INTRODUCTION:

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XARELTO 20MG contains rivaroxaban which belongs to the group of medicines called anticoagulants. A blood clot which blocks an artery (blood vessel) is called an embolism and if the embolism occurs in the arteries of the brain it can cause a stroke. Anticoagulants slow down the time it takes for blood to clot and reduce the risk of embolism.

nThis medicine is used in the treatment and prevention of deep vein thrombosis (blood clots in veins of legs) and pulmonary embolism (blood clot in lungs) in patients with or without hip or knee replacement operation. It also prevents the formation of blood clots in your brain (stroke) and other blood vessels of body among patients with non-valvular atrial fibrillation (an abnormal heartbeat).
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nRivaroxaban acts by blocking the activity of blood clotting factor (factor Xa) and reduces the tendency of the blood to form clots. This medicine must be taken only with meals. The most common side effects of taking this medicine are bleeding in eyes, nose, gums, stomach, rectum or vagina. Do not take this medicine, if you have any bleeding disorders. Before taking this medicine inform your doctor if you are pregnant, breastfeeding or having any serious kidney or liver disease. This medicine is not recommended for use in children and adolescents under 18 years of age.
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USES OF XARELTO 20MG:

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Treats and prevents deep vein thrombosis
nTreats and prevents pulmonary embolism in patients with or without hip or knee replacement operation
nPrevents stroke and formation of blood clots in other blood vessels of body among patients with non-valvular atrial fibrillation (an abnormal heartbeat)

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HOW XARELTO 20MG WORKS:

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XARELTO 20MG reversibly inhibits both the free- and clot-bound forms of coagulation factor Xa. Inhibition of Xa, prevents the conversion of prothrombin into thrombin, which activates platelets and catalyzes the conversion of fibrinogen to fibrin thread (clot) and thus prevents blood clot formation.

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DIRECTIONS FOR USE:

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Take this medicine as directed by your physician. It must be taken only with meals. Your doctor will decide the correct dose for you depending upon your condition. Swallow the medicine as whole with a glass of water. Continue to take this medicine, as long as your doctor tells you to do so, to obtain better results.

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SIDE EFFECTS OF XARELTO 20MG:

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SERIOUS

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• Long or excessive bleeding
n• Skin reactions (such as skin rash, blisters or mucosal lesions, swelling of face, lips, mouth, tongue or throat, difficulty in swallowing or breathing, drop in blood pressure)
n• DRESS syndrome (fever, rash, inflammation of internal organs, hematologic abnormalities and systemic illness)

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COMMON

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• Bleeding disorders
n• Bruising and swelling
n• Anemia, tiredness or paleness
n• Coughing up blood
n• Pain and swelling in the limbs
n• Fever
n• Stomach pain, indigestion
n• Nausea (feeling sick) or vomiting (being sick)
n• Constipation, diarrhea
n• Low blood pressure
n• Headache, dizziness
n• Skin rash

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RARE

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• Bleeding into a muscle
n• Yellowing of skin and eye (jaundice)

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HOW TO MANAGE SIDE EFFECTS:

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Nausea or vomiting:

nTry taking this medicine with, or just after meal. Stick to simple meals. Do not eat rich or spicy food.
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nConstipation:
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nEat fibre rich foods like fresh fruit, vegetables and cereals. Drink plenty of water. Exercise more regularly.
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nDiarrhea:
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nDrink lots of fluids, such as water or juice, to avoid dehydration. Do not take any medicines without speaking to a doctor.
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WARNING & PRECAUTION:

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PREGNANCY

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XARELTO 20MG is not recommended for use in pregnant women unless necessary. Discuss the risks and benefits with your doctor.

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BREASTFEEDING

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XARELTO 20MG is not recommended for use in breastfeeding women unless necessary. Discuss the risks and benefits with your doctor.

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DRIVING AND USING MACHINES

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Do not drive or operate any machines if your ability is affected by this medicine.

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ALCOHOL

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Avoid consumption of alcohol while taking this medicine.

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KIDNEY

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XARELTO 20MG should be taken with caution in patients with severe kidney disease. Consult your doctor for advice.

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LIVER

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Do not take XARELTO 20MG if you have a liver disease which leads to increased risk of bleeding (hepatic coagulopathy). Consult your doctor for advice.

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ALLERGY

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Do not take this medicine if you are allergic (hypersensitive) to rivaroxaban.

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LUNGS

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XARELTO 20MG should be taken with caution in patients with previous bleeding from lung or bronchiectasis (bronchi are widened and filled with pus). Consult your doctor for advice.

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HEART DISEASE

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XARELTO 20MG should be taken with caution in patients with prosthetic heart valve. Consult your doctor for advice.

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OTHERS

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Inform your doctor before taking this medicine, if you have:

nAny bleeding disorders
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INTERACTIONS:

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Talk to your doctor, if you are taking,

nMedicines used to treat fungal infections (e.g., ketoconazole, itraconazole, voriconazole, posaconazole)
nMedicines used to treat HIV infections (e.g., ritonavir)
nMedicines used to treat bacterial infection (e.g. clarithromycin, erythromycin)
nOther medicines used to reduce blood clotting (e.g., enoxaparin, warfarin, rivaroxaban, dabigatran or heparin)
nMedicines used to reduce pain or inflammation (e.g., acetylsalicylic acid or naproxen)
nMedicines used to treat depression (e.g. fluoxetine, sertraline, imipramine, St John?s Wort)
nMedicines used to treat epilepsy (e.g., phenytoin, carbamazepine, phenobarbital)
nDronedarone (used to treat abnormal heartbeat)
nRifampicin (used to treat tuberculosis)
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SYNOPSIS:

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Drug : Rivaroxaban
nPharmacological Category : Anticoagulant
nTherapeutic Indication : Blood clot
nDosage Forms : Tablet

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MORE INFORMATION:

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Store at room temperature and keep out of reach of children.