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RIVAred 20mg Tablet

Rivaroxaban (20mg)
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RIVAred 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.

Written By Dr. Syeda Aafia, MBA, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 09 Mar 2026 | 10:46 AM (IST)
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General Information

The content is shown in English
RIVAred 20mg Tablet image
RIVAred 20mg Tablet image
RIVAred 20mg Tablet image
RIVAred 20mg Tablet image

Product introduction

RIVAred 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 RIVAred 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 RIVAred Tablet

  • Treatment and prevention of Blood clots

Benefits of RIVAred Tablet

Treatment and prevention of Blood clots
RIVAred 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.
RIVAred 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 RIVAred 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 RIVAred
  • Bleeding

How to use RIVAred 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. RIVAred 20mg Tablet may be taken with or without food.

How RIVAred Tablet works

RIVAred 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.

Quick tips

  • For best results, take RIVAred 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 RIVAred 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. 

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with RIVAred 20mg Tablet. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of RIVAred 20mg Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
RIVAred 20mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.
Driving

Driving

CONSULT YOUR DOCTOR
It is not known whether RIVAred 20mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.
Kidney

Kidney

CAUTION
RIVAred 20mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Liver

Liver

UNSAFE
RIVAred 20mg Tablet is unsafe to use in patients with liver disease and should be avoided.

Interaction with drugs

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

Apixaban (Oral Route)

Do not consume Apixaban with Rivaroxaban. If concurrent use is essential, watch out for bleeding and consult your doctor immediately. They may adjust the dose of Rivaroxaban accordingly.
Severe

Tepotinib (Oral Route)

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

Bevacizumab (Injection Route)

If concurrent use is essential, watch out for bleeding and consult your doctor immediately.
Moderate

Enzalutamide (Oral Route)

Do not consume Rivaroxaban and Enzalutamide. If concurrent use is essential, watch out for bleeding and consult your doctor immediately. Enzalutamide may reduce blood levels and efficacy of Rivaroxaban.
Moderate

Abciximab (Injection Route)

Talk to your doctor if you notice any unusual symptoms.

Frequently asked questions

The most common side effects of RIVAred 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 RIVAred 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.
Yes, RIVAred 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.
RIVAred 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 RIVAred 20mg Tablet may cause serious bleeding which may be dangerous and may need urgent medical attention. This risk may be higher in people taking RIVAred 20mg Tablet along with other blood thinning medications. Contact your doctor if you notice even minor bleeding.
Avoid taking grapefruit and grapefruit juice while taking RIVAred 20mg Tablet. The reason being, grapefruit contains compounds that slow down the metabolism of RIVAred 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 RIVAred 20mg Tablet.

Fact Box

Chemical Class

Phenylmorpholines

Habit Forming

No

Therapeutic Class

BLOOD RELATED

Action Class

Oral Factor Xa Inhibitors

References

  1. 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.
  2. 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.
  3. Rivaroxaban. Gurabo, Puerto Rico: Janssen Ortho, LLC; 2014. [Accessed 20 Mar. 2019] (online) Available from:
  4. 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:
  5. Central Drugs Standard Control Organisation (CDSCO). Rivaroxaban. [Accessed 19 Mar. 2019] (online) Available from:
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Disclaimer

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.

Marketer details

Name: Dr Reddy's Laboratories Ltd
Address: Dr. Reddy's Laboratories Ltd., Village Malpur, P.O.Bhud, Baddi, Dist. Solan, H.P.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver RIVAred 20mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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