Xarelto

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Xarelto

Drug Info for xarelto

Rivaroxaban is used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung) in adults. Rivaroxaban is also used to prevent DVT and PE from happening again after initial treatment is completed in adults. It is also used to help prevent strokes or serious blood clots in adults who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body, and possibly causing strokes) that is not caused by heart valve disease. Rivaroxaban is also used to prevent DVT and PE in adults who are having hip replacement or knee replacement surgery or in people who are hospitalized for serious illnesses and are at risk of developing a clot due to decreased ability to move around or other risk factors. It is also used along with aspirin to lower the risk of a heart attack, stroke, or death in adults with coronary artery disease (narrowing of the blood vessels that supply blood to the heart) or peripheral arterial disease (poor circulation in the blood vessels that supply blood to the arms and legs). Rivaroxaban is also used to treat and prevent DVT and PE from happening again in children and certain infants who have received at least 5 days of initial anticoagulation (blood thinner) treatment. It is also used to prevent DVT and PE after heart surgery in children 2 years of age or older who have congenital heart disease (abnormality in the heart that develops before birth). Rivaroxaban is in a class of medications called factor Xa inhibitors. It works by blocking the action of a certain natural substance that helps blood clots to form.

Xarelto a brand-name blood thinner that prevents and treats blood clots. Xarelto is commonly prescribed to patients who have an irregular heartbeat. It is also prescribed to patients who have recently undergone hip or knee replacement surgery when blood clots are more likely to form in the legs or lungs. Xarelto costs $553.65, but you can use a Xarelto coupon from OptionRx to save money on your next refill.

  • Xarelto
  • Xarelto Starter Pack

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. You may store the crushed tablet with applesauce or water mixture for up to 4 hours.Throw away the oral liquid 60 days after opening.

Your doctor will tell you how much medicine to use. Do not use more than directed. Take this medicine at the same time each day.

2.5 milligram (mg) or 10 mg tablet: Take with or without food.

15 mg or 20 mg tablet: Take with food.

If you cannot swallow the tablets whole, you may crush the tablet and mix it with a small amount of applesauce. Eat some food right after you swallow the mixture.

Tube feeding: You may crush the tablet and mix the medicine in 50 milliliters (mL) of water before giving it via the tube. This must be followed by a feeding.

Oral liquid: Shake the bottle slowly for 10 seconds before each use.Measure the medicine with the provided oral dosing syringe.Ask your doctor if you should take it with or without food.

Missed dose: Ask your doctor or pharmacist if you are not sure what to do if you miss a dose.Once-daily dose: If you miss a dose or forget to use your medicine, use it as soon as you can on the same day. Do not use extra medicine to make up for a missed dose.Twice-daily dose to prevent serious heart or blood vessel problems (2.5 mg tablet): If you miss a dose, skip the missed dose and take your next dose at your usual time.Twice-daily dose to treat a blood clot (oral liquid or 15 mg tablet): If you miss a dose or forget to use your medicine, use it as soon as you can on the same day. You may take 2 doses at the same time to make up for the missed dose. This is only for people who take a total of 30 mg per day.Thrice-daily dose: If you miss a dose, skip the missed dose, then take your regularly scheduled doses the next day. Oral liquid: If your child vomits or spits up right after or within 30 minutes after receiving the dose, give another dose. If it is more than 30 minutes after the dose is taken, give the next dose at the regular time. Call your doctor right away if your child vomits or spits out the medicine repeatedly.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to rivaroxaban, or if you have severe bleeding.

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, bleeding problems, cancer, lung problems, an artificial heart valve, or antiphospholipid syndrome.

This medicine may increase your risk of bleeding. Be careful to avoid injuries that could cause bleeding. Stay away from rough sports or other situations where you could be bruised, cut, or hurt. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Avoid picking your nose. If you need to blow your nose, blow it gently.

This medicine may cause nerve damage if you have a medical procedure done to your back, including anesthesia or a spinal puncture. This is more likely to happen if you have a history of back injury, back surgery, problems with your spine, or procedures or punctures to your back. Tell your doctor if you are also taking another blood thinner, because this also increases the risk.

Do not stop using this medicine suddenly without asking your doctor. You might have an increased risk for stroke for a short time after you stop using this medicine.

Tell any doctor or dentist who treats you that you are using this medicine.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Some medicines can affect how rivaroxaban works. Tell your doctor if you are using any of the following:Carbamazepine, conivaptan, erythromycin, indinavir, itraconazole, ketoconazole, lopinavir, phenytoin, rifampin, ritonavir, St John's wortAnother blood thinner (including clopidogrel, enoxaparin, heparin, warfarin)NSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen)

This medicine may increase your risk of bleeding. Be careful to avoid injuries that could cause bleeding. Stay away from rough sports or other situations where you could be bruised, cut, or hurt. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Avoid picking your nose. If you need to blow your nose, blow it gently.

