Xarelto 20mg Tablet
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- Muslim-Friendly
- FDA Approved
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Prescription Required
Overview
Xarelto 20mg Tablet contains rivaroxaban, a direct oral anticoagulant (blood thinner) used to prevent and treat blood clots, including deep vein thrombosis and pulmonary embolism, and to reduce the risk of stroke in people with atrial fibrillation.
Rivaroxaban works by directly blocking Factor Xa, a protein essential to the blood clotting cascade, which reduces the blood’s ability to form clots that could otherwise block blood vessels or travel to the lungs or brain.
How it Works
Xarelto directly inhibits Factor Xa, a key enzyme in the blood clotting cascade. By blocking Factor Xa, rivaroxaban reduces the generation of thrombin, the protein that ultimately forms the fibrin mesh of a blood clot, lowering the risk of harmful clot formation.
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.
Dosage
The 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 Life
Refer to the expiry date printed on the packaging.
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.
Frequently Asked Questions
What is Xarelto used for?
Xarelto contains rivaroxaban and is used to prevent and treat blood clots and reduce stroke risk in atrial fibrillation.
How does Xarelto work?
It directly blocks Factor Xa, a protein needed for blood to clot, reducing the risk of harmful clot formation.
Do I need regular blood tests while taking this medicine?
Unlike warfarin, rivaroxaban does not require routine clotting-test monitoring, though your doctor may still check kidney function periodically.
Why do I need to take this medicine with food?
Food improves the absorption of rivaroxaban, particularly for higher-strength tablets.
What should I do if I cut myself or notice unusual bleeding?
Apply pressure to minor cuts as usual, but seek urgent medical attention for heavy, prolonged, or unexplained bleeding.
Can I take this medicine with aspirin or other blood thinners?
Combining anticoagulants and antiplatelet medicines increases bleeding risk – only do so under your doctor’s specific direction.
What should I do before a surgery or dental procedure?
Tell your doctor, dentist, or surgeon that you are taking this medicine, as it may need to be paused beforehand.
Can I buy Xarelto 20mg Tablet from DoctorOnCall?
Yes, Xarelto 20mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Xarelto 20mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Xarelto 20mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Xarelto 20mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Xarelto 20mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Xarelto 20mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Rivaroxaban 20mg
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Not recommended in patients with liver disease.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
