Xarelto 20 Mg Tablet 28

Xarelto 20mg Tablet 28

Bayer Zydus Pharma Private Limited

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Composition

Rivaroxaban (20 Mg)

Strength:

20 MG 15 MG

Xarelto 20 mg Tablet is categorised under the class of medications known as anticoagulants. It is prescribed for treating deep vein thrombosis, pulmonary embolism, and venous thromboembolism.

It is additionally used to decrease the chances of stroke and systemic embolism, significant cardiovascular events in individuals with coronary artery disease, and significant thrombotic vascular events in those with peripheral artery disease.

Before using this tablet, be sure to disclose any existing liver, kidney, or bleeding issues or if you have antiphospholipid syndrome. This medication is not advisable for pregnant or breastfeeding women. Hence, it's vital to consult your doctor before starting it.

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Xarelto 20 mg Tablet is used in:

Treating deep vein thrombosis (DVT), pulmonary embolism (PE), and venous thromboembolism (VTE).
Reducing the risk of stroke, systemic embolism, recurrence of DVT or PE in patients with coronary artery disease (CAD) and significant thrombotic vascular conditions in patients with peripheral artery disease (PAD)
Preventing DVT in patients having knee or hip replacement surgery, VTE in acutely ill patients, and thrombosis in children (2 years and older)

Directions for Use of Xarelto 20mg Tablet 28

Swallow the entire tablet without crushing or breaking it.
Take it with food, but it is recommended at a fixed daily time for better results.

Xarelto 20 mg Tablet is taken orally.

The common side effects of Xarelto 20 mg Tablet include

Long or excessive bleeding
Exceptional weakness
Tiredness, paleness
Dizziness
Unexplained swelling
Breathlessness
Chest pain
Headache

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing Xarelto 20 mg Tablet. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

Xarelto 20 mg Tablet contains the following component:

Rivaroxaban (20 mg): It is an anticoagulant that inhibits the activity of specific blood clotting factors, notably Factor Xa. By targeting Factor Xa, rivaroxaban helps to interrupt the blood clotting process, reducing the formation of harmful blood clots. This medicine is used to prevent and treat conditions where blood clots, like deep vein thrombosis and pulmonary embolism, are a concern, reducing the risk of serious cardiovascular events.

Pregnancy

Consult your doctor before considering Xarelto 20 mg Tablet if you are pregnant or planning for the same, as it is not recommended for use in such cases.

Breastfeeding

Before taking Xarelto 20 mg Tablet, consult your doctor if you are breastfeeding, as it is not advisable for use in lactating women.

Alcohol

It is advisable to avoid alcohol if you are taking Xarelto 20 mg Tablet.

Liver

Xarelto 20 mg Tablet are not advised for individuals with liver disease, as it can heighten the risk of bleeding. It's essential to consult your doctor before considering this medication if you have liver disease.

Kidney

Exercise caution when considering Xarelto 20 mg Tablet if you have renal issues; consult your doctor before using it.

Using Machines & Driving

Avoid driving or heavy work if you experience dizziness after taking Xarelto 20 mg Tablet.

Allergy

Avoid taking Xarelto 20 mg Tablet if you are allergic to rivaroxaban. Read the label carefully before using this medication.

Children

Xarelto 20 mg Tablet is not suitable for individuals under the age of 18.

Older Patients

Xarelto 20 mg Tablet should be cautiously used in elderly patients, specifically those aged 75 years or older. It's recommended to inform your doctor before starting this medication in this age group.

Drug-Drug Interactions

Xarelto 20 mg Tablet may interact with the following medications, including

Antifungals such as fluconazole, itraconazole, voriconazole, and posaconazole can increase the risk of bleeding when used with this tablet.
Antibacterials such as clarithromycin and erythromycin can potentially enhance the anticoagulant effects of this medicine.
Anti-viral medicines for HIV / AIDS, such as ritonavir, may increase the concentration of this tablet, leading to a risk of bleeding.
Blood thinners such as warfarin and acenocoumarol may significantly increase the risk of bleeding complications when combined with this tablet.
Anti-inflammatory and pain-relieving medicines like naproxen can increase the risk of bleeding when taken with this tablet.
Medicine to treat abnormal heartbeat, like dronedarone, can cause toxicity when taken with this tablet.
Antidepressants like citalopram may enhance the anticoagulant effects of this tablet.

