Rivaroxaban 20mg Tablets

Product Introduction

Rivaroxaban 20mg is an oral anticoagulant used to prevent stroke in non-valvular atrial fibrillation and to continue treatment of deep-vein thrombosis or pulmonary embolism after the initial treatment phase.

How to use

Take the 20mg tablet once daily with food. In atrial-fibrillation regimens it is taken with the evening meal. After acute DVT or pulmonary embolism, this strength usually follows the initial higher-frequency treatment phase rather than replacing it from the first day.

How it works

Rivaroxaban directly inhibits activated factor X, or factor Xa. This reduces thrombin generation and the formation of fibrin clots without acting as a platelet inhibitor like aspirin.

Side effects

Bruising, nosebleeds, gum bleeding and anaemia can occur. Bleeding that will not stop, black stools, blood in urine, vomiting blood, a severe headache after a fall or sudden weakness needs urgent assessment.

Important information

Do not use during active significant bleeding or liver disease that impairs clotting. Kidney function affects the choice of dose and regimen. Strong CYP3A4/P-glycoprotein inhibitors or inducers can alter rivaroxaban levels. Tell the surgical or dental team before a procedure, particularly a spinal or epidural procedure. NSAIDs, antiplatelets and other anticoagulants increase bleeding risk.