-weight: 400;\"> like alfuzosin and silodosin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cardiovascular medications like amiodarone, amlodipine, cilostazol, clopidogrel, digoxin, diltiazem, disopyramide, dofetilide, dronedarone, eplerenone, felodipine, flecainide, ivabradine, nifedipine, propafenone, quinidine, ranolazine, ticagrelor, verapamil, and vorapaxar<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulmonary hypertension medications like avanafil, sildenafil, tadalafil, and vardenafil<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anticonvulsants<\/span><span style=\"font-weight: 400;\"> like carbamazepine, phenobarbital, phenytoin, and primidone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anti-infectives like glecaprevir\/pibrentasvir<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Immunosuppressants like everolimus, sirolimus, tacrolimus, and voclosporin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">HMG-CoA reductase inhibitors or <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> like atorvastatin, lovastatin, rosuvastatin, and simvastatin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antibiotics like rifampin (Rifadin, Rimactane)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antipsychotics<\/span><span style=\"font-weight: 400;\"> like clozapine, lurasidone, midazolam, and pimozide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Miscellaneous medications and supplements, like colchicine, bosentan, ergot derivatives, lumacaftor\/ivacaftor, St. John\u2019s wort, and tolvaptan<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you are taking other medications, alert your healthcare provider or pharmacist before starting <\/span><span style=\"font-weight: 400;\">Paxlovid<\/span><span style=\"font-weight: 400;\">.\u201cIt\u2019s best practice to discuss all prescription and over-the-counter (OTC) medicines you take with your healthcare provider to determine the appropriate course of action,\u201d Dr. Iroanya says.\u00a0<\/span><\/p>\n<h2 id=\"what-happens-if-you-take-eliquis-and-paxlovid-together\"><span style=\"font-weight: 400;\">What happens if you take Eliquis and Paxlovid together?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As mentioned by Dr. Iroanya, taking Paxlovid and Eliquis may increase your chances of bleeding, as ritonavir may increase the blood levels of apixaban. If left untreated, this could potentially lead to adverse events requiring hospitalization.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aside from side effects that may arise from the contraindications, both medications have individual side effects that may worsen when they are taken together.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taking Eliquis may cause the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507910\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">following side effects<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bruises<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spinal or epidural blood clots (hematoma)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in urine (hematuria)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Postprocedural hemorrhage (bleeding that occurs after a surgical procedure)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rectal hemorrhage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nosebleed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing up blood from your lungs (hemoptysis)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reactions, such as hives, rashes, itching, and difficulty breathing<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Common <\/span><a href=\"https:\/\/labeling.pfizer.com\/ShowLabeling.aspx?id=19599#possiblesideeffects\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">side effects of Paxlovid<\/span><\/a><span style=\"font-weight: 400;\"> include the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Altered sense of taste<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling generally unwell<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">More serious side effects of Paxlovid include severe allergic reactions (anaphylaxis) and liver problems. If you\u2019re experiencing serious side effects while taking Paxlovid and Eliquis individually or combined, please seek immediate medical attention from a healthcare provider.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">The National Institutes of Health (NIH) COVID-19 Treatment Guidelines recommend that healthcare providers reduce the dose or extend the dosing interval of concomitant drugs like Eliquis when taken with Paxlovid. <\/span><a href=\"https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/concomitant\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Concomitant drugs<\/span><\/a><span style=\"font-weight: 400;\"> are prescription medications that a participant in a clinical trial may take in addition to another drug under investigation. With Paxlovid being a newer drug, it is still going through clinical trials to determine its effectiveness in treating <\/span><span style=\"font-weight: 400;\">COVID-19<\/span><span style=\"font-weight: 400;\">. If the dose of the concomitant medication cannot be adjusted, the drug should be withheld, or an alternative concomitant medicine or COVID-19 therapy should be used. If needed, <\/span><span style=\"font-weight: 400;\">Eliquis alternatives<\/span><span style=\"font-weight: 400;\"> include Pradaxa (dabigatran), Xarelto (rivaroxaban), Savaysa (edoxaban), Ciumadin or Jantoven (warfarin), and HeparinOther <\/span><a href=\"https:\/\/aspr.hhs.gov\/COVID-19\/Treatments\/Pages\/Possible-Treatment-Options-for-COVID19.aspx\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">COVID-19 therapies<\/span><\/a><span style=\"font-weight: 400;\"> your healthcare provider or pharmacist may recommend as a replacement for Paxlovid include <\/span><span style=\"font-weight: 400;\">Veklury<\/span><span style=\"font-weight: 400;\"> (remdesivir) or Lagevrio (molnupiravir).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, if you have certain medical conditions, it may be unsafe to take the COVID-19 drug Paxlovid. \u201c People with severe liver (hepatic) impairment (Child-Pugh Class C) should avoid mixing these medications due to the risk of liver toxicity,\u201d Dr. Iroanya says.