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Rivaroxaban is an anticoagulant that helps prevent and treat blood clots, sold here as plain 10mg tablets and as Xarelto in 10mg, 15mg and 20mg tablets.
Rivaroxaban
10mg
Rivaroxaban 10mg tablets are an anticoagulant that helps prevent blood clots after surgery and in other clotting conditions, sold as generic tablets in packs of 28 or 56.
Rivaroxaban is an anticoagulant, one of the medicines people call blood thinners. It blocks factor Xa, a protein in the blood that helps clots form, so clots build up more slowly in veins and arteries.
It is used to prevent and treat deep vein thrombosis (a clot in a vein, usually in the leg) and pulmonary embolism (a clot that has travelled to the lung). It also lowers the risk of stroke in atrial fibrillation (an irregular heartbeat that lets blood pool and clot), protects people after hip or knee replacement surgery, and reduces the chance of heart attack, stroke or death in coronary artery disease or peripheral arterial disease (narrowed arteries in the heart or legs). It does not dissolve a clot that has already formed — the body clears that over weeks — but it keeps the clot from growing while that happens.
Swallow the tablet with water, once or twice a day depending on what it is for, at the same time each day so the level in the blood stays steady. The 15mg and 20mg tablets are taken with food, while the 10mg tablet can be taken with or without. Store the tablets in their original strips somewhere cool and out of direct sunlight.
Stopping suddenly is risky, especially in atrial fibrillation, where the stroke risk returns once the protective effect wears off. Refill before the pack runs out rather than leaving a gap.
Because the medicine slows clotting, bleeding more than usual is the common effect: nosebleeds, gums that bleed when you brush, bruises that come up easily and take longer to fade, cuts that take longer to stop, heavier periods. Tiredness and paleness can point to anaemia from slow blood loss. Itchy skin, aching arms and legs, swollen ankles, constipation or diarrhoea, indigestion, nausea and dizziness on standing are also reported.
Heavy bleeding or internal bleeding is the serious risk. Blood in urine or stools, blood in vomit or coughed up, or bleeding in the eye all need checking. A sudden severe headache with confusion, slurred speech or weakness in an arm or leg can be bleeding in the brain and needs emergency care.
Rivaroxaban adds to the bleeding risk of other blood thinners such as warfarin and heparin, of aspirin and anti-inflammatory painkillers like ibuprofen and naproxen, and of clopidogrel.
Both listings hold the same active ingredient. Plain Rivaroxaban comes as 10mg tablets; Xarelto covers 10mg, 15mg and 20mg. Strength goes with the reason for taking it: 10mg is the one used for clot prevention after hip or knee replacement, while 15mg and 20mg are used to treat clots and for longer-term stroke prevention in atrial fibrillation, which is why Xarelto is the listing with the wider range. If you were searching for generic Xarelto, this is it — the same ingredient under a brand name, with three strengths to pick from.
Rivaroxaban can be ordered online with delivery to Hong Kong. The page lists plain Rivaroxaban tablets in 10mg and generic Xarelto in 10mg, 15mg and 20mg tablets. Every order ships in plain, unbranded packaging with nothing on the outside about the contents.
Each of the two rivaroxaban products has its own price per pack, shown on its page in HKD or your selected currency; larger packs usually cost less per unit.
Yes, generic Xarelto is listed as 10mg, 15mg and 20mg tablets and contains rivaroxaban. Plain Rivaroxaban tablets in 10mg are also available, and that is the other version on the page.
Xarelto is a brand name of rivaroxaban, which is also sold as Rivaxa. Here, rivaroxaban can be bought online as generic Xarelto. These are generics, not the original brand.
Feeling well is the usual state on rivaroxaban, so it is not a sign the medicine can be dropped. Protection fades as the drug leaves the body, and in atrial fibrillation the stroke risk climbs again. Courses after joint replacement run for a few weeks; other reasons are often long term.
Both raise the chance of bleeding alongside rivaroxaban, and so do naproxen and other anti-inflammatory painkillers, clopidogrel, and blood thinners such as warfarin and heparin. The risk is greatest when two clot-affecting medicines are taken at the same time.
Take it as soon as you think of it, provided the next scheduled dose is still a good way off. Where the two would fall close together, leave the missed one out and carry on as normal. Taking two doses at once to catch up is not safe.
No. Warfarin blocks vitamin K and its dose is adjusted using regular blood tests. Rivaroxaban blocks factor Xa directly and is taken at fixed times, so no routine clotting test goes with it. Both reduce clotting and both raise the risk of bleeding.
Yes. The 10mg tablet can be taken with or without food, while the 15mg and 20mg tablets are taken with a meal, because food helps the body take up those higher strengths. Nothing needs to be avoided at mealtimes.