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Rivaroxaban inhibits both free and bound Factor Xa in the prothrombinase complex. [33] It is a selective direct factor Xa inhibitor with an onset of action of 2.5 to 4 hours. [ 34 ] Inhibition of Factor Xa interrupts the intrinsic and extrinsic pathway of the blood coagulation cascade , inhibiting both thrombin formation and development of thrombi.
Xarelto oral tablets range in strength from 2.5 mg, 10 mg, 15 mg, to 20 mg. When is Xarelto prescribed? Doctors may prescribe Xarelto or other blood thinners to a person with a history of blood ...
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Side effects may include bleeding, most commonly from the nose, gastrointestinal tract (GI) or genitourinary system. [2] Compared to the risk of bleeding with warfarin use, direct factor Xa inhibitors have a higher risk of GI bleeding, but lower risk of bleeding in the brain. [2]
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