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Xarelto

Xarelto

Rivaroxaban

Rivaroxaban tablets for acute coronary syndrome and coronary artery disease. This anticoagulant reduces the risk of blood clots.

Active ingredient
Rivaroxaban
Route
Oral use
Form
Film-coated tablet; Granules for oral suspension
Strengths
15mg

Xarelto is the reference name. You receive a generic with the same active ingredient and strength.

Supply requirements for Xarelto depend on the medicine and destination. The fulfilment partner must confirm them before accepting an order.

Xarelto details

Therapeutic class
Antithrombotic agents
Pharmacological class
Direct factor Xa inhibitor
Minor side effects
haemorrhage; anaemia; dizziness; headache; nausea; constipation; diarrhoea
Dosage forms
Film-coated tablet; Granules for oral suspension
Administration route
Oral use
Supply category
Prescription-only medicine (POM)
Originator
Bayer AG
Storage instructions
This medicinal product does not require any special storage conditions.
Contraindications

hypersensitivity to rivaroxaban or any excipients; clinically significant active bleeding; lesion or condition at significant risk of major bleeding; concomitant treatment with any other anticoagulant except under specific circumstances; hepatic disease associated with coagulopathy and clinically relevant bleeding risk; pregnancy and breast-feeding

Precautions and warnings

increased risk of bleeding; careful observation for signs of bleeding recommended; not recommended in patients with severe renal impairment unless benefit outweighs risk; caution in patients with moderate renal impairment receiving concomitant medicines that increase rivaroxaban plasma concentrations; caution in patients with an increased bleeding risk; spinal or epidural anaesthesia carries risk of spinal or epidural haematoma; not recommended in patients with prosthetic heart valves; not recommended for acute coronary syndrome patients with prior stroke or transient ischaemic attack; patients should be provided with a patient alert card

Moderate side effects

tachycardia; syncope; pruritus; rash; oedema peripheral; pyrexia; transaminases increased

Serious side effects

intracranial haemorrhage, requires immediate medical attention; gastrointestinal haemorrhage, requires immediate medical attention; retroperitoneal haemorrhage, requires immediate medical attention; spinal or epidural haematoma, requires immediate medical attention; haemorrhagic shock, requires immediate medical attention; anaphylactic reaction, requires immediate medical attention

Patient summary

Rivaroxaban tablets for acute coronary syndrome and coronary artery disease. This anticoagulant reduces the risk of blood clots.

Mechanism of action

Xarelto contains rivaroxaban, a medicine known as a direct oral anticoagulant. It works by blocking a substance in the blood called factor Xa, which is essential for blood clotting. By reducing factor Xa activity, Xarelto helps prevent harmful blood clots from forming in veins and arteries and treats existing clots. It is used to prevent stroke in people with irregular heartbeat (atrial fibrillation), to treat and prevent deep vein clots and lung clots, and to prevent clots after hip or knee replacement surgery.

Drug interactions

other anticoagulants; NSAIDs; acetylsalicylic acid; antiplatelet agents; CYP3A4 and P-gp inhibitors; selective serotonin reuptake inhibitors; serotonin norepinephrine reuptake inhibitors

Age restrictions

Not recommended for children aged less than 18 years except for treatment of VTE and prevention of VTE recurrence in children weighing from 30 kg.

Pregnancy and breastfeeding

Pregnancy: Contraindicated during pregnancy. Animal studies have shown reproductive toxicity. Women of childbearing potential should avoid becoming pregnant during treatment. Breastfeeding: Confirm breastfeeding suitability with a qualified clinician or pharmacist before use.

What you will receive

Xarelto names the medicine you are looking for. What ships is a generic version of it.

  • A generic containing Rivaroxaban at the strength you pick.
  • Which generic brand and maker ships depends on stock and destination.
  • Check the active ingredient, strength, form, pack, seal, batch and expiry when it arrives.

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