Xarelto Oral – Uses, Side Effects, Warnings, and More
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Before beginning to use rivaroxaban and whenever you get a refill for your prescription, make sure you have read the Patient’s Medication Guide provided by your pharmacist. If you have any questions, you should consult with either your physician or your pharmacist.
Consume this drug by mouth and follow your physician’s instructions. If you are taking this medication on a regular basis in order to reduce the risk of having a stroke or a blood clot form as a result of an irregular heartbeat, the recommended dosage is one tablet once daily, along with your evening meal. If you are taking this medication to avoid blood clots due to another condition (such as after knee or hip replacement surgery, during a hospital stay, and after discharge, following a Fontan treatment), the recommended dosage is one tablet once daily.
The recommended dosage of rivaroxaban for the treatment of blood clots in adults is typically taken once daily for the first three weeks of treatment and then increased to twice daily thereafter. In most cases, a single daily dose of rivaroxaban is all that is required to effectively treat blood clots in children. If you are using this medication to prevent the formation of new blood clots, the recommended dosage is one pill once a day.
Be sure to listen to and carefully implement your doctor’s instructions. Unless specifically instructed to do so by your healthcare provider, you should not increase your dose, take it more frequently, or stop taking it altogether.
The tablet containing 10 milligrams can be taken either with or without food. It is recommended that the 15 mg and 20-milligram tablets be consumed with food. If you are unsure how to take rivaroxaban, it is best to consult with your healthcare provider or local pharmacist.
You can crush the tablet and combine it with applesauce if you find that you are unable to take the medication in its entire form. Consume the entirety of the combination as soon as possible. Do not make any preparations for use at a later time.
In the event that you will be administering this medication into the stomach via a tube (either a nasogastric or a gastric tube), you should inquire with your medical provider for specific instructions on how to mix it and administer it in the correct manner.
Your current health state and how well you respond to treatment will determine the dosage that you take and how long the treatment will last. When it comes to children, the dosage is determined by weight as well.
Make sure you take this medication as directed for it to have the desired effect. Take it at the same time(s) every day so that you won’t forget when to take it.
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Please also see the section labeled Warning.
There is a possibility that you will suffer from easy bruising or small bleeding (such as bleeding from the nose or wounds). Notify your doctor or pharmacist as soon as possible if any of these side effects continue or become worse.
Keep in mind that the reason your doctor has recommended that you take this medication is that he or she believes that the potential benefits to you outweigh the potential risks of doing so. The majority of persons who take this medicine do not report experiencing any severe adverse effects.
If this drug has too much of an effect on the blood clotting proteins in your body, you could experience significant bleeding. Notify your physician as soon as possible if you experience any of the following symptoms: unusual pain, swelling, or discomfort; prolonged bleeding from cuts or gums; persistent or frequent nosebleeds; unusually heavy or prolonged menstrual flow; pink or dark urine; coughing up blood; vomiting that is bloody or looks like coffee grounds; severe headache; dizziness or fainting; unusual or persistent tiredness or weakness; difficulty swallowing bloody, black, or tarry stools; difficulty swallowing bloody, black,
You should seek immediate medical attention if you experience any signs of very significant bleeding, such as changes in your eyesight, confusion, difficulty speaking, or weakness on one side of the body.
It is quite unusual for this medicine to cause an extremely severe allergic reaction. However, you should seek immediate medical attention if you detect any symptoms of a significant allergic reaction, such as a rash, itching/swelling (particularly of the face/tongue/throat), extreme dizziness, or difficulty breathing. These symptoms may indicate anaphylaxis.
This list of potential adverse effects is not exhaustive in any way. Please consult your physician or pharmacist if you have any side effects that are not listed above.
In the United States, if you are experiencing any adverse effects, please consult your primary care physician. You can call the FDA at 1-800-FDA-1088 or visit their website at www.fda.gov/medwatch to report any adverse effects.
In Canada, if you are experiencing any adverse effects, please consult your primary care physician. You can call Health Canada at 1-866-234-2345 to report any adverse effects you experience.
Inform your doctor or pharmacist if you are allergic to rivaroxaban, or if you have any additional allergies before beginning treatment with this medication. There is a possibility that this product contains inactive substances, which, if present, could result in allergic responses or other complications. Discuss the matter further with your pharmacist for further information.
If you have a history of cancer, liver disease, kidney disease, bleeding problems (such as bleeding of the stomach/intestines, bleeding in the brain), stroke, artificial heart valves, recent major injury/surgery, blood disorders (such as anemia, hemophilia, thrombocytopenia), frequent falls or injuries, a certain eye problem (retinopathy), a certain clotting disorder (antiphospholipid syndrome), or certain other medical conditions, you should discuss it with your doctor or pharmacist before (such as galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption).
