Rivaroxaban (Xarelto)

Rivaroxaban (Xarelto)

What is Rivaroxaban (Xarelto)?

Rivaroxaban (Xarelto) is a drug known as a blood thinner or anticoagulant. It assists in preventing and treating blood clots effectively.  Xarelto dosing varies based on the condition being treated, with typical doses ranging from 10 mg to 20 mg once daily.

The drug Xarelto is used for reducing the risk of heart attack and stroke. It also prevents and treats clot formation in the veins of your brain, lungs, heart, and legs.

It is commonly used in patients with irregular heart rhythms to prevent clot formation. It is more helpful in minimizing the risk of getting clots in people who have undergone hip or knee replacement surgeries. Comparing Eliquis vs Xarelto, Eliquis requires twice-daily dosing, while Xarelto is typically taken once daily for most conditions.

It is also used in children to prevent blood clots from forming after a specific heart surgery. Sometimes, the drug is recommended to be taken along with aspirin to lower the risk of stroke, heart attack, or death in adults with coronary artery disease. 

It is even used to treat and prevent PE and SVT from reoccurring in infants and children who have undergone at least five days of blood thinner treatment. The Xarelto starter pack provides an initial dosing regimen, including higher doses for the first few weeks of treatment.

 Rivaroxaban uses are diverse, and the doctor utilizes this drug in several situations to safeguard the lives of the patients at risk. Buy the medicine from Sanford Online pharmacy after checking the Rivaroxaban price to get its benefits completely. 

How does Rivaroxaban (Xarelto) work?

Xarelto 10 mg is a novel oral anticoagulant that works by stopping the clotting factor known as factor Xa from working. The Xarelto dose depends on the condition, with 15 mg twice daily for the first 21 days, then switching to 20 mg once daily for DVT or PE treatment.

In other words, it works by blocking specific clotting proteins present in your blood. It assists in preventing the formation of blood clots in your body. Remember that this drug is a type of medicine called an anticoagulant.

Even though it does not dissolve blood clots, it can prevent them from getting bigger. So your body can dissolve the blood clots over time. The Xarelto patent expiration is expected to allow for the introduction of more affordable generic versions in the coming years.

Besides, it helps prevent the formation of new blood clots in the body. As said before, the medicine works by blocking the substance in the body that is involved in blood clotting.

It keeps the blood flowing freely throughout the body and reduces the chance of clot formation inside blood vessels.  The medicine prevents or reduces the damage caused by clots in the lungs, stroke, and other blood vessels. 

It also makes it less likely that parts of the blood clot will break off and travel to other body parts. Now, you have an idea of how Xarelto works. Once available, the Xarelto generic price will likely be significantly lower than the brand-name version.

How to use Rivaroxaban (Xarelto)?

Read the medication guide rendered by your pharmacist before taking this drug and every time you get the refill. Many patients ask about Xarelto and alcohol—while moderate drinking may be safe, excessive alcohol can increase the risk of bleeding.

Check the Xarelto 20 mg price and expiry date before buying and using the drug. Ask the pharmacist if you have any doubts or questions.

The dose should be taken once a day to prevent blood clots because of other conditions, such as after hip or knee replacement surgery.

These are general dosage schedules, but you must carefully stick to your doctor's dosage advice. For instance, if you are prescribed to take a dose once in the morning and once in the evening, follow it properly. Never increase your dose or take/stop it often without a doctor's approval.

The 15 and 20 milligrams should be taken with food. Swallow the drug as a whole. Do not crush, chew, or break the medicine. Always take the drug at the same time regularly. 

When you think about how long rivaroxaban takes, it takes a few hours after consumption of the drug. Xarelto 15 mg is commonly prescribed as an initial dose for DVT and PE treatment before switching to a maintenance dose.

At Sanford Pharmacy, patients have access to rivaroxaban in various strengths and formulations to accommodate individualized treatment needs.

Missed dose

If you are taking this drug for a specific course of time and miss a dose unexpectedly, take it once you remember.

When it is near the time of the next dosage, skip the missed one without hesitation. Do not double the dose to make up for the missed dose. 

Take the next Xarelto dosage at the regular time to avoid complications and side effects. 

Overdose

Call the medical team immediately if you take too much dosage of the drug and confront symptoms such as difficulty in breathing.

If you notice symptoms such as prolonged/unusual bleeding, dark/pink urine, and bloody/black stools, you must seek medical attention. 

