Anticoagulant drugs are aimed at preventing the formation of clots, thrombosis and embolism . They are also known as blood thinners and are mainly used in patients at potential risk.

Among the long list of anticoagulant drugs, we find xarelto ®. In the following article we will delve into its uses and applications, side effects and existing contraindications.

What is xarelto?

Xarelto® is a commercial medication produced by Bayer laboratories (1) . In its composition it has rivaroxaban as an active principle , also developed by Bayer and responsible for inhibiting the active form of the coagulation factor.

Its presentation is in 15 mg tablets, which must be strictly oriented and with instructions for their doses by a medical professional. It is recommended to accompany with food, only once a day. 

Note: The sale of this medicine requires a prescription, due to the nature of its composition and treatments.

What is xarelto used for?

Xarelto® has a quite specific orientation in the body of patients, due to its composition, active ingredient and mechanism of action. We mention below the main uses in treatments:

1. Deep vein thrombosis

A deep vein thrombosis is a clot usually formed in major veins, such as in the legs. Immediate treatment is important to prevent the clot from dislodging and depositing in the lungs . 

To highlight: The indication for xarelto® is thanks to its ability to dissolve formed clots and prevent their incidence or recurrence. (two)

2. Pulmonary embolism

pulmonary embolism is characterized by presenting a blood clot lodged in a pulmonary artery and therefore reducing the flow of blood to them. 

You should know: It produces shortness of breath, cough and chest pain as characteristic symptoms and is treated with xarelto® due to its ability to promote recovery action , thanks to the inhibition of factor Xa (protein that is part of the coagulation process). . (3)

3. Nonvalvular atrial fibrillation

Nonvalvular atrial fibrillation (NVAF) is characterized by an irregular heart rhythm , in addition to a loss of atrial contraction and an increased risk of thrombosis. 

Note: The application of anticoagulant drugs such as xarelto® is indicated to reduce complications and difficulties, even producing improvements in the quality of life of patients with this condition. (4)

4. Stroke

Strokes are also known in general terms as embolisms, which are considered cerebrovascular diseases and occur due to the obstruction of blood vessels.

To highlight: Xarelto® has demonstrated through studies its efficacy for the prevention of these pictures and for the recovery of patients. (5)

Xarelto Side Effects

Every medication includes a list of possible side effects during treatment. We mention below those of xarelto® for your contemplation and knowledge:

  • Pink or brown urine.
  • Bleeding gums.
  • Frequent nosebleeds. 
  • coughing up or vomiting blood
  • Heavy menstrual bleeding.
  • Tiredness and weakness. 

Important: Before any of the mentioned side effects appear, the use of xarelto® should be discontinued and the medical professional who indicated the treatment should be consulted. 

Xarelto contraindications

Contraindications are factors that we must take into account, to avoid adverse effects against medical treatments. We mention below those that we must consider with xarelto®:

  • Allergy or hypersensitivity to any of the drug components.
  • Do not indicate if there has been a clinical haemorrhage.
  • Do not indicate in cases of risky trauma.
  • Do not indicate if there is active treatment with any other anticoagulant.
  • Do not indicate if pregnancy is suspected or if you are lactating.

You should know: It is important to notify the treating physician about the patient’s health history before treatment with xarelto®.

Key Findings

  • Xarelto® is a medication in the form of 20 mg tablets, indicated for heart health disorders .
  • The nature of xarelto® allows risk reduction and incident prevention in cases of thrombosis, embolism and atrial fibrillation.
  • It is prescribed by dose depending on what the doctor recommends. Usually it is 15 mg twice a day, after a meal. 
  • Xarelto® should not be taken without a prescription and medical report, in addition to medical supervision to avoid problems and consequences .  

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