Rivaban 15 Mg Tablet (10 Tab)

RIVABAN 15 MG TABLET by LUPIN LTD.

Name

• Brand Name: Rivaban 15 Tablet
• Common Name: Rivaroxaban (active ingredient)

Composition

Each tablet contains 15 mg of Rivaroxaban.

Uses

Rivaban 15 Tablet is an anticoagulant, commonly known as a blood thinner, used to prevent and treat blood clots. It is prescribed for:

• Preventing stroke and systemic embolism in adults with non-valvular atrial fibrillation (irregular heartbeat).
• Treatment and prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE).
• Preventing venous thromboembolism (VTE) in patients undergoing hip or knee replacement surgery.
• Reducing the risk of major cardiovascular events in patients with coronary artery disease (CAD) or peripheral artery disease (PAD) when co-administered with aspirin alone or aspirin plus clopidogrel or ticlopidine.

Dosage and Administration

Rivaban 15 Tablet is taken orally, typically once daily. For doses of 15 mg or more, it is recommended to take it with food. It should be taken at approximately the same time each day for maximum benefit.

• For treatment of DVT/PE: The recommended dose is often 15 mg twice a day for the first 3 weeks. After this initial period, the dosage may be adjusted by the doctor, typically to a lower dose for continued treatment.
• Do not stop taking or change the dose without guidance from your doctor.

Side Effects

Common side effects may include:

• Bleeding (e.g., nosebleeds, bleeding gums, gastrointestinal bleeding, heavy menstrual bleeding, bruising)
• Nausea, vomiting, diarrhea, constipation
• Dizziness, headache, fatigue
• Anemia (low red blood cell count)
• Pain and swelling in the limbs

Serious side effects, though less common, can include severe bleeding, impaired kidney function, and liver issues.

Precautions

• Bleeding Risk: Rivaban 15 Tablet increases the risk of bleeding. Use with caution, especially when combined with other medications that affect blood clotting, such as antiplatelet agents (e.g., aspirin) or NSAIDs (e.g., ibuprofen).
• Pregnancy and Breastfeeding: It is contraindicated during pregnancy and generally considered unsafe during breastfeeding, as it may be harmful to the fetus or infant.
• Organ Impairment: Caution is advised in patients with kidney or liver disease.
• Surgery and Dental Procedures: Inform your doctor if you are scheduled for surgery or dental treatment, as temporary discontinuation of the medicine may be necessary.
• Alcohol: Limit or avoid alcohol consumption, as it can increase the risk of bleeding.
• Grapefruit: Avoid consuming grapefruit or grapefruit juice, as it can interact with rivaroxaban and increase the risk of bleeding.
• Contraindications: Do not use if you are allergic to rivaroxaban, have active pathological bleeding, severe liver disease, a bleeding disorder, stomach ulcer, brain injury, or have recently undergone brain or eye surgery.

Storage

Store Rivaban 15 Tablet at room temperature, below 30°C, in a cool and dry place. Protect it from light and moisture, and keep it out of the reach of children.

RIVABAN 15 MG TABLET (containing Rivaroxaban) is an anticoagulant medication primarily used to prevent and treat blood clots. Here are some frequently asked questions about this medicine:

What is RIVABAN 15 MG TABLET used for?

RIVABAN 15 MG TABLET is used to prevent and treat various blood clot conditions. These include deep vein thrombosis (DVT), which are blood clots in the leg veins, and pulmonary embolism (PE), which are blood clots in the lungs. It also helps reduce the risk of stroke and systemic embolism in adults with non-valvular atrial fibrillation (an irregular heartbeat). Additionally, it's prescribed to prevent blood clots after hip or knee replacement surgery and in certain children with congenital heart disease following a Fontan procedure.

How does RIVABAN 15 MG TABLET work?

RIVABAN 15 MG TABLET, containing the active ingredient Rivaroxaban, is a type of medicine called a Factor Xa inhibitor, which is an anticoagulant (blood thinner). It works by directly blocking Factor Xa, a crucial protein involved in the blood clotting process. By inhibiting this factor, it reduces the blood's ability to clot, thereby preventing harmful clots from forming or getting worse.

