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CompositionRivaflo 20 Tablet is primarily used to treat and prevent deep vein thrombosis (DVT) and pulmonary embolism (PE). This anticoagulant belongs to the factor Xa inhibitors class. The active ingredient, Rivaroxaban, works by directly inhibiting Factor Xa, a key component in the blood clotting cascade. It is also used to prevent stroke and clots in patients with non-valvular atrial fibrillation.
Rivaflo 20 Tablet is used for the management of and prevention of recurrence of deep vein thrombosis (DVT) and pulmonary embolism (PE), the reduction of stroke and systemic embolism risk in non-valvular atrial fibrillation, and the prophylaxis of DVT/PE in patients undergoing hip or knee replacement surgery, often combined with aspirin for cardiovascular event reduction in CAD or PAD.
Here's how you should take Rivaflo 20 Tablet:
Swallow the tablet whole with a glass of water.
Do not crush or chew the tablet.
Always follow your doctor's advice regarding how often to take this medicine.
It's crucial not to stop taking this medicine without consulting your doctor first.
If you have trouble swallowing tablets, you may crush Rivaflo 20 Tablet and mix it with applesauce. Consume this mixture immediately.
Rivaflo 20 Tablet is taken orally.
Rivaflo 20 Tablet may cause bleeding complications (nosebleeds, gum bleeding, or bleeding in urine), anaemia, nausea, fatigue, peripheral oedema (swelling in limbs), and dizziness.
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Rivaflo 20 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
For managing common side effects:
Nausea: Try taking Rivaflo 20 Tablet with food.
Fatigue: Consider taking this medicine at night if it causes you to feel tired during the day.
Rivaflo 20 Tablet contains rivaroxaban (20 mg) which acts on your body as follows:
Factor Xa Inhibition: Rivaroxaban inhibits an enzyme called factor Xa in your body. This enzyme plays a significant role in blood clot formation.
Decreases Thrombin Generation: By blocking factor Xa, rivaroxaban effectively reduces the generation of another protein called thrombin which aids in clot formation.
Prevents Abnormal Blood Clotting: The overall effect of these mechanisms is that rivaroxaban helps prevent the formation of abnormal blood clots, managing conditions like DVT and PE.
Rivaflo 20 Tablet is not recommended if you are pregnant. It may harm the unborn child. Make sure to consult your doctor if you are pregnant or planning to conceive.
Rivaflo 20 Tablet is not recommended for breastfeeding women as it can pass into breast milk. Do consult your doctor to understand the potential risks and benefits.
While on Rivaflo 20 Tablet, it's a good idea to limit alcohol intake. Alcohol can potentially increase the severity of certain side effects.
If you have liver problems, caution is required while taking Rivaflo 20 Tablet. This medicine should be avoided in patients with severe liver diseases associated with bleeding risk. Discuss this with your doctor before starting on this medicine.
For those with kidney health issues, it's important to consult your doctor before taking Rivaflo 20 Tablet. It's not recommended if you have severe kidney impairment.
Rivaflo 20 Tablet may cause dizziness or fatigue. If you experience these side effects, avoid driving or operating heavy machinery until you feel well enough.
If you've had a severe hypersensitivity reaction to rivaroxaban in the past, then Rivaflo 20 Tablet is contraindicated for you. Always inform your doctor of any allergies before starting a new medicine.
Rivaflo 20 Tablet is not recommended for children under 18 years of age. Its safety and efficacy haven't been established in this age group.
Older patients may be more sensitive to Rivaflo 20 Tablet and should take it under medical supervision. Your doctor will guide you based on your health status.
Rivaflo 20 Tablet interacts with the following medicines:
Combined P-gp and Strong CYP3A4 Inhibitors: Medicines like ketoconazole or ritonavir can increase the effectiveness of Rivaflo 20 Tablet, potentially leading to more side effects. It's recommended to avoid their combined use.
