Rivalet 20mg Tablet is a medicine known as an anticoagulant or blood thinner. It helps prevent and treat blood clots. It is used to reduce the risk of stroke and heart attack. It prevents and treats clot formation in the veins of your legs, lungs, brain and heart.

Rivalet 20mg Tablet is commonly used in patients with irregular heart rhythm (atrial fibrillation) to prevent clot formation. It also reduces the risk of getting clots in people who have undergone knee or hip replacement surgeries. It may be taken with or without food. Take it at the same time each day for maximum benefits. You may need to take this medicine for many years, even for life in some cases. Do not stop taking it or change the dose without guidance from your doctor. It could quickly put you more at risk of having a heart attack, stroke, or thrombosis (formation of a blood clot within a blood vessel). You can reduce your risk of having a blood clot by making changes to your lifestyle, such as not smoking, eating a healthy diet, getting regular exercise, and losing weight if you need to.

The most common side effect of Rivalet 20mg Tablet is bleeding more easily than normal, for example, having nosebleeds or bruising. If you experience any symptoms, tell your doctor immediately. Do not take this medicine if you have severe kidney or liver problems, if you are currently bleeding or if you are taking other medicines to reduce blood clotting. You should not breastfeed while using this medicine. Unlike other anticoagulants, a regular blood test (PT-INR) is not required while taking this medicine.

Uses of Rivalet Tablet

Treatment and prevention of Blood clots

Benefits of Rivalet Tablet

In Treatment and prevention of Blood clots

Rivalet 20mg Tablet is a type of medicine known as an anticoagulant. Although it does not “dissolve” blood clots, it can prevent them from getting bigger so your body can dissolve them over time. It will also prevent new ones from forming. It works by blocking a substance in the body which is involved in blood clotting. This keeps your blood flowing freely around your body and makes it less likely that a clot will form inside a blood vessel.
Rivalet 20mg Tablet can help prevent or reduce damage caused by stroke, clots in your lungs (pulmonary embolism) or other blood vessels (thrombosis). It can also make it less likely that parts of a clot will break off and travel to other parts of the body. You should take it regularly and make appropriate lifestyle changes to help this medicine be effective.

Side effects of Rivalet Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Rivalet

Bleeding

How to use Rivalet Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Rivalet 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Rivalet Tablet works

Rivalet 20mg Tablet is a novel oral anticoagulant (NOAC). It works by stopping a clotting factor called factor Xa from working. This helps prevent the formation of blood clots in the body.

Safety advice

Alcohol

CAUTION

Caution is advised when consuming alcohol with Rivalet 20mg Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Rivalet 20mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Rivalet 20mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Rivalet 20mg Tablet may cause side effects which could affect your ability to drive.
Rivalet 20mg Tablet may cause dizziness or fainting. This may affect your driving ability.

Kidney

CAUTION

Rivalet 20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Rivalet 20mg Tablet may be needed. Please consult your doctor.
Use of Rivalet 20mg Tablet is not recommended in patients with severe kidney disease.

Liver

UNSAFE

Rivalet 20mg Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.

What if you forget to take Rivalet Tablet?

If you miss a dose of Rivalet 20mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Rivalet 20mg Tablet

₹24.2/Tablet

Rivalto 20mg Tablet

Eris Lifesciences Ltd

₹19.36/tablet

20% cheaper

Xarelto 20mg Tablet

Bayer Zydus Pharma Pvt Ltd

₹73.57/tablet

204% costlier

Rivaban 20mg Tablet

Shinto Organics (P) Limited

₹21.4/tablet

12% cheaper

Viklot 20 Tablet

Hetero Healthcare Limited

₹21.38/tablet

12% cheaper

Rebless 20mg Tablet

Mankind Pharma Ltd

₹20/tablet

17% cheaper

View all substitutes

Quick tips

For best results, take Rivalet 20mg Tablet at the same time every day. It is better to take at night with meals.
It interacts less with food or other medicines. Hence, frequent dose changes are not required.
It increases your risk of bleeding. Be careful while shaving, cutting fingernails or toenails, using sharp objects or engaging in contact sports (e.g. football, wrestling).
It may cause dizziness. Avoid driving or activity requiring mental focus until you know how it affects you.
If you are going to have a surgery or dental treatment, you may be asked to stop taking Rivalet 20mg Tablet temporarily.
Notify your doctor if you have any kidney problem.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
Do not stop taking medication without talking to your doctor.

Fact Box

Chemical Class

Morpholine & thiophene derivative

Habit Forming

Therapeutic Class

BLOOD RELATED

Action Class

Oral Factor Xa Inhibitors

Interaction with drugs

Taking Rivalet with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Tepotinib (Oral Route) Severe

Tepotinib may raise blood levels of Rivaroxaban. Do not consume Tepotinib with Rivaroxaban. If concurrent use is essential, please consult your doctor.

Apixaban (Oral Route) Severe

Concurrent use may increase the risk of bleeding. Do not consume Apixaban with Rivaroxaban. If concurrent use is essential, watch out for bleeding and consult your doctor immediat... More

Abciximab (Injection Route) Moderate

Concurrent use may increase the risk of bleeding. Talk to your doctor if you notice any unusual symptoms.

Aceclofenac (Injection Route) Moderate

Concurrent use may increase the risk of bleeding. watch out for bleeding and symptoms of Rivaroxaban side effects such as nausea, vomiting, headache, body ache or weakness and imm... More

Aceclofenac (Oral Route) Moderate

Concurrent use may increase the risk of bleeding. watch out for bleeding and symptoms of Rivaroxaban side effects such as nausea, vomiting, headache, body ache or weakness and imm... More

View all drug interactions

Patient concerns

My father in law is being admitted in hospital due to blood clot in brain. His right leg and arm seems to be paralysed. Doctors in the hospital not briefing us on the problem exactly. Need your second opinion. His age is 67. Having Smoking habit.