Delaying or taking another dose without a doctor's attention may put your life at risk. Be cautious and look for unwanted signs, especially if you have taken an overdose. 

Precautions and warnings

Before taking Xarelto 20 mg, tell your doctor or pharmacist if you are allergic to the active and other ingredients of the drug or if you have any other allergies. The rivaroxaban dose varies depending on the condition, typically 10 mg, 15 mg, or 20 mg once daily.

Tell your doctor about your medical history, especially if you have liver disease, kidney disease, cancer, bleeding problems, stroke, blood disorders, frequent falls, and recent major surgeries/injuries.

This drug may cause stomach bleeding, so follow the doctor's advice and dosage recommendation properly. Avoid the consumption of alcohol when using this medicine, as it may increase the risk of stomach bleeding.

It can also cause heavy bleeding, so minimize the chance of getting cut, injured, or bruised. Handle sharp objects such as nail cutters with caution.

Avoid indulging in activities such as contact sports while in treatment. In case you fall or injure yourself, call the doctor right away. Many patients ask about rivaroxaban generic availability—while not yet widely available, generic versions may be introduced after patent expiration.

During pregnancy, the drug should be taken only when required. Discuss the drug’s pros and cons. As the medicine may pass into breast milk, consult the doctor before breastfeeding. 

Do not stop consuming the drug without a doctor's advice. Stopping the treatment suddenly may maximize the risk of blood clots or stroke. The recommended rivaroxaban dosage depends on medical conditions like DVT, PE, or atrial fibrillation.

Contact the doctor if you or your child have bleeding signs such as dizziness, headaches, nosebleeds, heavy menstrual periods, blood in urine, coughing up blood, or any bleeding that does not stop. The rivaroxaban antidote is andexanet alfa (Andexxa), used in emergency situations to reverse excessive bleeding.

Avoid taking grapefruit or grapefruit juice when taking this tablet because grapefruit contains compounds that slow down the drug's effectiveness and maximize the activity, leading to bleeding.

Avoid taking any food that maximizes vitamin K activity or blood clotting when taking other blood thinners, such as Warfarin. Avoid consuming food items such as spinach, sprouts, broccoli, green tea, asparagus, and mustard greens. 

Ask your doctor about the food and medicines to avoid while using this drug because it has several food and drug interactions. It could increase the likelihood of getting serious side effects. El rivaroxaban precio puede variar según la farmacia, la dosis y la cobertura del seguro.

Side effects of Rivaroxaban (Xarelto)

Most rivaroxaban side effects do not need any medical attention and disappear as your body adjusts to the drug. Consult the doctor if the following side effects persist.

This is not a complete list of side effects that occur when you overdose or miss a dose unexpectedly. Contact the doctor for medical advice about side effects. 

Storage

📌 Store the drug at room temperature and avoid excessive moisture and light exposure. 

📌 Never store medicine in the bathroom. Keep all the medication away from pets and children as it may cause potential troubles.

📌 Discard the Xarelto 15 mg properly when it is expired or no longer required. 

Interactions

Sometimes, it is unsafe to use specific medicines at the same time as rivaroxaban. Drug interaction may increase side effects and even make the medication less effective.

Tell your physician about all your current medicines, whether prescription or non-prescription drugs, herbal products, or supplements.

It helps you stay away from potential complications. These are the primary drugs that affect the effectiveness of the drug.

• Carbamazepine
• Ritonavir
• Ketoconazole
• Erythromycin, rifampin
• Medicines used for preventing blood clots, such as enoxaparin, clopidogrel, ticlopidine, Warfarin, and dipyridamole
• Non-steroidal anti-inflammatory drugs like meloxicam, aspirin, naproxen, diclofenac, celecoxib, and others

Remember that it is a complete list of drugs that may interact with the Rivaroxaban. Consult with the doctor or pharmacist to know the possible drug interactions. Do not start, stop or change the dosage of any medicines you consume without the doctor's approval. 

Rivaroxaban (Xarelto) holds a prominent position in the therapeutic armamentarium available at Sanford Pharmacy for the prevention and treatment of thromboembolic disorders. With its proven efficacy, convenience, and favorable safety profile, Rivaroxaban exemplifies the commitment to delivering high-quality care and improving patient outcomes within our community.

Frequently Asked Questions about Rivaroxaban (Xarelto) (FAQs)

How long does Xarelto stay in your system?

When will Xarelto go generic?

What happens if you miss a dose of Xarelto?

When will the generic for Xarelto be available?

When will generic Xarelto be available?