This medicine may cause nerve damage if you have a medical procedure done to your back, including anesthesia or a spinal puncture. This is more likely to happen if you have a history of back injury, back surgery, problems with your spine, or procedures or punctures to your back. Tell your doctor if you are also taking another blood thinner, because this also increases the risk.

Do not stop using this medicine suddenly without asking your doctor. You might have a higher risk of stroke for a short time after you stop using this medicine.

Tell any doctor or dentist who treats you that you are using this medicine.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Unusual bleeding or bruising, including frequent nosebleeds
  • Decrease in how much or how often you urinate
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Heavy menstrual bleeding or vaginal bleeding
  • Vomiting of blood or material that looks like coffee grounds
  • Red or brown urine, bloody or black, tarry stools
  • Blistering, peeling, red skin rash
Frequently Asked Questions

On average, customers pay $553.65 for a supply of 30 tablets for Xarelto without insurance. Fortunately, Xarelto prices are lower with the OptionRx discount card. You could pay as little as $415.51 for Xarelto without insurance by asking your pharmacist to run your OptionRx card at checkout.

The cost of Xarelto with insurance depends on your health insurance plan. You can use OptionRx as a pricing tool to find a local pharmacy with the lowest price for Xarelto. Your OptionRx savings card could bring your total down to $415.51, which might actually be cheaper than your insurance coverage. Ask your pharmacist to compare your copay to our Xarelto coupons before you pay too much for this prescription drug.

Medicare does usually cover Xarelto along with most insurance plans. To ensure that you’re getting the best deal, compare your Medicare costs with OptionRx’s best price of $415.

To save even more money on Xarelto, you should consider different types of coupons for Xarelto. Compare Xarelto manufacturer coupons to your savings with OptionRx. Xarelto is manufactured by Bayer but marketed by Johnson & Johnson’s Janssen Pharmaceuticals. If you need more financial assistance than coupons can offer, eligible patients may apply for Janssen CarePath, which is a Xarelto patient assistance program.

Xarelto is a brand name drug for rivaroxaban. Currently, there is not a generic of rivaroxaban available on the market. However, you can still save on Xarelto by using our free OptionRx coupons.

Xarelto is an anticoagulant, or anti-clotting medication. This blood thinner can prevent and treat blood clots in adults, lowering your risk of stroke, deep vein thrombosis (DVT), pulmonary embolism, and similar conditions. Your doctor may prescribe Xarelto if you have an irregular heartbeat (also called atrial fibrillation). You may also be prescribed Xarelto as you recover from hip or knee replacement surgery. In these surgeries, blood clots may develop in your legs, causing deep vein thrombosis, or your lungs, increasing your risk for a pulmonary embolism.

Xarelto is available in 10 mg, 15 mg, and 20 mg tablets. Xarelto may be taken by mouth once or twice a day. Always follow your doctor’s specific instructions and medical advice, as your medical condition and response to treatment will be important factors in determining your dosage. If you have been prescribed a stronger dose of Xarelto your doctor will likely advise you to take this prescription medication with food. Xarelto is most commonly prescribed to adults—not children.

Some possible side effects of Xarelto include easy bruising and minor bleeding, such as nosebleeds. More serious side effects of Xarelto that require medical attention are swelling; prolonged or persistent bleeding from cuts, nosebleeds, menstruation, or gums; dizziness or fainting; tiredness or weakness; and difficulty swallowing. Note: This is not a complete list of possible side effects.

Xarelto belongs in the drug class Xa inhibitor, meaning it is an anti-clotting agent. Although rare, if you experience uncontrollable bleeding while taking Xarelto or another Xa inhibitor, such as Eliquis, your doctor may use Andexxa to reverse the effects of Xarelto. Andexxa is the first Xa inhibitor antidote. It was approved by the FDA and released in the United States in May 2018.

The following is a list of some possible interactions that could affect how Xarelto works or worsen its side effects:

  • Alcohol may worsen side effects of Xarelto
  • Aspirin is another blood thinner that could increase your risk of bleeding while taking Xarelto
  • Caffeine may increase the risk of stomach bleeding
  • Certain antidepressants may interact with Xarelto
  • Certain azole antifungals may affect the removal of rivaroxaban from your body
  • Some seizure medications may affect the removal of rivaroxaban from your body
Before taking Xarelto, consult your physician if you are already taking one of the substances above.

Xarelto has gained popularity over warfarin as a slightly safer alternative. They are both used to prevent and treat blood clots that could result in stroke and heart attacks. However, Xarelto has a lower risk of causing a stroke or bleeding, particularly in the brain. Warfarin also requires regular blood tests to monitor its efficacy while Xarelto does not. Other anticoagulants include Eliquis, Lixiana, and Pradaxa. Your doctor will determine which prescription medication is better for your medical condition.