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Anyone know the medication Rivaroxoban? [title edited by MNHQ to reflect OPs update]

47 replies

back123456 · 28/09/2021 17:52

Hi just that.

Thanks.

OP posts:
back123456 · 28/09/2021 18:22

With my autism I need to be told directly. My packet says "Take one daily with a meal" I thought most medications say that.

The website above says..

Rivaroxaban (Xareltoâ–¼): reminder that 15 mg and 20 mg tablets should be taken with food
MHRA has received a small number of reports suggesting lack of efficacy (thromboembolic events) in patients taking 15 mg or 20 mg rivaroxaban on an empty stomach; remind patients to take 15 mg or 20 mg rivaroxaban tablets with food.

To be that's different it means if I don't have food with it it won't work.

This is why I'm on pip I can't work and don't understand instructions unless told verbally.

OP posts:
ChequerBoard · 28/09/2021 18:28

"This is why I'm on pip I can't work and don't understand instructions unless told verbally."

Then I'm not sure how any words written by posters on an Internet forum can help you?

The tablets should be taken with food. People who have taken them without food have reported that they don't work as well. Therefore take the tablet with food.

Almostascot · 28/09/2021 19:15

Not all medications say ‘take with food‘. Some it doesn’t matter so the label won’t say anything about meals/food. Some should be taken with food usually either because it reduces side effects or make it work more efficiently. Some need to be taken on an empty stomach and it will say that on the label too.

Basically if it says it on the label you should do it. And if you can’t then speak to a HCP to find out how important that instruction is. For Rivaroxaban it is very important as explained in the link.

Most people find it easier to take medication with food as it is easier to work into a routine. For example keep the tablets (or put a note to remind you if that’s more appropriate) in the cutlery drawer or beside the plates etc.

And just to be clear if you have symptoms of a blood clot you need to go to A&E.

Interested in this thread?

Then you might like threads about this subject:

britnay · 28/09/2021 19:16

@back123456

With my autism I need to be told directly. My packet says "Take one daily with a meal" I thought most medications say that.

The website above says..

Rivaroxaban (Xareltoâ–¼): reminder that 15 mg and 20 mg tablets should be taken with food
MHRA has received a small number of reports suggesting lack of efficacy (thromboembolic events) in patients taking 15 mg or 20 mg rivaroxaban on an empty stomach; remind patients to take 15 mg or 20 mg rivaroxaban tablets with food.

To be that's different it means if I don't have food with it it won't work.

This is why I'm on pip I can't work and don't understand instructions unless told verbally.

If you can't understand instructions without them being verbal, please tell the pharmacy that dispense your medication. They can then put a popup note on their system that reminds them of this.
MyCatDribbles · 28/09/2021 19:20

Bit concerned that the first few posts said rivaroxaban is an antibiotic / used to treat infections

Just shows you have to be careful what you read on here when asking for medical advice!

Almostascot · 28/09/2021 19:21

^^ This

I was just about to add this and britnay beat me to it Grin

ChequerBoard · 28/09/2021 19:22

@MyCatDribbles

Bit concerned that the first few posts said rivaroxaban is an antibiotic / used to treat infections

Just shows you have to be careful what you read on here when asking for medical advice!

The OP had said Amoxicillin in the title and the first post. It's been edited by nam an since.

Almostascot · 28/09/2021 19:23

@MyCatDribbles

Bit concerned that the first few posts said rivaroxaban is an antibiotic / used to treat infections

Just shows you have to be careful what you read on here when asking for medical advice!

The post originally said amoxicillin and was changed by mumsnet as it was a mistake.
MyCatDribbles · 28/09/2021 19:25

Ahhhh I see!!! Understood!

SpikeDearheart · 28/09/2021 19:26

@MyCatDribbles

Bit concerned that the first few posts said rivaroxaban is an antibiotic / used to treat infections

Just shows you have to be careful what you read on here when asking for medical advice!

That's because OP's post originally said amoxicillin - she put the wrong drug by accident and MNHQ edited it for her.
SpikeDearheart · 28/09/2021 19:27

Sorry @MyCatDribbles, so many posts saying the same thing there!

endofagain · 28/09/2021 19:30

Horrified to see people saying it is an antibiotic.
Rivaroxaban is an Anticoagulant.
You take it once daily at the same time, it must be within 2 hours of this time. It does not work properly if you dont take it with food, but a couple of biscuits will do.
Some people can't tolerate it but there are several other suitable choices.
If you have a history/ risk of venous thrombo embolism you must not stop taking your anticoagulant, you need to get medical advice and change your medication
Apixaban is often considered as a suitable alternative.

endofagain · 28/09/2021 19:31

Oh, now I see the OP put the wrong drug initially.

Frederik33 · 28/09/2021 19:32

Yes op it's an anticoagulant to try and prevent blood clots.

Doctors are trying to stop using wayfarin fir people prone to blood clots and put them on the newer style drugs. Rivoroxaban is one of these newer style drugs.

You should take it as prescribed. I don't knowbif you've been able to read the advice leaflet that comes with your tablets but if not get a pharmacist to explain it to you, especially the bit which says "Contraindication."

Then go from there. Hopefully it will be OK for you to take. If so start taking them. Follow the instructions on the front of the box of tablets

Hope this is clear.

Frederik33 · 28/09/2021 19:33

Sorry that was meant to say wayfaring in my last post

Frederik33 · 28/09/2021 19:33

Stupid phone WARFARIN sorry

endofagain · 28/09/2021 19:35

If you arent taking food with it OP, it might not be working. Please get medical advice asap. There are other options.

WiseUpJanetWeiss · 28/09/2021 19:44

OP. You should take your rivaroxaban with food. This is because it might not be absorbed properly if you take it on an empty stomach.

Medicines are labelled with instructions if the instructions are important. If it doesn’t matter when they are taken it just won’t say anything.

If you have DVT symptoms again it really doesn’t matter whether or not you’ve been taking the rivaroxaban properly. You need to be seen again. You don’t even need to tell them that you might not have always taken it with food. Do say if they ask, but the really important piece of information is that you may have another DVT.

They’ll want to see you. Please go back to A&E or phone 111. Just say you’re being treated for a previous DVT and the symptoms have come back.

back123456 · 28/09/2021 21:36

Hi thanks all.

Sorry for the confusion too.

These were prescribed by the hospital and then I ordered my second lot online so I've not seen a pharmacist. Although on the packet it does say to eat with a meal.

I'm so angry at myself for not taking them properly and now I may be back to square one.

OP posts:
Flup · 28/09/2021 21:44

DH takes it. He keeps them on the table so he remembers to take with evening meal.
If it's important that a drugis taken with food it will usually be written on the external sticker along with dose.
Just start now. These wear off after 24 hours so presumably you are ok and can take correctly in future.

WiseUpJanetWeiss · 29/09/2021 10:17

@back123456

Hi thanks all.

Sorry for the confusion too.

These were prescribed by the hospital and then I ordered my second lot online so I've not seen a pharmacist. Although on the packet it does say to eat with a meal.

I'm so angry at myself for not taking them properly and now I may be back to square one.

Are you still having symptoms?
ChequerBoard · 29/09/2021 10:19

@back123456

Hi thanks all.

Sorry for the confusion too.

These were prescribed by the hospital and then I ordered my second lot online so I've not seen a pharmacist. Although on the packet it does say to eat with a meal.

I'm so angry at myself for not taking them properly and now I may be back to square one.

When you say you ordered the second lot online, what do you mean? Do you mean you ordered them as a repeat prescription via your GP or do you mean you went and bought them from some website?

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