How and when to take rivaroxaban

It's important to take rivaroxaban as your doctor has told you.

Dosage and strength

Rivaroxaban comes as 2.5mg, 5mg, 10mg and 20mg tablets.

It also comes as granules that you mix with water, for children and young people aged under 18.

Your dose of rivaroxaban depends on why you're taking it.

The usual dose in adults:

• for a heart condition called atrial fibrillation is 20mg a day, but your doctor might prescribe a lower dose if you have kidney disease and are at a higher risk of bleeding
• for a blood clot you've had (deep vein thrombosis (DVT) or pulmonary embolism) is 20mg a day. You might need to take a dose of 15mg twice a day for the first few weeks of taking rivaroxaban. If you have kidney disease and are at a higher risk of bleeding, your doctor may prescribe a lower dose
• 替换臀部或膝关节的手术后，每天为10mg
• after a heart attack or for a heart condition called unstable angina is 2.5mg twice a day

For children, the doctor will use your child's weight to work out the correct dose.

If you're unsure what dose you need to take, check with your doctor or pharmacist.

如何接受

You'll usually take rivaroxaban once a day just after a meal or snack. It's important to take it with some food to help your body absorb the whole dose.

Try to take it at the same time every day.

如果您要服用Rivaroxaban来治疗DVT或肺栓塞，则可能需要每天两次服用。您的医生会告诉您是否需要这样做。

Swallow the tablets with a drink of water.

If you find it difficult to swallow tablets you can crush rivaroxaban tablets and mix them with water or apple purée. Swallow this mixture, then eat some food straight away.

How long to take it for

How long you need to take rivaroxaban will depend on why you're taking it.

If you have had an operation to replace your knee or hip joint, you'll probably take rivaroxaban for 2 to 5 weeks.

If you have had a blood clot (DVT or pulmonary embolism), you'll usually take rivaroxaban for at least 3 months. Depending on what caused the blood clot, you might need to take it for longer.

If you have a heart problem like atrial fibrillation or have had a heart attack, you might need to take rivaroxaban long term or even for the rest of your life.

Do not stop taking rivaroxaban without talking to your doctor. If you stop taking it you may be at increased risk of serious health problems caused by blood clots.

If you forget to take it

如果您忘记了一剂Rivaroxaban，那么您需要做的事情取决于您服用的剂量。

If you usually take:

• 10mg, 15mg or 20mg once a day- 记住，除非下一个几乎是时候了，否则请立即服用剂量，在这种情况下，请跳过错过的剂量。在通常的时间服用下一个剂量，然后正常进行。一天中永远不要服用超过1剂
• 15mg twice a day- 记住一时就服用。如果您的下一个剂量几乎是时候了，您可以同时服用两个15mg的平板电脑，在1天内总共获得2剂。在1天内永远不要服用超过2剂
• 2.5mg twice a day- 记住，除非下一个几乎是时候了，否则请立即服用剂量，在这种情况下，请跳过错过的剂量。不要服用2剂来弥补错过的剂量。在通常的时间服用下一个剂量，然后按照

It's very important that you remember to take rivaroxaban every day.

If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

If you take too much

Taking too much rivaroxaban puts you at risk of bleeding.

如果你去A＆E, do not drive yourself. Get someone else to drive you or call for an ambulance.

Take the rivaroxaban packet, or leaflet inside it, plus any remaining medicine with you.

Anticoagulant alert card

Your doctor or pharmacist will give you an anticoagulant alert card.

一直随身携带。它告诉医疗保健专业人员您正在服用抗凝剂。在医疗紧急情况下知道这对他们来说很有用。

If you need any medical or dental treatment, show your anticoagulant alert card to the nurse, doctor or dentist. This includes before you have vaccinations and routine sessions with the dental hygienist.

Your doctor may advise you to stop taking rivaroxaban or reduce your dose for a short time.

Switching from warfarin to rivaroxaban

If you need to switch fromwarfarinto rivaroxaban, your doctor will advise you when to stop taking warfarin. This will probably be a few days before you start taking rivaroxaban.

Your doctor or anticoagulant clinic will do a blood test called the international normalised ratio (INR) to check how quickly your blood's clotting. This is to help decide exactly when you should start taking rivaroxaban.

Switching from rivaroxaban to warfarin

If you need to switch from rivaroxaban towarfarin, you may need to take both medicines together for a few days.

Your doctor or anticoagulant clinic will do a blood test called the international normalised ratio (INR) to check how quickly your blood's clotting. This is to help decide exactly when you should stop taking rivaroxaban.