Theres no way to know what the substance actually is, was, or will be tomorrow because that name has no legal meaning, said Russell Wesdyk, an associate director in FDAs drug center
Tai MH, Brown B, Taiji R, et al
doi: 10.1016/s0735-1097(02)02770-5
Meanwhile, that acetaldehyde hangs out and wreaks havoc: causing inflammation, triggering headaches, and ratcheting up your heart rate
Call your doctor right away or seek urgent care if you notice: Blood in urine or stool Vomit that looks bloody or dark Coughing up blood Severe headache or confusion Bleeding that does not stop NHS guidance for apixaban lists warning signs such as blood in urine or stool, vomiting blood, coughing blood and sudden severe headache with confusion (NHS, 2026a)