Xarelto 20mg Tablet

Rx
Brand Bayer
Manufacturer Bayer
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Xarelto 20mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Rivaroxaban 20mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take the tablet with food, at the same time(s) each day as directed by your doctor; if you have difficulty swallowing, ask your doctor about crushing options for certain strengths.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Bleeding (such as nosebleeds, gum bleeding, or gastrointestinal bleeding)
  • Headache or dizziness
  • Nausea or stomach discomfort
  • Fatigue or weakness
  • Easy bruising

Contraindications

  • Known hypersensitivity to rivaroxaban or any ingredient in the tablet
  • Active clinically significant bleeding
  • Severe liver disease associated with bleeding risk
  • Pregnancy and breastfeeding

Drug / Food Interactions

  • Other blood thinners, antiplatelet medicines (such as aspirin or clopidogrel), and NSAIDs can increase bleeding risk when combined with rivaroxaban.
  • Strong inhibitors of certain liver enzymes (such as some antifungals or HIV protease inhibitors) can raise rivaroxaban levels and increase bleeding risk.
  • Strong enzyme inducers (such as rifampicin or certain anti-seizure medicines) can lower rivaroxaban levels and reduce its effectiveness.
  • Inform your doctor of all medicines and supplements you are taking, including herbal products.

Quick Tips

  • Take this medicine with food to ensure proper absorption, particularly for higher strengths.
  • Do not stop this medicine suddenly without consulting your doctor, as this can increase clotting risk.
  • Tell every doctor, dentist, or surgeon you see that you are taking this medicine before any procedure.
  • Seek urgent medical attention for unusual bleeding, black stools, or blood in urine.

Ingredients / Active Ingredients

  • Rivaroxaban 20mg

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Not Advisable

Not recommended in patients with liver disease.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandBayer
ManufacturerBayer
ClassificationPrescription medicine
Ingredients / Active IngredientsRivaroxaban
Pack Size28s
DosageThe dose depends on the condition being treated or prevented and is determined by the treating doctor, taken once or twice daily with food depending on the strength and indication.
Shelf LifeRefer to the expiry date printed on the packaging.

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