What is the usual dosage for RIVABAN 15 MG TABLET?

The dosage of RIVABAN 15 MG TABLET varies depending on the condition being treated. For the initial treatment of deep vein thrombosis (DVT) or pulmonary embolism (PE), adults may typically take 15 mg twice a day with food for the first 21 days. Following this, the dose may be reduced to 20 mg once a day, taken with food at the same time each day. For preventing stroke and blood clots in patients with non-valvular atrial fibrillation, the usual dose for adults is 20 mg once a day, taken with the evening meal; a lower dose of 15 mg once a day might be prescribed if you have kidney problems. Tablets of 15 mg and 20 mg should generally be taken with food to improve absorption.

What are the possible side effects of RIVABAN 15 MG TABLET?

The most common side effect of RIVABAN 15 MG TABLET is bleeding, which can manifest as nosebleeds, bleeding gums, heavier or prolonged menstrual periods, or easy bruising. Other common side effects may include tiredness, shortness of breath, pale skin (signs of anemia), dizziness, feeling sick (nausea), or vomiting. More serious bleeding can occur, including internal bleeding, which requires immediate medical attention.

Is RIVABAN 15 MG TABLET safe during pregnancy or breastfeeding?

RIVABAN 15 MG TABLET should generally be avoided during pregnancy. If you are pregnant, planning to become pregnant, or become pregnant while taking this medicine, you should speak to your doctor immediately, as you may need to switch to an alternative medication.

For breastfeeding mothers, taking Rivaroxaban may be considered, but data is limited. Very small amounts may pass into breast milk, and while side effects in the infant are unlikely, monitoring your baby for any possible side effects like unusual bruising or bleeding is important. Your doctor may recommend a different medicine with more established safety data during breastfeeding.

Can RIVABAN 15 MG TABLET be taken with other medications?

RIVABAN 15 MG TABLET can interact with several other medications, which may increase the risk of bleeding or reduce its effectiveness. It is crucial to inform your doctor about all prescription, over-the-counter medications, herbal remedies, and supplements you are taking. Medications that commonly interact include other blood thinners (e.g., warfarin, heparin), aspirin, non-steroidal anti-inflammatory drugs (NSAIDs like ibuprofen), certain antifungal medicines (e.g., fluconazole, itraconazole), some antibiotics (e.g., clarithromycin, erythromycin), medicines for HIV (e.g., ritonavir), and some anti-epileptic drugs (e.g., carbamazepine, phenytoin).

What precautions should be taken while on RIVABAN 15 MG TABLET?

It is very important not to stop taking RIVABAN 15 MG TABLET suddenly without consulting your doctor, as this can significantly increase your risk of blood clots or stroke. You should be careful to avoid situations that might cause injury or bleeding, such as rough sports. Always inform any healthcare professional, including doctors and dentists, that you are taking this medicine, especially before any surgery or dental procedures, as your dose may need to be adjusted or temporarily stopped. Regular check-ups and blood tests may be necessary to monitor your progress. It is also recommended to carry an anticoagulant alert card.

What happens if a dose of RIVABAN 15 MG TABLET is missed?

If you miss a dose of RIVABAN 15 MG TABLET, what you should do depends on your dosing schedule. If you are taking 15 mg twice daily and you remember on the same day, take the missed dose as soon as you can. You may even take two 15 mg tablets at the same time to ensure you get your daily doses. Then, continue with your regularly scheduled doses the next day. If you take the medicine once daily and miss a dose, take it as soon as you remember on the same day. If it's almost time for your next scheduled dose (e.g., less than 12 hours until the next dose), skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed once-daily dose.

How should RIVABAN 15 MG TABLET be stored?

RIVABAN 15 MG TABLET should be stored in its original packaging in a closed container at room temperature, away from excessive heat, moisture, and direct light. Do not freeze the tablets. Always keep this medicine and all other medications out of the sight and reach of children.