• Name of Product: Xarelto Film-Coated Tablet
• Ingredient Content: Rivaroxaban 10 mg / 15 mg / 20 mg
• Medicine Appearance:
• 10 mg: Pink, round tablet marked with triangular 10.
• 15 mg: Red round tablet, marked with triangular 15.
• 20 mg: Red-brown round tablet, marked with triangular 20.
• Effect : Anticoagulant ( blood thinner ), prevention treatment of thrombosis and embolism ( blood clots) .

Application and Dose

• The effect of Xarelto lasts for at least 24 hours. If you forget to take the medicine, you should take the missed dose on the same day as early as possible. Do not take extra medicine to make up for a missed dose. You shall follow your physician’s instructions on Xarelto. Most patients attain the target effect in the dose range of 10 mg ~ 30 mg daily.
• It is suggested to take Xarelto with meals.
• The length of treatment varies from individual’s health conditions. In general, the treatment is continued until the risk of blood clots is resolved.

What you should do if you forget to take the medicine?

• If you take Xarelto once daily: You should take it on the same day as soon as you remember. Do not wait until the next day to take the medicine in double doses.
• If you take Xarelto twice daily ( 15 mg dose ): You should take the medicine on the same day as soon as you remember and make sure the daily dose ( 30 mg ) is completed. Then, you may restart the medicine twice daily on the next day. 

Storage

• Store the medicine in tightly closed container at room temperature between 15 - 30 ℃ ( Celsius ). Keep it away from excess moisture and avoid direct sun exposure.
• Store the medicine in safe area and keep it out of reach by children.

Possible Adverse Reactions

If you present any abnormal bleeding or symptom as shown below, contact  physician or pharmacist immediately:

• Anemia, prolonged wound bleeding, increased  menstrual flow or vaginal bleeding, unusual nose bleeding, gum bleeding while brushing teeth, red urine, red or black stool, skin contusion, bruises, and purpura.
• Abnormal heart beat, pain, swelling, or discomfort in arms and legs, fever, headache, dizziness, weakness, and jaundice.

Special Medication Instructions

• Take the medicine as directed and at the same time each day.  
• Do not change the dose or stop taking Xarelto without your physician’s authorization. 
• Make sure your physician, pharmacist, and dentist know that you are taking Xarelto.
• If you are planned for surgery, tooth extraction, or invasive therapy, you should consult your physician if Xarelto needs to be temporarily held.
• If you are pregnant or breastfeeding, or have histories of severe liver or kidney diseases, you should inform you physician before taking Xarelto.
• If you have lactose intolerance, you should inform your physician Xarelto contains lactose in its content. 
• Avoid exercises or activities that could get you hurt or bleed.
• For your medication safety, please consult your physician or pharmacist before taking any other medicines, nutritional supplements, or herbal medicines, particularly for anti-inflammatory pain medicines, aspirin, platelet aggregation inhibitors, other antithrombotic agents ( blood thinners), or hypericum perforatum ( St. John’s Wort ).

If you have any further question about this medicine, please contact pharmacy for more information.