Rivaroxaban tablets
Xarelto
Revisado por pares por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 1 Dic 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).
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About rivaroxaban
Tipo de medicamento | An anticoagulant |
Usado para | To prevent or treat harmful blood clots |
Also called (UK and USA) | Xarelto® |
Disponible como | Comprimidos |
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 warfarina 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 trombosis venosa profunda y embolia pulmonar. 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 fibrilación auricular.
Before taking rivaroxaban
Volver al contenidoSome 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 estás embarazada o amamantando.
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.
Si tienes algún problema con el funcionamiento de tu hígado, o con el funcionamiento de tus riñones.
If you have a long-term lung condition called bronchiectasis.
If you have been told you have a condition called antiphospholipid syndrome.
Si está tomando o usando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.
Si alguna vez has tenido una reacción alérgica a un medicamento.
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How to take rivaroxaban
Volver al contenidoBefore 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 tan pronto como lo recuerde. Si cuando lo recuerda, ya es casi la hora de su próxima dosis, entonces tome su próxima dosis cuando corresponda, pero omita la dosis olvidada. No tome dos dosis juntas para compensar una dosis olvidada.
Obteniendo el máximo de tu tratamiento
Volver al contenidoIntenta mantener cualquier cita regular con tu médico. Esto es para que tu médico pueda verificar tu progreso.
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 vas a someterte a una operación o tratamiento dental, informa a la persona que realiza el tratamiento sobre los medicamentos que estás tomando.
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Can rivaroxaban cause problems?
Volver al contenidoAlong 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 experimento 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 | If you are concerned about any of these, speak with your doctor |
Importante: 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 las tabletas, hable con su médico o farmacéutico para obtener más consejos.
How to store rivaroxaban
Volver al contenidoMantenga todos los medicamentos fuera del alcance y 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
Volver al contenidoInformación importante sobre todos los medicamentos
Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.
Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.
No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.
Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.
MHRA - Reporte de reacciones adversas
Informe los efectos secundarios sospechosos de medicamentos, vacunas, cigarrillos electrónicos, incidentes con dispositivos médicos, productos defectuosos o falsificados (falsos) a la Agencia Reguladora de Medicamentos y Productos Sanitarios para garantizar un uso seguro y efectivo.

¿Inseguro sobre mezclar medicamentos?
Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.
Lecturas adicionales y referencias
- 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.
- Medicamentos Completos BNF 89ª Edición; Asociación Médica Británica y Sociedad Real de Farmacia de Gran Bretaña, Londres.
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Historial del artículo
La información en esta página está escrita y revisada por pares por clínicos calificados.
Próxima revisión: 30 de noviembre de 2026
1 Dic 2023 | Última versión

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