Xarex 20 mg Tablet

Xarex 20 mg Tablet is a prescription anticoagulant that contains 20 mg of rivaroxaban in each tablet. It belongs to the direct factor Xa inhibitor class, which helps reduce the blood’s ability to clot. Xarex 20 mg Tablet is used to treat and prevent certain blood clots, including deep vein thrombosis (DVT), pulmonary embolism (PE), and to lower the risk of stroke in some people with atrial fibrillation. Because it affects clotting, it must be used exactly as directed by a clinician.

How it works: Rivaroxaban works by blocking factor Xa, a key protein the body uses to make blood clots. By slowing clot formation, Xarex 20 mg Tablet helps prevent existing clots from getting bigger and helps stop new clots from forming.

Xarex 20 mg Tablet is a higher-strength rivaroxaban tablet, so it is not a casual starting dose for everyone. Doctors choose Xarex 20 mg Tablet when a full-strength maintenance dose is needed after they have assessed the condition being treated, kidney function, and bleeding risk. Compared with lower-strength rivaroxaban tablets, the 20 mg tablet delivers a larger once-daily amount of medicine and is typically reserved for specific treatment plans.

• Treatment of deep vein thrombosis (DVT)
• Treatment of pulmonary embolism (PE)
• Prevention of recurrent DVT or PE
• Stroke prevention in nonvalvular atrial fibrillation
• Prevention of clots after certain high-risk situations, if prescribed

• Swallow Xarex 20 mg Tablet whole with water; do not crush, chew, or split it unless your prescriber specifically tells you to.
• Take it exactly at the same time each day if you are prescribed once-daily dosing.
• Take this 20 mg tablet with food unless your doctor gives different directions, because food helps the body absorb this strength properly.
• If you miss a dose, follow your prescriber’s instructions or the package directions you were given; do not double up unless specifically told to.
• Do not stop taking Xarex 20 mg Tablet on your own, because stopping suddenly can raise the risk of a clot.

Each Xarex 20 mg Tablet provides 20 mg of rivaroxaban per tablet. The tablet may be taken once daily for some indications, but the exact schedule and maximum daily dose depend on why it was prescribed and on your kidney function, bleeding risk, and other medicines. Your doctor decides the right dose and duration for this 20 mg strength; do not change it yourself.

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
• Upset stomach or nausea
• Dizziness or headache
• Anemia-related tiredness, which may be more noticeable with this higher-strength tablet

• Xarex 20 mg Tablet can increase bleeding risk, so tell your doctor about any history of ulcers, bleeding disorders, or recent surgery.
• This higher-strength tablet may not be appropriate if you have significant kidney problems; dosing must be individualized.
• Avoid taking other blood thinners, aspirin, or NSAIDs unless your prescriber says they are safe with rivaroxaban.
• Alcohol can raise bleeding risk and may worsen dizziness or stomach irritation.
• Tell your healthcare provider if you have liver disease, because rivaroxaban may not be suitable in some cases.
• Let every dentist, surgeon, or emergency clinician know you take Xarex 20 mg Tablet before any procedure or injection.
• Use caution with driving or activities if you feel dizzy, weak, or faint, especially after bleeding or anemia develops.

• Warfarin, heparin, apixaban, dabigatran, or other anticoagulants
• Aspirin, ibuprofen, naproxen, and other NSAIDs
• Strong CYP3A4 and P-gp inhibitors such as ketoconazole, ritonavir, or clarithromycin
• Strong CYP3A4/P-gp inducers such as rifampin, carbamazepine, phenytoin, or St. John’s wort

Store Xarex 20 mg Tablet in its original strip/box at room temperature, away from excess heat, moisture, and light.