Xarelto

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Uses of Xarelto

Xarelto (rivaroxaban) is a medication classified as an anticoagulant (blood thinner), designed to prevent and manage blood clots. It is frequently prescribed to reduce the risk of stroke and systemic embolism in individuals with nonvalvular atrial fibrillation. Additionally, it is used for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), as well as for the prevention of DVT—which can lead to PE—in patients undergoing knee or hip replacement surgeries.

Precautions and Warnings

Xarelto increases the likelihood of bleeding and can lead to serious or potentially fatal bleeding events. Notify your healthcare provider if you have scheduled any surgical or invasive procedures, as it may be necessary to temporarily discontinue the medication.

Caution is advisable when using Xarelto in patients with severe kidney or liver impairment, since these conditions might impact the drug’s effectiveness and safety profile. It is generally not recommended during pregnancy unless absolutely essential, due to potential risks to the unborn child.

Dosage

The recommended dosage of Xarelto differs depending on the condition being treated:

  • Nonvalvular Atrial Fibrillation: The standard dose is 20 mg once daily with the evening meal.
  • Deep Vein Thrombosis and Pulmonary Embolism: Initial dose of 15 mg twice daily for the first 21 days, followed by 20 mg once daily.
  • Deep Vein Thrombosis Prophylaxis after Knee or Hip Replacement Surgery: 10 mg once daily, starting 6 to 10 hours post-surgery, for 12 days (knee) or 35 days (hip).

Side Effects

Common Side Effects:

  • Bleeding
  • Bruising
  • Gastrointestinal Issues
  • Fatigue

More information about Xarelto

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