Rivaroxaban
Brand: Xarelto
Key warning
Boxed warning: stopping early raises clot risk; spinal or epidural hematoma with spinal procedures
Common side effects
- Bleeding or easy bruising
- Nosebleeds
- Blood in urine or stool
- Anemia
- Prolonged bleeding from cuts
Key interactions & cautions
- NSAIDs and aspirin raise bleeding risk
- Avoid other blood thinners unless directed
- Strong CYP3A4 inhibitors raise levels (ketoconazole)
- St. John's wort may lower its effect
Counseling points
- Take 15 mg and 20 mg doses with food
- Do not stop suddenly without prescriber advice
- Report unusual or heavy bleeding
- Tell dentists and surgeons you take it
- Take at the same time each day
High-yield study aid for exam prep — not a substitute for the package insert or a pharmacist’s dispensing reference.