Dr. Sunil Sekhri

Diabetology

There are blood clots in the brain arteries

In 3 months pregnancy some blood clots have came

Dr. Dharna Gupta

Obstetrics and Gynaecology

Get an USG done urgently

I was pregnant in January. I was feeling all symptoms of being pregnant. When I was undergone SCG test, It was negative. Even my blood report also shows absence of HCG. As I am feeling pregnancy symptoms, I continued to do HCG tests for 3 .5months. During this tenure, I had almost no monthly periods.(only sometimes spots seen). I consulted Gynaecologist for this problems. I had undergone sonography test two times. It was showing some blood clots. Doctor suggested to do Anti Mullerian hormone test for uneven/ stopped period for long time. He also gave tablets for period which was consumed by me and I had period for four days in first week of April. AMH test showed worrying result. It was showing value- 0.7. A lower normal range is 0.7 to .0.9. Doctor suggested to complete three month course of OVARUS (75mg) tables. Is there any worries about lower AMH ? What is the reason for this problem? I have thyroid problem and I am taking Eltroxine 100mg since last 7 years.

Dr. Sonu Balhara Ahlawat

Obstetrics and Gynaecology

Yes low amh shows poor ovarian reserve and it indicates that u should try for pregnancy soon

She is my mother. She is having blood clots in legs as well as arms. These clot does not give any pain. But these also don't vanishes. Please provide me some information what can I do to remove these. She also have blood pressure problem. Please provide remedy for that too. She is afraid of going to doctor. That's why I am asking here. Hope, I will get useful response Thank u

Dr. Deepak Kumar Soni

Ayurveda

Hi kindly need to consult face to face so once consult to your nearest doctor

My penis has some bent to left side when irrected time.I googled that,see there blood clots inside the penis.if any medicine can cure it.? And my penis is around 4 inches.How can increase my penis ?

Dr. Shyam Gupta

Obstetrics and Gynaecology

Hello Anu. Slight curve is natural if you don't have pain during sex. Welcome to 1mg. There are several pills cream and pump are marketed you can choose anyone but none of them are proved to be 100%. Personally I suggest you that you try those things but don't depend on or also don't get disappointed. Size of penis has no role in organ of female. Orgasm of female depends on your foreplay and smart act and attachments. So be confident and stop worry about small penis size. If your penis is more that 5 inch erect then it is sufficient. Stop smoking, reduce belly fat, shave pubic hair, take antioxidant, exercise pelvic floor,take multivitamins containing ginseng and arginine.Here I mentioned some of herbal pills choice is yours: opti-men multivitamin etc

FAQs

What are the side effects of Rivalet 20mg Tablet?

The most common side effects of Rivalet 20mg Tablet include long or excessive bleeding, breathlessness (which may be a sign of bleeding), exceptional weakness, tiredness, paleness, dizziness, headache, and unexplained swelling. Other side effects can be severe skin and allergic reactions, bruising, coughing up blood, bleeding from the skin or under the skin, and swelling and pain in the limbs. Using Rivalet 20mg Tablet may increase the bilirubin and decrease the number of platelets. Some people may experience fainting episodes, faster heartbeat, and dry mouth. In case you notice any side effects, immediately contact your doctor.

Is Rivalet 20mg Tablet a blood thinner?

Yes, Rivalet 20mg Tablet is a blood thinner. It is a medication that prevents the blood from clotting within the blood vessels. It also prevents the blood clots from recurring in the blood vessels. It may be prescribed to treat blood clots in the veins of the legs and in the blood vessels of the lungs.

Is Rivalet 20mg Tablet dangerous?

Rivalet 20mg Tablet has numerous beneficial effects, but it has a tendency to make you bleed more than normal come even with minor injuries as it reduces your blood’s clotting ability. Sometimes Rivalet 20mg Tablet may cause serious bleeding which may be dangerous and may need urgent medical attention. This risk may be higher in people taking Rivalet 20mg Tablet along with other blood thinning medications. Contact your doctor if you notice even minor bleeding.

What foods should you avoid if you are on blood thinners?

Avoid taking grapefruit and grapefruit juice while taking Rivalet 20mg Tablet. The reason being, grapefruit contains compounds that slow down the metabolism of Rivalet 20mg Tablet and increase the activity leading to bleeding. On the other hand, if you are taking some other blood thinner like warfarin, you should avoid taking any food that increases the activity of vitamin K or increases the clotting of blood. Such food items may include spinach, brussels, sprouts, mustard greens, broccoli, asparagus and green tea. However, the use of these food items is not restricted with Rivalet 20mg Tablet.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Fox KA, White HD, Gersh BJ, et al. Antithrombotic Agents: Platelete Inhibitors, Acute Anticoagulants, Fibrinolytics, and Chronic Anticoagulants. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 365-66.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1228.
Rivaroxaban. Gurabo, Puerto Rico: Janssen Ortho, LLC; 2014. [Accessed 20 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Rivaroxaban. [Updated 2020 Jan 20]. [Accessed 19 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). Rivaroxaban. [Accessed 19 Mar. 2019] (online) Available from:
CiplaMed. Rivaroxaban [Prescribing Information]. [31 Oct. 2020]. [Accessed 06 Aug. 2023] (online) Available from:

Marketer details

Name: Innovative Pharmaceuticals

Address: 501, Pearl Arcade, J.P.Road, Andheri (West), Mumbai-58, (Mahrashtra) INDIA

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.