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What is Xarelto?

Xarelto is the brand name for the medication rivaroxaban. It is a Xa inhibitor that halts the activity of certain clotting substances in the blood. As a result, Xarelto is used to reduce the risk of blood clots that can cause a stroke in patients who have atrial fibrillation, a condition in which their heart beats irregularly. Additionally, this medication is often used to prevent or treat a specific type of blood clot called deep vein thrombosis (DVT) that can occur after knee or hip replacement surgery, which can possibly lead to blood clots in the lungs, also known as pulmonary embolism (PE).

In some cases, Xarelto can be used to diminish the potential risk of a DVT or PE returning after receiving treatment for at least six months. It may also be taken together with aspirin to decrease the chances of a stroke, heart attack, or fatality in individuals with coronary artery disease, a condition that narrows the blood vessels that supply the heart with blood. It can provide similar assistance to those with a peripheral arterial disease, a condition that causes poor circulation in the blood vessels that supply the arms and legs with blood. Rivaroxaban is an anticoagulant which is also known as a blood thinner medication. Blood thinner meds do not actually make your blood any thinner.

Pay very close attention to your Xarelto dosing instructions because your medication’s quantity and frequency will vary depending on the reason you were prescribed Xarelto. Do not change or increase your Xarelto dosage without consulting a doctor.

Depending on the strength of the tablet, Xarelto can be taken orally with or without food. Make sure you take the medication with or without food at the same time each day so that you don’t forget your dose.

If you have difficulty in swallowing the tablets during your routine, you can crush them and mix them in applesauce, but take it immediately after it’s been prepared.

Once you’ve finished your routine dose each day, Xarelto should be stored safely at room temperature away from moisture and heat.

Even if you feel well or are feeling better, do not stop taking Xarelto without speaking to your doctor, as it could increase your risk of a blood clot.

Before taking Xarelto, inform your doctor immediately if you are allergic to any active or inactive ingredients in the medication. If you are unsure, ask your pharmacist for a list of the ingredients.

Interactions with other drugs may occur when taking Xarelto. So it is imperative you inform your doctor of any other prescription and nonprescription medications, nutritional supplements, herbal products (especially St. John’s wort), and vitamins you take or are planning to take. This will help your doctor to better monitor you for adverse/dangerous side effects, or change the doses of the medications you are taking.

Additionally, if you have had a heart valve replacement, issues with unusual bleeding, kidney or liver disease, a bleeding disorder, plans involving pregnancy while taking Xarelto, inform your doctor immediately.

When taking Xarelto, you should avoid any form of activity that could elevate your risk of bleeding or injury. So exercise extra care when shaving your hair or brushing your teeth to prevent bleeding.

Xarelto may cause stomach bleeding. Taking Xarelto and alcohol can increase the risk of stomach bleeding, therefore you should limit your alcohol consumption while taking Eliquis.

Prior to any surgery, notify your doctor or dentist that you are currently taking Xarelto. You may need to temporarily put your Xarelto treatment on pause if you need to go under anesthesia for a medical procedure.

No matter the situation, it is important to never take two doses at the same time unless you are taking Xarelto 15mg two times each day and you happen to miss a dose.

Xarelto side effects can include hives, breathing difficulties, and swelling of the face, lips, throat, or tongue.

You may also show symptoms of a spinal blood clot, which includes numbness or muscle weakness in the lower body, inability to control bladder or bowel movements, and back pain.

If you encounter any of these side effects of Xarelto, call your doctor and visit the emergency room immediately.

The most common side effects while taking Xarelto are muscle pains, itching, or arm and leg pains. Xarelto can also cause you to experience easy bruising or bleeding, swelling, pain, excessive bleeding from wounds, headaches, dizziness, weakness, or lightheadedness. Additionally, your urine may look red, pink, or brown. And your stools may appear bloody. Other Xarelto side effects include spitting up blood, coughing up blood or other substances that resemble coffee grounds.

If you show any of these side effects, call your doctor immediately.

Take into consideration that this is not a complete list of possible side effects and others not listed here can occur. If you are concerned with any side effects you are experiencing, call your doctor for medical advice.

Are there any foods or medicines I should avoid when taking Xarelto?

There are no known dietary restrictions when it comes to affecting how Xarelto works. However, consult your doctor when taking Xarelto alongside other medicines, such as aspirin, NSAIDs, warfarin, heparin or clopidogrel, as this combination can raise your risk of bleeding.

Ensure that when you do consult your doctor, you disclose all the medicine you take, including prescription and nonprescription medicines, vitamins, and herbal supplements, such as ketoconazole, rifampin, itraconazole, phenobarbital, ritonavir, phenytoin, lopinavir/ritonavir, carbamazepine, indinavir, or St. John’s wort, to name a few.

Are there any special preparations I need to make while on Xarelto before having a dental procedure or oral surgery?

Tell your dentist or oral surgeon straight away that you are taking Xarelto, as they should contact your prescribing doctor before any dental procedure or surgery is performed.

What if I run out of Xarelto?

Be extremely mindful to refill your prescription before running out of Xarelto, as your risk of having a DVT or PE blood clot or even stroke is elevated when you skip or stop taking your medicine.

Is there a generic alternative to Xarelto?

There is currently no therapeutically equivalent Xarelto generic alternative approved in Canada or the United States. If Canada does not have the generic available, you can often still get obtain, safe and approved generics from other countries like the United Kingdom, India and Turkey. Regardless, you can stilll save up to 90% on the cost of your medicatons by buying through an online pharmacy referral service like Canada Med Stop.