Rivaroxabantabletter
Xarelto
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 1 dec 2023
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Rivaroxaban is a type of anticoagulant used to prevent or treat harmful blood clots.
The most common side-effects are bleeding (such as nosebleeds) and feeling sick (nausea).
Överblick
Rivaroxaban is a medicine that helps to prevent and treat harmful blood clots.
It works by blocking a substance in your blood involved in clot development.
Unlike some other blood thinners, regular blood tests are not usually needed with rivaroxaban.
Take 15 mg or 20 mg tablets with or just after a meal.
If you experience unusual bleeding, contact your doctor or go to A&E immediately.
About rivaroxaban
Typ av medicin | An anticoagulant |
Används för | To prevent or treat harmful blood clots |
Also called (UK and USA) | Xarelto® |
Tillgänglig som | Tabletter |
Rivaroxaban works by preventing your blood from clotting as quickly or as effectively as normal. It does this by blocking a substance in your blood which is involved in the development of blood clots, called factor Xa.
Sometimes, harmful blood clots can form in the veins of your legs, lungs, brain or heart, and cause a blockage. This is more likely to happen if you are having certain types of surgery, or if you have a fast irregular heartbeat. For many years, a medicine called warfarin has been commonly used to treat blood clots like these and also to help protect against them. However, people who take warfarin need to have regular blood tests to measure how quickly their blood clots. This often means that the dose of warfarin can change quite frequently. Rivaroxaban works in a slightly different way to warfarin, so people who take rivaroxaban do not need to have regular blood tests.
Rivaroxaban is prescribed to treat blood clots causing djup ventrombos och pulmonary embolism. You may also be prescribed rivaroxaban to help protect against blood clots if you are having hip or knee surgery, or if you have a certain type of irregular fast heartbeat known as förmaksflimmer.
Before taking rivaroxaban
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking rivaroxaban it is important that your doctor knows:
Om du är gravid eller ammar.
If you have had any surgery recently (other than hip or knee surgery).
If you have an ulcer in your stomach or intestines, or if you have recently recovered from one.
If you have high blood pressure (hypertension).
If you have a prosthetic heart valve or you are due to have heart valve replacement surgery.
If you have any medical problems that may increase your risk of bleeding.
If you have a problem with the blood vessels in your eyes, known as vascular retinopathy.
If you have any problems with the way your liver works, or with the way your kidneys work.
If you have a long-term lung condition called bronchiectasis.
If you have been told you have a condition called antiphospholipid syndrome.
Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
How to take rivaroxaban
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about rivaroxaban and will provide you with a full list of the side-effects which you may experience from taking it.
Take rivaroxaban exactly as your doctor tells you to. It is usual to take one dose each day if it is to prevent a blood clot. If you are being treated because you have a blood clot, you will be asked to take two doses each day to begin with. Then, after three weeks, your dose will be reduced to one dose each day.
Your doctor or pharmacist will tell you which strength of tablet is right for you as there are several strengths of rivaroxaban available. This information will be printed on the label of the pack to remind you.
If the strength of the tablets you have been prescribed is 10 mg or lower, you can take these tablets either before or after meals. If you have been given the higher 15 mg or 20 mg strength tablets, you should take these with or just after a meal. This is because more of the dose is absorbed from these higher-strength tablets when there is food present in your stomach.
Try to take rivaroxaban at the same time(s) each day, as this will help you to remember to take it regularly. If you have difficulty swallowing tablets, you can crush the tablet and mix it with a little water or apple purée to help you.
If you forget to take a dose, take it as soon as you remember. If when you remember, it is nearly time for your next dose then take your next dose when it is due but leave out the missed dose. Do not take two doses together to make up for a forgotten dose.
Få ut det mesta av din behandling
Försök att hålla alla regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.
If you have had hip or knee surgery, you will be asked to continue taking rivaroxaban for a certain number of weeks. If you are taking it for other reasons, you will be asked to continue to take it over a longer period of time.
If you take any medicines that you have bought without a prescription, check with a pharmacist that they are suitable to take with rivaroxaban. This is because some medicines, such as some painkillers, may interfere with it.
Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.
Can rivaroxaban cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with rivaroxaban. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common rivaroxaban side-effects (these affect fewer than 1 in 10 people) | Vad kan jag göra om jag upplever detta? |
Bleeding (such as nosebleeds) | If the bleeding continues or becomes troublesome, let your doctor know |
Feeling sick (nausea), indigestion, stomach upset | If you are not already doing so, try taking your doses after a meal |
Feeling dizzy, tired or faint | If this happens, do not drive and do not use tools or machines until you feel well again |
Changes in some blood tests, high temperature (fever), swollen feet or ankles, itchy rash | If you are concerned about any of these, speak with your doctor |
Viktigt: if you experience any unusual bleeding, speak with your doctor straightaway or go to your local accident and emergency department.
Om du upplever några andra symtom som du tror kan bero på tabletterna, tala med din läkare eller apotekare för vidare råd.
How to store rivaroxaban
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
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Vanliga frågor
What is Factor Xa and how does rivaroxaban block it?
Rivaroxaban works by blocking a substance in your blood called factor Xa, which is involved in the development of blood clots. By blocking this factor, rivaroxaban prevents your blood from clotting as quickly or as effectively as normal.
Are there any specific situations where rivaroxaban would not be suitable for me?
Rivaroxaban may not be suitable if you have a recent stomach or intestinal ulcer, high blood pressure, a prosthetic heart valve, certain medical problems that increase bleeding risk, vascular retinopathy, liver or kidney problems, bronchiectasis, or antiphospholipid syndrome. Your doctor needs to know about these conditions before prescribing rivaroxaban.
What should I do if I forget to take a dose of rivaroxaban?
If you forget a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and just take your next dose when it's due. Do not take two doses together to compensate for the forgotten one.
How long will I need to take rivaroxaban for?
If you have had hip or knee surgery, you will typically need to continue taking rivaroxaban for a certain number of weeks. If you are taking it for other reasons, it will likely be prescribed for a longer period of time.
What should I do if I experience unusual bleeding while taking rivaroxaban?
If you experience any unusual bleeding, you should speak with your doctor straightaway or go to your local accident and emergency department immediately.
Vidare läsning och referenser
- Manufacturer's PIL, Xarelto® 10 mg film-coated tablets; Bayer plc, The electronic Medicines Compendium. Dated July 2023.
- Manufacturer's PIL, Xarelto® 15 mg and 20 mg film-coated tablets; Bayer plc, The electronic Medicines Compendium. Dated July 2023.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 30 Nov 2026
1 dec 2023 | Senaste versionen

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