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Rivaroxaban comprimidos

Xarelto

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).

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About rivaroxaban

Tipo de medicamento

Un anticoagulante

Utilizado para

Para prevenir o tratar coágulos sanguíneos dañinos

Also called (UK and USA)

Xarelto®

Disponible como

Tabletas

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 deep vein thrombosis and 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 atrial fibrillation.

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:

  • Si está embarazada o en periodo de lactancia.

  • 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.

  • Si tiene la tensión arterial alta (hipertensión).

  • 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.

  • Si tiene un problema en los vasos sanguíneos de los ojos, conocido como retinopatía vascular.

  • Si tiene algún problema con el funcionamiento del hígado o de los riñones.

  • If you have a long-term lung condition called bronchiectasis.

  • Si le han dicho que padece una enfermedad llamada síndrome antifosfolípido.

  • Si toma o utiliza otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que pueda adquirirse sin receta, así como medicamentos a base de plantas y complementarios.

  • Si alguna vez ha tenido una reacción alérgica a un medicamento.

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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.

  • Si olvida tomar una dosis, tómela en cuanto se acuerde. Si cuando se acuerde ya es casi la hora de la siguiente dosis, tómesela cuando corresponda, pero omita la dosis olvidada. No tome dos dosis juntas para compensar la dosis olvidada.

Aproveche al máximo su tratamiento

  • Try to keep any regular appointments with your doctor. This is so your doctor can check on your progress.

  • 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.

  • Si va a someterse a una operación o a un tratamiento dental, comunique a la persona que lleve a cabo el tratamiento qué medicamentos está tomando.

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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)

¿Qué puedo hacer si me ocurre esto?

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

Si le preocupa alguno de ellos, hable con su médico

Important: if you experience any unusual bleeding, speak with your doctor straightaway or go to your local accident and emergency department.

Si experimenta cualquier otro síntoma que crea que puede deberse a los comprimidos, hable con su médico o farmacéutico para que le aconsejen.

How to store rivaroxaban

  • Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.

  • Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.

Información importante sobre todos los medicamentos

Información importante sobre todos los medicamentos

No tome nunca más de la dosis prescrita. Si sospecha que usted u otra persona ha tomado una sobredosis de este medicamento, acuda al servicio de urgencias de su hospital. Llévese el envase, aunque esté vacío.

Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.

No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.

Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.

MHRA - Notificación de reacciones adversas

Notifique a la Agencia Reguladora de Medicamentos y Productos Sanitarios las sospechas de efectos secundarios de medicamentos, vacunas, cigarrillos electrónicos, incidentes con productos sanitarios o productos defectuosos o falsificados para garantizar un uso seguro y eficaz.

Lecturas complementarias y referencias

Historia del artículo

La información de esta página ha sido redactada y revisada por médicos cualificados.

  • Fecha prevista para la próxima revisión: 30 nov 2026
  • 1 dic 2023 | Última versión

    Última actualización

    Michael Stewart, MRPharmS

    Revisado por expertos

    Sid Dajani
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