Xarelto

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Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood.
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10MG, Xarelto (30 Tablets)

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CVS

$586.49

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Warnings

Do not stop taking rivaroxaban unless directed by your doctor. If you stop taking this medication early, you have a higher risk of forming a serious blood clot (such as a stroke, blood clot in the legs/lungs). Your doctor may direct you to take a different "blood thinning" or antiplatelet medication to reduce your risk. Get medical help right away if you have weakness on one side of the body, trouble speaking, sudden vision changes, confusion, chest pain, trouble breathing, or pain/warmth/swelling in the legs. People taking this medication may bleed near the spinal cord after certain spinal procedures. Bleeding in this area can cause paralysis that lasts a long time or could become permanent. Before any spinal procedure, ask your doctor about the benefits and risks. The risk of bleeding may be higher if you have a deformed spine, or have had spinal procedures/surgery before (such as epidural catheter placement, difficult epidural/spinal puncture), or are taking other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, "blood thinners" such as warfarin/enoxaparin, nonsteroidal anti-inflammatory drugs-NSAIDs such as ibuprofen). Tell your doctor right away if you notice symptoms such as back pain, leg numbness/tingling/weakness, loss of control of the bowels or bladder (incontinence).

Xarelto Side Effects

Easy bruising or minor bleeding (such as nosebleed, bleeding from cuts) may occur. If either of these effects lasts or gets worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. This medication can cause serious bleeding if it affects your blood clotting proteins too much. Tell your doctor right away if you have any signs of serious bleeding, including: nosebleeds that happen often or don't stop, unusual tiredness/weakness, unusual pain/swelling/discomfort, unusual bruising, prolonged bleeding from cuts or gums, unusually heavy/prolonged menstrual flow, pink/dark urine, coughing up blood, vomit that is bloody or looks like coffee grounds, severe headache, dizziness/fainting, bloody/black/tarry stools, difficulty swallowing. Get medical help right away if you have any signs of very serious bleeding, including: vision changes, confusion, trouble speaking, weakness on one side of the body. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Interactions

Some products that may interact with this drug include: mifepristone, other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen/naproxen, "blood thinners" such as warfarin/enoxaparin), certain antidepressants (including SSRIs such as fluoxetine, SNRIs such as desvenlafaxine/venlafaxine). Other medications can affect the removal of rivaroxaban from your body, which may affect how rivaroxaban works. Examples include cobicistat, dronedarone, ritonavir, certain azole antifungals (itraconazole, ketoconazole, posaconazole), HIV protease inhibitors (such as lopinavir), rifamycins (such as rifampin), St. John's wort, drugs used to treat seizures (such as carbamazepine, phenytoin, phenobarbital), among others. Aspirin can increase the risk of bleeding when used with this medication. However, if your doctor has told you to take low-dose aspirin to prevent heart attack or stroke (usually 81-162 milligrams a day), you should keep taking the aspirin unless your doctor tells you not to. Ask your doctor or pharmacist for more details.
Xarelto FAQs
Is Xarelto a blood thinner or anticoagulant?

Xarelto is an anticoagulant.

The most common side effect of Xarelto is bleeding. This can range from minor bleeding, such as nosebleeds or bruising, to more serious bleeding events. It is important for individuals taking Xarelto to be aware of this risk and to contact their healthcare provider if they experience any unusual bleeding or symptoms.

While taking Xarelto, one should avoid activities that increase the risk of bleeding or injury, such as contact sports. It is also advisable to avoid alcohol consumption, as it can increase the risk of stomach bleeding. Additionally, certain medications and supplements, such as NSAIDs, aspirin, and herbal products like St. John's Wort, should be avoided unless approved by a healthcare provider, as they can interact with Xarelto and increase bleeding risk. Always consult with a healthcare professional before making any changes to medication or lifestyle.

Blood thinners and anticoagulants are terms often used interchangeably, but they refer to slightly different concepts. Anticoagulants are a type of medication that specifically prevent blood clots from forming or growing larger by interfering with the clotting process. Blood thinners is a broader term that can include both anticoagulants and antiplatelet drugs, which prevent blood cells called platelets from clumping together. Both types of medications are used to reduce the risk of blood clots, but they work through different mechanisms.

The effectiveness of Xarelto as a blood thinner depends on the specific medical condition being treated and the individual patient's needs. Xarelto is one of several anticoagulants available, and it may be preferred in certain situations due to its dosing regimen and lack of need for regular blood monitoring. However, other blood thinners like warfarin, Eliquis, or Pradaxa might be more suitable for different patients based on their medical history, risk factors, and potential drug interactions. It is important for patients to consult with their healthcare provider to determine the most appropriate anticoagulant for their specific situation.

Xarelto, a blood thinner, can cause side effects that may affect the legs. These can include swelling, pain, or discomfort in the legs, which could be indicative of bleeding or a blood clot. If any unusual symptoms occur, it is important to seek medical attention promptly.

When taking Xarelto, there are no specific foods that need to be avoided. Unlike some other anticoagulants, Xarelto does not have dietary restrictions related to vitamin K intake. However, it is important to maintain a balanced diet and consult with a healthcare provider for personalized advice, especially if there are other health conditions or medications involved.

Xarelto is not commonly associated with affecting urination. However, if an individual experiences any unusual symptoms related to urination while taking Xarelto, it is important to consult a healthcare provider to rule out any potential side effects or underlying conditions.

Xarelto (rivaroxaban) is not commonly associated with affecting sleep. However, if an individual experiences unusual sleep disturbances while taking Xarelto, it is advisable to consult with a healthcare provider to rule out any potential side effects or interactions.

Apixaban, marketed as Eliquis, is a direct oral anticoagulant. Other blood thinners in the same class include rivaroxaban (Xarelto) and edoxaban (Savaysa). Additionally, dabigatran (Pradaxa) is another direct oral anticoagulant, though it works slightly differently. It's important for patients to consult with their healthcare provider to determine the most appropriate medication for their specific condition.

The safety of a blood thinner depends on the individual's specific medical condition, risk factors, and potential interactions with other medications. Commonly used blood thinners include warfarin, heparin, and newer oral anticoagulants like apixaban, rivaroxaban, and dabigatran. Each has its own risk-benefit profile. It is essential for a healthcare provider to evaluate the patient's medical history and current health status to determine the most appropriate and safest option. Regular monitoring and follow-up are crucial to ensure safety and efficacy.

Eliquis (apixaban) is often preferred due to its efficacy in preventing stroke and systemic embolism in patients with non-valvular atrial fibrillation, as well as its use in treating and preventing deep vein thrombosis (DVT) and pulmonary embolism (PE). It has a favorable safety profile, particularly with a lower risk of major bleeding compared to some other anticoagulants. Additionally, Eliquis does not require routine monitoring of blood levels, which can be more convenient for patients.