Xarelto (Rivaroxaban)

Xarelto increases the risk of bleeding, which can be serious and potentially fatal. Discontinuing the medication in patients without adequate alternative anticoagulation increases the risk of thrombotic events. Spinal or epidural hematomas may occur in patients undergoing neuraxial anesthesia or spinal puncture, which can result in long-term or permanent paralysis.

Your doctor should be consulted before stopping Xarelto. Blood clots and strokes can occur if you suddenly stop taking it.

The use of certain drugs with Xarelto can increase your risk of bleeding. If you are taking any other medications, let your doctor know.

It is essential to call your doctor as soon as possible if you or your child experience bleeding symptoms such as headaches, dizziness, bleeding gums, nosebleeds, heavy menstrual periods, abnormal vaginal bleeding, blood in your urine, bloody or tarry stools, coughing up blood, vomit that looks like coffee grounds, or bleeding that won’t stop.

When you receive spinal anesthesia (epidural) or a spinal tap, Xarelto can cause a severe blood clot around your spinal cord. If you are taking Xarelto, tell any doctor who treats you.

If you have an artificial heart valve, you should not take Xarelto.

You may contact us and speak with one of our pharmacists or doctor if you have allergies before taking rivaroxaban. Inactive ingredients in this product may cause allergic reactions or other problems. For more information, contact us, and we will connect you with one of our licensed pharmacists.

Before using this medication, tell your doctor or pharmacist your medical history, especially of cancer, liver disease, kidney disease, bleeding problems (such as bleeding of the stomach/intestines, swelling in the brain), stroke, artificial heart valves, recent major injury/surgery, blood disorders (such as anemia, hemophilia, thrombocytopenia), frequent falls/injuries, certain eye problems (retinopathy), specific clotting disease (antiphospholipid syndrome), certain hereditary enzyme problems (such as galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption).

Suppose you plan to undergo surgery or any other medical or dental procedure (especially spinal puncture or spinal/epidural anesthesia). In that case, you must inform your doctor or dentist that you are taking this medication and that you are taking all the products you use (including prescription drugs, nonprescription drugs, and herbal remedies). If your doctor or dentist recommends stopping rivaroxaban before your surgery, you should do so. When stopping or starting this medication, ask your doctor for specific instructions.

There is a possibility that this medication may cause stomach bleeding. If you drink alcohol regularly while taking this medicine, you will have a higher risk of stomach bleeding. The consumption of alcoholic beverages should be limited. You should consult your doctor or one of our pharmacists if you are unsure how much alcohol is safe to consume.

This medication may cause heavy bleeding. Use caution when using sharp objects like razors or nail cutters, and remain away from sports and activities that may cause you to get cut, bruised, or injured to minimize the possibility of injury. The best way to shave is to use an electric razor, while the best way to brush your teeth is to use a soft toothbrush. If you fall or injure yourself, especially if you hit your head, you should seek immediate medical attention from a physician. Your doctor may need to check you out.

Some older adults may be more prone to the side effects of this drug, especially bleeding, due to their age.

During the treatment, the patient may experience easy bruising or minor bleeding (such as nosebleeds or bleeding from cuts). Tell your doctor or one of our pharmacists as soon as possible if any of these effects persist or worsen.

It is important to remember that your doctor has prescribed this medication because they have determined that the benefit to you outweighs any risk associated with side effects. Significantly, few severe side effects are related to this medication, which is why many people use it.

This medication could cause severe bleeding if it adversely affects your blood clotting proteins too much. You should consult your doctor as soon as possible if you experience any signs of severe bleeding, such as nosebleeds that happen often or don’t stop, unusual fatigue/weakness, unusual pain/swelling/discomfort, unusual bruising, prolonged bleeding from cuts or gums, hefty/protracted menstrual flow, pink/dark urine, coughing up blood, vomiting bloody or looking like coffee grounds, severe headaches, dizziness/fainting, bloody/black/tarry stools, and difficulty swallowing.

