Xarelto 20 mg is a type of blood thinner. It contains the Rivaroxaban as its active ingredient. Rivaroxaban 10 mg is a type of anticoagulant. It stop clots from forming inside veins. The medication works on Factor Xa. Xarelto 20 mg helps in blocking Factor Xa, which caused blood clots. Less clot = lower chance of deep vein thrombosis (DVT) and pulmonary embolism (PE).
Uses
- After knee or hip replacement surgery to prevent deep vein thrombosis and pulmonary embolism conditions.
- Short‑term clot prevention when you had a short hospital stay and high risk to form clot (doctor decide).
- Sometimes after a big leg clot or lung clot is treated, lower dose 10 mg is used for extended prevention.
- For atrial fibrillation or active DVT/PE treatment.
How does it works?
The blood make clots using many proteins. One of them is Factor Xa. Rivaroxaban prevents clotting. So fibrin net doesn’t build well. Clots either do not form or stay small. Good for clot risk. However, it also means that bleeding can happen more easily, even by bruising.
How to take
- Dose: Take 10 mg tablet once daily.
- Take with or without food.
- Swallow whole with water. Don’t crush unless doctor says you can.
Missed dose?
If you remember the same day, take it. Next day? skip old one. Do not double up.
How long to continue
- Knee replacement: usually 10–14 days.
- Hip replacement: 28–35 days.
- Extended prevention after treated Deep vein thrombosis: as long as doctor says. (Dosage can lasts as long as months and years)
Stopping suddenly can raise clot risk again.
Dosage & Administration
- Usual dose: 20 mg once daily, with food (usually with evening meal)
- For kidney patients: Dose may be lowered as per doctor’s advice
- Missed dose? Take it as soon as remembered the same day. Don’t double up the next day.
- Swallow whole with water. Don’t crush or chew unless advised.
Side effects
- Easy bruising.
- Nose bleed or gum bleed while brushing.
- Light headache.
- Mild stomach upset.
- These are usually mild. But watch for more serious signs below.
- Serious bleeding signs (rush to ER / call doctor)
- Red or black stool (tarry).
- Vomit looks like coffee grounds.
- Pee red or pink.
- Severe unexplained weakness, dizziness.
- Sudden severe headache, vision change (brain bleed sign).
- Bleeding that won’t stop in 10 minutes.
Storage
- Keep tablets dry, below 30 °C.
- Original blister is best.
- Away from kids, pets.
- Each pack contains 28 tablet. Do not take out unless required.
Other information
- Use soft toothbrush, electric razor to reduce cuts.
- Avoid risky sports where you can get hit. Wear a helmet on bike.
- Inform dentist before tooth extraction. They may plan around dose.
