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Anticoagulant drug Xarelto (Rivaroxaban) for sale



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XARELTO (RIVAROXABAN) TABLETS: PATIENT COUNSELING INFORMATION

Instructions for Patient Use

  • Advise patients to take Xarelto (Rivaroxaban) only as directed.
  • Remind patients to not discontinue Xarelto without first talking to their healthcare professional.
  • Advise patients with atrial fibrillation to take Xarelto (Rivaroxaban) tablets once daily with the evening meal.
  • Advise patients for initial treatment of DVT and/or PE to take Xarelto 15 mg or 20 mg tablets with food at approximately the same time every day.
  • Advise patients who are at a continued risk of recurrent DVT and/or PE after at least 6 months of initial treatment, to take Rivaroxaban (Xarelto) 10 mg once daily with or without food.
  • Advise patients who cannot swallow the tablet whole to crush Xarelto and combine with a small amount of applesauce followed by food.
  • For patients requiring an NG tube or gastric feeding tube, instruct the patient or caregiver to crush the Rivaroxaban (Xarelto) tablet and mix it with a small amount of water before administering via the tube.
  • If a dose is missed, advise the patient to take Xarelto as soon as possible on the same day and continue on the following day with their recommended daily dose regimen.

    Bleeding Risks

  • Advise patients to report any unusual bleeding or bruising to their physician. Inform patients that it might take them longer than usual to stop bleeding, and that they may bruise and/or bleed more easily when they are treated with Xarelto (Rivaroxaban).
  • If patients have had neuraxial anesthesia or spinal puncture, and particularly, if they are taking concomitant NSAIDs or platelet inhibitors, advise patients to watch for signs and symptoms of spinal or epidural hematoma, such as back pain, tingling, numbness (especially in the lower limbs), muscle weakness, and stool or urine incontinence. If any of these symptoms occur, advise the patient to contact his or her physician immediately.

    Invasive or Surgical Procedures

    Instruct patients to inform their healthcare professional that they are taking Xarelto before any invasive procedure (including dental procedures) is scheduled.

    Concomitant Medication and Herbals

    Advise patients to inform their physicians and dentists if they are taking, or plan to take, any prescription or over-the-counter drugs or herbals, so their healthcare professionals can evaluate potential interactions.

    Pregnancy and Pregnancy-Related Hemorrhage

  • Advise patients to inform their physician immediately if they become pregnant or intend to become pregnant during treatment with Xarelto (Rivaroxaban) tablets.
  • Advise pregnant women receiving Xarelto to immediately report to their physician any bleeding or symptoms of blood loss.

    Lactation

    Advise patients to discuss with their physician the benefits and risks of Rivaroxaban (Xarelto) for the mother and for the child if they are nursing or intend to nurse during anticoagulant treatment.

    Females and Males of Reproductive Potential

    Advise patients who can become pregnant to discuss pregnancy planning with their physician.

    Manufactured and distributed by Bayer, Janssen pharmaceutical companies and their divisions.

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