It is imperative that you make your dentist and all of your other medical professionals aware that you are taking rivaroxaban. It is important that you inform your doctor or dentist that you are taking this medicine before undergoing any kind of medical or dental procedure, including surgery.
This medicine could potentially cause bleeding in the stomach. Consuming alcohol on a regular basis while you are on this medication will raise the risk of gastrointestinal bleeding. Reduce your intake of alcoholic beverages. Inquire with your healthcare provider or pharmacist about the maximum amount of alcohol that you can safely consume.
It is possible for this drug to induce bleeding. When handling sharp devices like nail cutters and safety razors, exercise extreme caution so you can reduce the risk of becoming cut, bruised, or otherwise hurt. When you shave, use an electronic razor, and when you clean your teeth, use a toothbrush with a gentle bristle. Stay away from activities like sports that involve physical touch. In the event that you trip and injure yourself, particularly if you strike your head, you should make an appointment with a medical professional as soon as possible. It’s possible that your doctor needs to check you for any hidden bleeding that could result in significant consequences.
It is possible that older persons are more sensitive to the adverse effects of this medication, including bleeding.
Inform your primary care physician if you are pregnant or if you want to become pregnant in the near future. During pregnancy, it is important to only use this drug when it is absolutely necessary. Before beginning treatment with this drug, you and your healthcare provider should go over the potential drawbacks and advantages.
It is possible for this drug to enter breast milk. Before starting to breastfeed, you should talk to your healthcare provider.
Please seek the advice of your pharmacist or physician.
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Drug interactions can alter the way in which your prescriptions work or raise the likelihood that you will have major adverse effects. This document does not contain all possible medication interactions. Maintain a list of all the goods you use, including prescription and over-the-counter medications, as well as herbal remedies, and give it to both your primary care physician and your pharmacist. Without first consulting your physician, you should never alter the dosage of any medication, stop taking any medication, or start taking any new medication.
Other drugs that can cause bleeding or bruising (including antiplatelet drugs such as clopidogrel, “blood thinners” such as warfarin, enoxaparin), and certain antidepressants (including SSRIs such as fluoxetine, SNRIs such as desvenlafaxine/venlafaxine) are examples of products that may interact with this medication.
Rivaroxaban’s efficacy may be compromised if it is eliminated more slowly from the body than usual due to the concurrent use of certain other drugs. For instance, cobicistat, conivaptan, dronedarone, certain azole antifungals (itraconazole, ketoconazole, posaconazole), rifamycins (such as rifampin), HIV protease inhibitors (such as lopinavir, ritonavir), St. John’s wort, and medications used to treat seizures (such as carbamazepine, phenytoin,
When used with this drug, the usage of aspirin is associated with an increased risk of bleeding. If, on the other hand, your doctor has instructed you to take low-dose aspirin for the prevention of heart attack or stroke (usually 81-162 milligrams per day), you should keep taking it unless your doctor instructs you otherwise. Low-dose aspirin is typically prescribed in the range of 81-162 milligrams per day. Inquire with your primary care physician or your pharmacist for further information.
Dial 911 if you suspect that someone has overdosed and they are exhibiting serious symptoms such as passing out or having problems breathing. In any other case, you should immediately contact a poison control center. To reach the poison control center for your area in the United States, dial 1-800-222-1222. Canadian residents can call a provincial poison control center. An overdose may be indicated by symptoms such as red, black, or tarry stools, pink or dark urine, and unusual or protracted bleeding.
This drug should not be given to anyone else.
Laboratory and/or medical tests (such as hematocrit/hemoglobin, red blood cell count, etc.) may be conducted on a periodic basis to monitor your progress or check for potential adverse effects. Consult your doctor for additional details.
If you take this medication on a once-daily basis and you forget to take a dose, you should take it as soon as you remember it. If it is getting close to the time of the next dose, you should forgo the dose that you missed. Your next dose should be taken at the typical time. It is not necessary to double the dose in order to catch up.
If you are supposed to take this medication twice daily and you forget to take one of your doses, you should take it as soon as you remember. If you forgot to take your morning dose and it is getting close to the time that you are supposed to take your evening dose, you can take both doses at the same time. After then, take your subsequent dose at the typical interval.
Keep at room temperature and away from light and moisture. Store at room temperature. Keep away from the bathroom at all costs. Always make sure that children and animals are kept well away from any medications.
Within the next four hours, use or dispose of the crushed pill mixture. (Also see the section on How to Use it.)
Unless you have been specifically told to do so, you should not flush drugs down the toilet or pour them down a drain. When it is no longer needed or has passed its expiration date, dispose of this product in the appropriate manner. Talk to your neighborhood pharmacy or the firm that handles garbage disposal in your area.