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FDA also recommends that Paxlovid should be <\/span><a href=\"https:\/\/www.fda.gov\/media\/155051\/download\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">avoided or closely monitored<\/span><\/a><span style=\"font-weight: 400;\"> if you:<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have kidney problems (a different dose may be necessary)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have HIV (Paxlovid may cause some HIV medicines to be less effective)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are pregnant or planning to become pregnant (it is unknown if Paxlovid can harm an unborn child)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you breastfeeding or plan to breastfeed (it is unknown if Paxlovid can pass through breast milk)<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have to take Eliquis and Paxlovid simultaneously, make sure you take the necessary precautions to lower your chances of adverse events. \u201cPatients should follow up frequently with their healthcare provider, report side effects immediately, and know that dosage adjustments may be needed,\u201d Dr. Sylejmani says.<\/span><\/p>\n<h2 id=\"how-long-should-i-wait-to-take-paxlovid-after-taking-eliquis\"><span style=\"font-weight: 400;\">How long should I wait to take Paxlovid after taking Eliquis?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In most cases, Paxlovid can be taken with Eliquis. According to Dr. Iroanya, you should wait at least 24 hours after stopping Eliquis before starting Paxlovid.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The safest or preferred dosing schedule for each medication varies depending on the recommended dosage, any medical conditions you may have, your age, and body weight.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Iroanya says the standard dose for Paxlovid is 300 milligrams (mg) of nirmatrelvir with 100 mg of ritonavir administered by taking three tablets together twice daily (in the morning and before bedtime) for five days.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you have moderate-level renal or kidney impairment, dose reduction may be necessary to prevent or reduce complications while taking Paxlovid. Dr. Iroanya suggests the 150 mg dose pack, in which you would take one 150 mg nirmatrelvir tablet with one 100 mg ritonavir tablet twice daily for five days.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">She adds that Paxlovid is not recommended for people with severe renal impairment.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Regarding Eliquis, the standard oral dosage ranges depending on what condition is being treated.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Below are the <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/apixaban-oral-route\/proper-use\/drg-20060729\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Eliquis dosages<\/span><\/a><span style=\"font-weight: 400;\"> for different cardiovascular (heart) conditions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deep venous thrombosis (hip replacement surgery):<\/b><span style=\"font-weight: 400;\"> 2.5 mg two times a day for 35 days<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deep venous thrombosis (knee replacement surgery): <\/b><span style=\"font-weight: 400;\">2.5 mg two times a day for 12 days<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prevention of recurrent deep vein thrombosis and pulmonary embolism: <\/b><span style=\"font-weight: 400;\">2.5 mg two times a day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prevention of strokes and blood clots in people with nonvalvular atrial fibrillation: <\/b><span style=\"font-weight: 400;\">5 mg two times a day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Deep venous thrombosis and pulmonary embolism treatment: <\/b><span style=\"font-weight: 400;\">10 mg two times a day<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dr. Iroanya notes that other factors can affect <\/span><span style=\"font-weight: 400;\">Eliquis dosages<\/span><span style=\"font-weight: 400;\">. \u201cIn patients with at least two of the following characteristics: age greater than or equal to 80 years, body weight less than or equal to 60 kilograms (kg), or a serum creatinine of greater than or equal to 1.5 milligrams by per deciliter (mg\/dL), the recommended dose is 2.5 mg orally twice daily,\u201d she explains.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your healthcare provider will prescribe the proper dosages for the co-administration of Eliquis and Paxlovid for your health needs.\u00a0<\/span><\/p>\n<h2 id=\"is-it-safe-to-mix-eliquis-and-paxlovid\"><span style=\"font-weight: 400;\">Is it safe to mix Eliquis and Paxlovid?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Taking <\/span><span style=\"font-weight: 400;\">Eliquis<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">Paxlovid<\/span><span style=\"font-weight: 400;\"> can pose many health risks due to their drug-drug interactions. The main side effect of mixing these drugs is increased bleeding. These medications also have their individual side effects, including bruising, nausea, vomiting, diarrhea, allergic reactions, and many others.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite the risks, there are instances where some people may benefit from taking both drugs. For example, those diagnosed with COVID-19 and are at a higher risk of developing a more serious infection may need to take Paxlovid to treat the virus, alongside Eliquis.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to understand possible Paxlovid and Eliquis interactions so that you can notify your healthcare provider if you\u2019re experiencing severe side effects. \u201cTo ensure the best outcome for patients taking these medications and to reduce the risk of any adverse interactions and effects, it\u2019s best practice to consult with your healthcare provider,\u201d Dr. Iroanya says.<\/span><\/p>\n<p><svg style=\"display:none\">\n  <g id=\"facebook\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M19.51 9.32003H21.39V6.14003C20.4798 6.04538 19.5652 5.99865 18.65 6.00003C15.93 6.00003 14.07 7.66003 14.07 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