Xarelto 20 mg Tablets contain rivaroxaban, a potent oral anticoagulant designed to prevent and treat blood clots. This medication is commonly used to treat and reduce the risk of conditions like deep vein thrombosis (DVT), pulmonary embolism (PE), and to prevent stroke in patients with non-valvular atrial fibrillation (AFib). Rivaroxaban works by inhibiting Factor Xa, a key protein involved in blood clotting, thereby reducing the likelihood of clot formation.

The 20 mg dose is typically used for the long-term treatment and prevention of these conditions, as well as for patients transitioning from initial high-dose therapy.

• Reduces the risk of stroke and blood clots in patients with non-valvular atrial fibrillation (AFib)

• Prevents and treats deep vein thrombosis (DVT) and pulmonary embolism (PE)

• Convenient once-daily dosing for ease of adherence

• No routine blood tests or dietary restrictions required compared to other blood thinners

• Long-term anticoagulation therapy to prevent recurrence of blood clots

• Take one Xarelto 20 mg tablet once a day, with food

• Swallow the tablet whole with a glass of water; do not crush, chew, or break it

• Take at the same time every day for consistent blood thinning effects

• If you miss a dose, take it as soon as you remember on the same day. Do not take two doses to make up for a missed dose

• For the prevention of stroke and blood clots in non-valvular atrial fibrillation (AFib):

  • 20 mg once daily, after an initial higher dose (as directed by your doctor)

• For the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE):

  • 20 mg once daily, after an initial treatment phase with higher doses

• For the prevention of recurrent DVT and PE:

  • Typically 20 mg once daily for long-term treatment, as prescribed by your healthcare provider

• Do not take if you have an active bleeding disorder, such as internal bleeding, brain hemorrhage, or gastrointestinal bleeding

• Pregnancy and breastfeeding: Xarelto should be avoided during pregnancy and breastfeeding. Please consult your doctor for alternative options

• Liver or kidney problems: Use caution if you have liver or kidney disease as these conditions may increase the risk of bleeding

• Discontinue before surgery: If you are undergoing surgery, especially procedures that may increase bleeding risk, talk to your doctor about stopping Xarelto in advance

• Alcohol: Limit alcohol consumption as it can increase the risk of bleeding

• Bleeding risk: Be vigilant for signs of unusual bleeding (e.g., red or black stools, excessive bruising, or blood in the urine) and seek medical attention immediately if any occur

• Common Side Effects:

  • Bleeding, including nosebleeds, gum bleeding, and bruising

  • Headache, dizziness, stomach upset, nausea, and fatigue

• Serious Side Effects:

  • Severe bleeding (e.g., coughing up blood, vomiting blood, red or black stools, blood in the urine)

  • Severe allergic reactions (rash, swelling, difficulty breathing)

  • Liver problems (yellowing of the skin or eyes, dark urine)

Seek immediate medical attention if you experience severe bleeding or signs of an allergic reaction.

• Store at room temperature (15°C to 30°C)

• Keep in the original container, tightly closed

• Protect from moisture and light

• Keep out of reach of children

Q1. How should I take Xarelto 20 mg tablets?
Take one tablet daily with food. Swallow the tablet whole—do not chew, crush, or break it.

Q2. Can I drink alcohol while taking Xarelto?
It is best to limit alcohol consumption while on Xarelto, as alcohol can increase the risk of bleeding.

Q3. What should I do if I miss a dose of Xarelto 20 mg?
If you miss a dose, take it as soon as you remember on the same day. If it’s nearly time for your next dose, skip the missed dose—do not double the dose.

Q4. Do I need regular blood tests while taking Xarelto?
Xarelto generally does not require regular blood tests, but your doctor will monitor your condition and adjust your treatment as needed.