Drug-Disease Interactions

Xarelto 20 mg Tablet can interact with conditions/diseases, including

Bleeding disorders: This medicine can worsen the bleeding condition.
Kidney issues: This tablet can aggravate the kidney issue.
Liver problems: This medication can exacerbate the liver condition.
Hypertension: This medication can fluctuate blood pressure.
Inflammation of the bowels or stomach: This medicine can worsen the inflammation.
Retinopathy: This tablet can worsen the condition.
Bronchiectasis: This tablet can aggravate the condition.

Daily Dose

The daily dose of Xarelto 20 mg Tablet should be taken as your doctor prescribes. The dosage may change based on individual factors such as the age, severity of the condition and response to treatment.

Over Dose

In case of an accidental overdose of Xarelto 20 mg Tablet, seek immediate medical help by contacting your doctor in case you experience severe side effects or worsening of any of the symptoms. Signs of an overdose may include bleeding.

Missed Dose

If you miss a dose of Xarelto 20 mg Tablet, take it as soon as you remember. However, avoid repeating the dose.

Xarelto 20 mg Tablet should be stored at room temperature, at 25°C.
Please protect it from light and moisture.
Keep away from children.
Do not use this medicine after the expiry date has passed.

Drink sufficient water to prevent dehydration, which can increase the risk of blood clot formation.
Avoid prolonged periods of sitting or standing. Incorporate regular, gentle leg exercises and take short walks to promote healthy blood circulation.
Follow your doctor's instructions regarding blood thinners or other prescribed medications diligently.
Consume a balanced diet of fruits, veggies, grains, and lean proteins. Maintain an average weight to reduce strain on your circulatory system.
If your doctor recommends, wear compression stockings to support blood flow and prevent clot formation.

Fact Box

Drug Category	Factor Xa inhibitor
Therapeutic Category	Antithrombotic agents
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Prevention of deep venous thrombosis, pulmonary embolism, and venous thromboembolism, and venous thromboembolism

What is the best time of day to take Xarelto 20 mg Tablet?

The ideal time to take this tablet may vary among individuals. It is typically taken once daily, with or without food, as your doctor advises. Follow their recommendations closely.

Is Xarelto 20 mg Tablet a safe blood thinner?

This medicine is considered a safe and effective blood thinner when used as your doctor directs. However, like any medication, it carries potential side effects, and safety depends on individual health factors.

Is Xarelto 20 mg Tablet safe for long-term use?

Your doctor determines the safety of long-term use of this tablet based on your medical condition and individual needs. Some individuals may use it for extended periods under medical supervision.

How long is it safe to take Xarelto 20 mg Tablet?

Your doctor determines the duration of this tablet use based on your medical condition. Always follow their guidance regarding the appropriate length of treatment.

Does Xarelto 20 mg Tablet affect blood pressure?

This tablet primarily addresses blood clotting issues and is not typically associated with direct effects on blood pressure. However, your blood pressure should be monitored for your overall health assessment.

When Xarelto 20 Tablet should not be taken?

You should not take this tablet if you are allergic to its active ingredient, rivaroxaban. Additionally, it's essential to consult your doctor before taking this tablet to ensure it's safe and appropriate for your medical condition.

Last Updated On 29 Feb. 2024 | 8:59AM (IST)

Certified Content

Written by

Dr. Sachin Singh

Medical Team Lead | 5 years

MBBS

Reviewed by

Dr. Mandeep Chadha

Lead Medical Content Reviewer | 10 years

MBBS, DNB (OBGY)

Check out Editorial Policy

Manufacturer details

7238+35P, Digvijay Cooperative Housing Society, Kalher, Bhiwandi, Maharashtra 421302

Country of origin: GERMANY

References

Select the required information - Bayer. (n.d.). https://www.bayer.com/sites/default/files/XARELTO_15_20_ENG_PIL.pdf
Information for patients, Families & and Carer S - Ministry of Health. (n.d.-a). https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0020/326423/NOAC-Rivaroxaban-Patient-Information.pdf
Patient information leaflet - NHS England. (n.d.-b). https://www.england.nhs.uk/north/wp-content/uploads/sites/5/2019/01/patient-information-leaflet-rivaroxaban.pdf
Xarelto (rivaroxaban) tablets label - Food and Drug Administration. (n.d.). https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/202439s001lbl.pdf
Rajshree Singh, Prabhu D. Emmady. Rivaroxaban. StatPearls. StatPearls Publishing. May 2022. https://www.ncbi.nlm.nih.gov/books/NBK557502/#article-86483.s
U.S. National Library of Medicine. (n.d.). Rivaroxaban: Medlineplus Drug Information. MedlinePlus. https://medlineplus.gov/druginfo/meds/a611049.html
NHS. (n.d.). NHS choices. https://www.nhs.uk/medicines/rivaroxaban/

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