Xarelto 20 mg Tablet

Xarelto 20 mg Tablet is a prescription anticoagulant that contains 20 mg of rivaroxaban in each tablet. It belongs to the factor Xa inhibitor class, which helps prevent and treat harmful blood clots. Doctors may prescribe Xarelto 20 mg Tablet for conditions such as deep vein thrombosis, pulmonary embolism, and to reduce the risk of stroke in certain people with atrial fibrillation.

How it works: Rivaroxaban in Xarelto 20 mg Tablet blocks factor Xa, a key protein the body uses to form clots. By slowing clot formation, this tablet helps reduce the chance that an existing clot will grow or that a new clot will form.

Xarelto 20 mg Tablet is a higher-strength tablet and is not the same as the lower 10 mg or 2.5 mg tablets. It is typically chosen for people who have already been assessed by a doctor and need a stronger clot-prevention dose, rather than a lower-strength option. Because this is the 20 mg strength, it is important to take it exactly as prescribed and not switch strengths on your own.

• Treatment of deep vein thrombosis (DVT)
• Treatment of pulmonary embolism (PE)
• Prevention of recurrent DVT or PE
• Reduction of stroke risk in nonvalvular atrial fibrillation
• Prevention of blood clots after certain medical treatment plans

• Swallow the Xarelto 20 mg Tablet whole with water; do not crush, split, or chew it unless your prescriber specifically tells you to.
• Take it exactly at the time your doctor prescribes, and do not change the schedule on your own.
• This 20 mg tablet should be taken with food to help the body absorb it properly.
• If you miss a dose, follow your prescriber’s instructions right away; do not double up unless you were told to do so.
• Do not stop taking Xarelto 20 mg Tablet suddenly without medical advice, because stopping can raise the risk of a clot.

Each Xarelto 20 mg Tablet provides 20 mg of rivaroxaban per tablet. Depending on the condition being treated, it may be taken once daily, but your doctor decides the exact dose and schedule for you. The usual maximum for this tablet strength is one 20 mg tablet in 24 hours unless your prescriber specifically instructs otherwise.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Rivaroxaban may include:

• Bleeding more easily than usual
• Bruising
• Nosebleeds
• Gum bleeding
• Nausea
• Stomach upset
• Tiredness

• Xarelto 20 mg Tablet is a higher-strength anticoagulant, so bleeding precautions are especially important.
• Tell your doctor if you have a history of stomach ulcers, bleeding problems, liver disease, kidney disease, or low body weight.
• Avoid activities with a high risk of cuts, falls, or injury unless your doctor says it is safe.
• Limit or avoid alcohol, since it can increase bleeding risk and stomach irritation.
• Tell every healthcare professional, dentist, or surgeon that you take rivaroxaban before any procedure.
• Do not take other blood thinners or aspirin unless your doctor specifically approves them.
• If you are pregnant, planning pregnancy, or breastfeeding, ask your prescriber about the safest option before using this tablet.

• Aspirin and other NSAIDs such as ibuprofen or naproxen
• Other anticoagulants or antiplatelet medicines
• Strong CYP3A4 and P-gp inhibitors or inducers
• Certain antifungal or antibiotic medicines
• Herbal products such as St. John's wort

Store Xarelto 20 mg Tablet at room temperature in its original strip/box of 14 tablets, away from moisture and out of reach of children.