Anticoagulants: Medications like warfarin could increase your risk of bleeding when taken alongside Rivaflo 20 Tablet.
No specific food interactions with Rivaflo 20 Tablet have been reported.
Rivaflo 20 Tablet interacts with the following diseases:
Active Pathological Bleeding: People with this condition should avoid using Rivaflo 20 Tablet as it can worsen bleeding due to its anticoagulant effect.
Triple-Positive Antiphospholipid Syndrome: Patients with this condition may have an increased risk of recurrent thrombotic events if they take Rivaflo 20 Tablet.
The daily dose of Rivaflo 20 Tablet should be taken as instructed by your doctor. Your dosage may vary based on individual factors such as the severity of your condition and how you're responding to the medication. It's crucial to follow the prescribed dosage and never exceed it without consulting your doctor.
If you accidentally take more than the prescribed dose of Rivaflo 20 Tablet, you might experience symptoms like unusual bleeding or bruising. It's essential to inform your doctor if such symptoms occur.
If you forget to take your Rivaflo 20 Tablet, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue with your regular schedule. Never increase your dosage without consulting your doctor.
Store your Rivaflo 20 Tablet in a cool, dry place, away from direct sunlight.
The ideal storage temperature is below 30°C.
Minimise exposure to moisture and air.
Always keep the medicine out of reach of children.
Make sure to use your medication before its expiry date.
Maintain a balanced diet low in Vitamin K-rich foods like leafy greens, as they can interfere with how Rivaflo 20 Tablet works to manage blood clotting.
Regular moderate exercise can help manage conditions like deep vein thrombosis and pulmonary embolism for which Rivaflo 20 Tablet is prescribed. However, consult your doctor before starting any new exercise regimen.
| Available Dosage Types | Tablet |
| Habit Forming | No |
| Ailment | Deep Vein Thrombosis, Pulmonary Embolism, Stroke Risk in Non-valvular Atrial Fibrillation |
| Drug Category | Factor Xa Inhibitor |
| Therapeutic Category | Anticoagulant |
Rivaflo 20 Tablet is used to manage various conditions related to abnormal blood clotting. It can prevent and manage deep vein thrombosis and pulmonary embolism.
Rivaroxaban, the active ingredient in Rivaflo 20 Tablet, inhibits a protein involved in blood clot formation. This reduces the chance of abnormal clot development.
This medication should not be used if you have active bleeding, severe hypersensitivity to rivaroxaban, certain liver diseases, or if you're pregnant or breastfeeding.
It's important to avoid stopping this medicine prematurely as it may increase your risk of blood clots. Also, evaluate any signs of blood loss promptly.
Yes, common side effects include bleeding complications, anaemia, nausea, fatigue, peripheral oedema, dizziness, headache and pruritus. Consult your doctor if symptoms persist.
Yes, it can interact with certain medicines including anticoagulants, aspirin, NSAIDs and some antibiotics. Always consult your doctor before starting any new medication.
No, this medicine is not recommended during pregnancy or lactation as it may harm the baby. If you become pregnant while using it, consult your doctor immediately.
Check out Editorial Policy
Janssen Pharmaceuticals, Inc. (2021). HIGHLIGHTS OF PRESCRIBING INFORMATION. https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/215859s000lbl.pdf
Bayer Inc. (2008). XARELTO (rivaroxaban tablets; rivaroxaban granules for oral suspension). In PRODUCT MONOGRAPH (1st ed.) [Anticoagulant; Oral]. https://www.bayer.com/sites/default/files/2020-11/xarelto-pm-en.pdf
Xarelto 2.5 mg film-coated tablets. (2022). [Book]. In SUMMARY OF PRODUCT CHARACTERISTICS. https://www.ema.europa.eu/en/documents/product-information/xarelto-epar-product-information_en.pdf
Singh, R., & Emmady, P. D. (2023, April 17). Rivaroxaban. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK557502/
We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.
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