How does rivaroxaban work?
Rivaroxaban blocks Factor Xa, a protein involved in blood clotting. This helps prevent harmful clots from forming in the blood vessels, reducing the risk of strokes and other complications.
What is rivaroxaban used to treat?
Rivaroxaban is commonly prescribed for:
- Preventing strokes and blood clots in people with atrial fibrillation (AF)
- Treating deep vein thrombosis (DVT) and pulmonary embolism (PE)
- Preventing DVT and PE after surgery (such as knee or hip replacement)
- Reducing the risk of recurrent blood clots
Who can take rivaroxaban?
Rivaroxaban is suitable for most adults at risk of blood clots or with existing clot-related conditions.
Who might not be able to take rivaroxaban?
Rivaroxaban may not be suitable if you:
- Have active bleeding or a bleeding disorder
- Have severe liver disease
- Have very high blood pressure that is not controlled
- Are taking other strong blood thinners (unless advised by your doctor)
Can I take rivaroxaban if I’m pregnant or breastfeeding?
Rivaroxaban isn’t usually recommended during pregnancy or while breastfeeding, as it may increase the risk of bleeding. Speak to your doctor about safer alternatives.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.
How effective is rivaroxaban?
Rivaroxaban is highly effective at preventing blood clots and strokes when taken as prescribed.
What should I do if I take too much?
Taking too much rivaroxaban can increase the risk of serious bleeding. If you experience unusual bruising, blood in your urine or stool, or unexplained bleeding, seek urgent medical attention.
What dose of rivaroxaban is usually taken?
- For stroke prevention in atrial fibrillation: 20mg once daily (or 15mg once daily for those with kidney problems)
- For treating DVT and PE: 15mg twice daily for 21 days, then 20mg once daily
- For preventing DVT and PE after surgery: 10mg once daily for 2 to 5 weeks
Your doctor will determine the correct dose for your condition.
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What are the side effects of rivaroxaban?
Common side effects include:
- Increased bruising
- Nosebleeds or gum bleeding
- Mild stomach upset
Serious side effects, such as severe bleeding or signs of internal bleeding (e.g., black stools or coughing up blood), require urgent medical attention.
How should I take rivaroxaban?
Rivaroxaban is taken as a tablet, once daily, with or without food, depending on the dose prescribed.
When should rivaroxaban be taken?
Rivaroxaban should be taken at the same time each day to maintain steady blood levels.
What are the brand names for rivaroxaban?
Rivaroxaban is available under the brand name:
- Xarelto
Final thoughts
Rivaroxaban is an effective anticoagulant that reduces the risk of stroke and blood clots. To stay safe, take it exactly as prescribed, and contact your doctor if you experience unusual bleeding or other side effects.
