Rivaroxaban or Xarelto is new medicine and it is important to understand the complete side effects before using the medicine. The medicine has been clinically tested. If you find any abnormal changes in your health condition, contact your doctor immediately. Bleeding is one of the major Xarelto side effects and could be fatal at times. Check this page on drug safety for more information http://www.fda.gov/downloads/drugs/drugsafety/ucm280333.pdf. The bleeding event happens with the medicines as with warfarin. But the problem is there are no antidote to stop the bleeding in the case or rivaroxaban as it is available in the case of warfarin. When the bleeding gets serious, the treatment may take longer than expected. Moreover, there is nothing similar to INR blood test to check rivaroxaban’s effect related to blood clotting.
There are some who do not prefer constant monitoring and for them rivaroxaban is suggestive. But for others who prefer to reassure their bleeding risks, warfarin is recommended. Before taking rivaroxaban it is important to understand the bleeding symptoms. The bleeding symptoms are not obvious, especially internal bleeding. Therefore, it is important to learn what it means. Those looking for rivaroxaban because of a recent hip replacement or knee surgery have to check for blood flowing from the dressing once the operation is done. A little seepage though is quite normal but if the bleeding is excessive it is important to check with your doctor.
Bleeding signs and symptoms
The common bleeding, signs and symptoms include, long time to heal a wound, red urine, black bowels, bleeding nose, swallowing and breathing trouble, coughing with blood, heavy bleeding during menstruation, sudden bleeding from wounds and cuts, blood stained vomit, severe headaches, shocks, fatigue and swelling. Report any injury to your doctor immediately. Some other side effects include nauseas, tiredness and dizziness.
What to avoid before taking rivaroxaban?
Rivaroxaban should be avoided if you have allergic reactions like breathing disorders, swelling in the face, lips and tongue, rashes or hives on the skin. The medicine should be discontinued if the bleeding is excessive or if there is an increased risk of bleeding. People with liver disease those results in heavy bleeding and those with poor kidney functions. The medicine has to be stopped when taking medicines for fungal infection like itraconazole or ketoconazole. Do take the drug when you are taking medicines for viral infection like AIDS or HIV. Also avoid the medicine if you were bleeding in the brain during the past 6 months.
The medicine has to be discontinued during pregnancy and breastfeeding. Also, while using rivaroxaban ensure a suitable contraceptive is used. Since the medicine passes through the breast milk, avoid rivaroxaban when feeding the infant. The medicine is not recommended for children below the age of 18 years. Medicines crossing the expiry date have to be discarded safely. Never use medicines that were tampered or if the package is damaged.
If you have any of the below medical conditions inform your doctor immediately:
· Kidney disease
· Liver disease
· Bleeding disorder
· High blood pressure
· Active ulcer
· Problem with blood vessels in the eye
· Bleeding in the brain in the recent past
· Operation of the brain
· Spinal or eye surgery
· Abnormalities in the spine or brain
Consult your doctor before taking rivaroxaban. In some cases a closer observation is needed to prevent risk to life.