Drug InteractionsRivaroxaban may react with a number of other medicines (see Drug Interactions With Rivaroxaban).
What If I Overdose on Rivaroxaban?People who take too much of this medication may experience bleeding, including dangerous internal bleeding. Seek immediate medical attention if you or someone else may have overdosed on rivaroxaban.
(Click Xarelto Overdose for more information.)
What If I Forget a Dose?If you forget to take your dose, take it as soon as you remember, as long as you remember on the same day. For people who take this medication twice daily, it is okay to take both doses at the same time if an earlier dose was missed. Continue with your regular schedule on the next day. If you fail to realize you missed your dose until the next day, just skip the missed dose and continue as usual.
How Does It Work?Rivaroxaban works by specifically inhibiting a clotting factor known as Factor Xa. It is more selective than heparin (including both unfractionated heparin and low-molecular-weight heparins), which inhibits other clotting factors in addition to Factor Xa. Rivaroxaban is not a heparin medication and does not affect blood platelets.
Like other "blood thinners," rivaroxaban does not break down clots. Instead, it slows down clot formation, giving the body a chance to break down the clots naturally.