You should seek medical attention as soon as possible if you are experiencing signs of severe bleeding, including changes in vision, confusion, difficulty speaking, or weakness on one side of the body.

It is rare for this drug to cause a severe allergic reaction. However, you should seek medical attention as soon as possible if you notice any symptoms of a severe allergic reaction, such as rash, itching/swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing.

The following is not a complete list of all possible side effects that may occur. Don’t hesitate to contact your doctor or one of our pharmacist if you notice any other side effects not listed above.

If you experience any side effects in the US, you should contact your doctor for medical advice. To report side effects to the FDA, call 1-800-FDA-1088 or visit the FDA’s website at www.fda.gov/medwatch.

It is important to remember that drug interactions may change how your medications work or increase your risk of developing severe side effects. It is important to note that this document does not contain all possible drug interactions. Be sure to keep a list of all the products you use (including prescription and nonprescription drugs and herbal products) and share it with your doctor and pharmacist. You must only start, stop, or change the dose of any medicine after getting your doctor’s approval before doing so.

As a result of this drug, some products can interact with it, including mifepristone, other medications that can cause bleeding or bruising (including antiplatelet drugs such as clopidogrel, nonsteroidal anti-inflammatory drugs like ibuprofen/naproxen, “blood thinners” such as warfarin, enoxaparin and Eliquis), and some antidepressants (including SSRIs such as fluoxetine, SNRIs such as desvenlafaxine/venlafaxine).).

The removal of rivaroxaban from your body may be affected by other medications you take, which may affect the way rivaroxaban works. Many drugs can be used to treat HIV-related infections, including cobicistat, conivaptan, dronedarone, ritonavir, certain azole antifungals (itraconazole, ketoconazole, posaconazole), HIV protease inhibitors (such as lopinavir), rifamycins (such as rifampin), St. John’s wort, and drugs that are used to treat seizures (such as carbamazepine, phenytoin, phenobarbital).

Aspirin can increase the risk of bleeding in the presence of this medication. However, you should continue to take low-dose aspirin if your doctor has advised you to do so to prevent heart attack or stroke (usually 81-162 milligrams a day) unless your doctor instructs you otherwise.

You should tell your doctor if you are pregnant or plan to become pregnant shortly. Pregnant women should only use this medication if it is necessary to do so. Before using this medication, it is essential that you discuss the risks and benefits with your doctor.

There is a possibility that this medication may pass into breast milk. Breast-feeding should be discussed with your doctor before you begin.

When you take Xarelto daily, please take it as soon as you remember, then return to your regular schedule. It is recommended to take only one dose on the same day.

Take the missed dose the same day you remember it if you take the 15-milligram tablet twice daily. Take the missed morning dose with the evening dose if you missed it in the morning. Continue to take your two doses a day at the regular time.

Skip the missed dose if you take the 2.5-milligram tablet twice a day. Taking two doses at once is not recommended.

If your child takes it twice a day, the missed morning dose of Xarelto should be given as soon as you remember it. Give the missed morning dose with the evening dose if you missed it in the morning. Go back to your regular schedule if you miss an evening dose.

Give your child the usual dose at the regular time if they take Xarelto 3 times a day. Skip the missed dose if your child takes Xarelto 3 times a day. Two doses should be given at different times.
Refill your prescription before you run out of medicine.

If someone has overdosed and is experiencing serious symptoms such as passing out or breathing difficulties, call 911 immediately. In any other case, contact a poison control center right away. US residents can reach their local poison control center at 1-800-222-1222. Bloody/black/tarry stools, pink/dark urine, unusual/prolonged bleeding may be symptoms of overdose.

Children and pets should not be allowed to access this product.

The product should be stored at room temperature between 20 and 25 degrees Celsius (68 and 77 degrees Fahrenheit). After the expiration date, dispose of any unused medication.

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