What Do You Know About Xarelto?

Xarelto is a medicine that is made up of the active substance called rivaroxaban. It is an anticoagulant drug used to treat or prevent blood clots in the legs, lungs, or brain.

These types of clots can occur in different circumstances such as after knee or hip surgery and during or after being admitted to the hospital for a while and you cannot move normally.

Indications of Xarelto

risk of postsurgical bleeding

This medicine is an oral anticoagulant that has been licensed to prevent stroke and systemic embolism. Indications for Xarelto include the following:

  • Reduce the risk of a blood clot re-forming after being treated with blood thinners for at least 6 months. In people affected by atrial disorders, Xarelto is indicated to reduce the risk of stroke.
  • In combination with aspirin , it is indicated to reduce the risk of stroke
  • Stroke prevention. 

However, rivaroxaban has significant side effects, as it can make you bleed and bleed more easily. Especially if you have any of these conditions:

  • Hereditary bleeding disorder.
  • Brain-vascular hemorrhagic accident.
  • Uncontrolled high blood pressure
  • Stomach or intestinal bleeding or ulcer.

Important information about Xarelto

If you are being treated with rivaroxaban, do not stop taking it without talking first  with your doctor. If you do it abruptly, you significantly increase your risk of forming blood clots or suffering a stroke.

When you are being treated with Xarelto , it is recommended that you speak with your doctor if you experience signs of bleeding such as the following:

  • Bleeding gums
  • Nasal bleeding.
  • Very heavy menstrual periods.
  • Abnormal vaginal bleeding
  • Blood in the urine and feces.
  • Coughing up blood.
  • Vomiting obscured by blood giving the appearance of coffee grounds.

Many drugs interact with Xarelto, increasing your risk of bleeding when used together. For this reason, your doctor has to be up to date with the treatments you have or have recently had. 

You should not start treatment with Xarelto if you are allergic to its active ingredient, or if at the time you have to start taking it you have active or uncontrolled bleeding.

How should I take rivaroxaban?


The maximum recommended dose is 20 mg per day. R Ivaroxaban is rapidly absorbed, reaching peak levels 2 to 4 hours after you take it. The effect of this medicine increases if you take it together with food, its absorption increases by almost a 39% compared to that obtained by taking the medicine without food.

However, although the recommended dose is one 20 mg tablet per day, it may be necessary to make changes in successive doses. As we have said before, you should not stop the treatment Suddenly, you can increase your risk of blood clots or stroke.

In case you have to undergo surgery while taking this drug, you should inform the surgeon that you are under treatment so that he can take the appropriate measures.

What are the adverse reactions of rivaroxaban?

Among the adverse reactions of Xarelto that have been reported in the Studies done with this drug include the following:

  • Common : bleeding, anemia, dizziness, headache, tachycardia, blood pressure drops, pain in legs and arms, fever, fatigue and tiredness.
  • Uncommon : thrombocytopenia, allergic reactions, dryness mouth, kidney failure, malaise, alterations of different analytical parameters.
  • Rare: jaundice.

In case you experience  signs of an allergic reaction such as difficulty breathing, swelling of the face, lips, tongue, or throat, you should see a doctor.

In addition, it is also important to see a specialist, if you experience symptoms of having a clot in the spinal cord.  If so, it can cause symptoms like back pain, lower body muscle weakness, or loss of bladder control.


Xarelto is an oral anticoagulant indicated for the prevention of stroke and embolism. Especially in patients who present with some types of atrial fibrillation and also have one or more risk factors.

It is a drug that can cause serious side effects if misused, so the specialist’s instructions should be followed at all times.

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