Xarelto 20mg Tablet 28 (Rivaroxaban 20mg)

Xarelto 20mg Tablet

Xarelto 20 mg Tablet is a blood thinner medicine. It is used to treat and prevent blood clot formation in conditions such as deep vein thrombosis (DVT, blood clots that form in the deep veins of the body, usually in the thigh or lower leg), pulmonary embolism (PE, blood clots that block one or more arteries in the lungs), and atrial fibrillation (AFib, irregular heart rhythm that may increase the risk of blood clots). It may also be used to prevent clot formation post knee or hip surgery.

Xarelto 20 mg Tablet may cause side effects such as nosebleeds, dizziness, bleeding gums, headache, tiredness, nausea, vomiting, etc. Consult your doctor if these symptoms last for a long time or become severe. Avoid taking this medicine if you are allergic to it.

Xarelto 20 mg Tablet may be taken with or without food. The dose and duration of treatment will be decided by your doctor based on the severity of your condition. Take this medicine at the same time every day for the ease of remembering. Do not stop taking this medicine without consulting your doctor, as it may increase the risk of blood clots and worsen your condition.

Xarelto 20 mg Tablet is not recommended for use if you have a prosthetic heart valve (an artificial heart valve implanted in the heart to replace a heart valve that is not functioning properly) or active bleeding (due to conditions like lesions, stomach ulcers, surgery, etc.). Consult your doctor if you have liver or kidney problems or any other medical conditions before taking this medicine. Also, inform your doctor about all your current medications to avoid any undesired effects.

Xarelto 20 mg Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not clinically established. Consult your doctor if you are pregnant, planning a pregnancy, or are breastfeeding.

Substitutes

List of substitutes for Xarelto 20 mg Tablet
Ixarola 20 mg Tablet
Zydus Cadila
Side effects
Major & minor side effects for Xarelto 20 mg Tablet
Nosebleed
Dizziness
Headache
Muscle spasm
Rash
Bleeding gums

Uses of Xarelto 20 mg Tablet

What is it prescribed for?
Atrial Fibrillation
Xarelto 20 mg Tablet is used to reduce the risk of blood clots and stroke in people with nonvalvular atrial fibrillation (irregular heart rhythm with one or more risk factors, such as heart failure, high blood pressure, age≥ 75 years, diabetes, etc.)
Deep Vein Thrombosis
Xarelto 20 mg Tablet is used in the treatment and prevention of deep vein thrombosis (blood clots that form in the deep veins of the body, usually in the thigh or lower leg).
Pulmonary Embolism
Xarelto 20 mg Tablet is used in the treatment and prevention of pulmonary embolism (blood clots that block one or more arteries in the lungs).
Deep Vein Thrombosis prophylaxis after hip/knee replacement surgery
Xarelto 20 mg Tablet is used to prevent blood clot formation in people who have undergone hip or knee replacement surgery.

Related Product

Xarelto 2.5mg Tablet
Xarelto 10mg Tablet
Xarelto 15mg Tablet
Xarelto 20mg Tablet 14
Xarelto 20mg Tablet 28
Xarelto 20mg Tablet 98

When not to use?

Allergic reaction
Xarelto 20 mg Tablet is not recommended for use if you are allergic to it. Seek immediate medical attention if you experience any symptoms like skin rash, hives (itchy, painful eruptions that sting), itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing, etc.
Bleeding disorder
Xarelto 20 mg Tablet is not recommended for use if you have active bleeding due to conditions like lesions (a region in an organ or tissue which has suffered damage through injury or disease), stomach ulcers, surgery, etc., as it may further worsen your condition.

Warnings

Warnings for special population
Pregnancy
Xarelto 20 mg Tablet is not recommended for use during pregnancy. Consult your doctor if you are pregnant.
Breast-feeding
Xarelto 20 mg Tablet is not recommended for use while breastfeeding.Consult your doctor if you are breastfeeding.
General warnings
Use in children
Xarelto 20 mg Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not clinically established.
Surgery or Operations
Xarelto 20 mg Tablet is a blood thinner medicine and increases the risk of excessive bleeding. Hence, inform your doctor about the use of this medicine before undergoing surgery or dental procedures. Your doctor may recommend you to stop taking Xarelto 20 mg Tablet at least 24 hours before undergoing any surgical or dental procedure. Your doctor may restart the medicine as soon as your condition gets stabilised following the surgical procedure.
Increased risk of bleeding, bruising, and haematomas
Use of Xarelto 20 mg Tablet may make you bleed easily and bleed more, which could result in bruising and haematomas (collection of blood outside of blood vessels). Consult your doctor if you have any injuries that are bleeding abnormally or if you have any painful bruising.
Skin reactions
Xarelto 20 mg Tablet may cause severe skin reactions that cause blistering and peeling of the skin like Stevens-Johnson syndrome and Toxic Epidermal Necrolysis. Consult your doctor immediately if you experience symptoms such as rashes, hives (itchy, painful eruptions that sting), blisters, or other allergic reactions.
Driving vehicles or operating machines
Xarelto 20mg Tablet may cause dizziness in some cases. Avoid performing activities that require high mental alertness like driving vehicles or operating machines if you feel dizzy after taking this medicine.

Dosage

Missed Dose
Take the missed dose of Xarelto 20 mg Tablet as soon as you remember it. If it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Never take more than the prescribed dose of Xarelto 20 mg Tablet. Contact your doctor in case of an overdose of this medicine for further guidance.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Instructions
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine
Indinavir
Amiodarone
Clarithromycin
Apixaban
Defibrotide
Disease interactions
Liver Disease
Xarelto 20 mg Tablet is not recommended for use if you have a moderate and severe liver impairment or liver conditions associated with coagulopathy (a condition that impairs the blood’s ability to form clots), as it may increase your risk of excessive bleeding.
Kidney Disease
Xarelto 20 mg Tablet should be used with extreme caution if you have kidney problems as it may worsen your condition.
Cardiac valvular disorders
The use of Xarelto 20 mg Tablet is not recommended if you have a prosthetic heart valve (an artificial heart valve implanted in the heart to replace a heart valve that is not functioning properly), as the safety and efficacy data are not clinically established.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Xarelto 20 mg Tablet may be taken with or without food as instructed by your doctor. Do not break, chew, or crush the tablet in your mouth. Swallow as a whole with plenty of water. Follow all the instructions given on the prescription label/packing insert.

Do not take Xarelto 20 mg Tablet in larger or smaller quantities than prescribed. Take this medicine at the same time every day for ease of remembering.

Xarelto 20 mg Tablet may cause you to bruise or bleed easily. Try to avoid cutting or injuring yourself. Your doctor may recommend frequent monitoring of your haemoglobin levels to ensure you do not have any internal haemorrhage (excessive bleeding). Report any unusual bleeding or bruising to your doctor immediately.

Your doctor may recommend tests to monitor your liver and kidney function during treatment with this medicine.

Keep this medicine away from the reach of children and pets. Ensure that the unused or expired medicine is disposed of properly.