Xarelto

Xarelto (rivaroxaban) is a prescription anticoagulant (blood thinner). It is a selective inhibitor of Factor Xa, an enzyme key to the blood clotting cascade. By blocking Factor Xa, Xarelto decreases circulating thrombin levels and reduces the risk of clot formation. In adults, it is commonly prescribed as a once- or twice-daily tablet depending on the indication.

Dosage by Body Weight

For adults, dosage varies widely based on indication: 2.5 mg twice daily (with or without food) for CAD/PAD risk reduction, 10 mg once daily (with or without food) for DVT/PE prophylaxis, or 15 mg to 20 mg once daily (must be taken with food) for treatment of active DVT/PE or non-valvular atrial fibrillation. Pediatric dosing is based on body weight and uses either tablets or granules for oral suspension. Always follow a healthcare provider's precise instructions.

  1. Body Weight
    Below 5 kg
    Dose
    0.8 mg
    Frequency
    Three times daily
    Tracking Notes
    Indicated only for pediatric VTE treatment for infants weighing 3 to < 5 kg. Must be administered as oral suspension with feeding or shortly after. Not recommended for infants under 3 kg.
  2. Body Weight
    5-7 kg
    Dose
    1.2 mg
    Frequency
    Three times daily
    Tracking Notes
    For pediatric VTE treatment (specifically 5 to < 7 kg). Administer as oral suspension with feeding or shortly after.
  3. Body Weight
    8-10 kg
    Dose
    1.6 mg
    Frequency
    Three times daily
    Tracking Notes
    For pediatric VTE treatment (specifically 7 to < 10 kg). Administer as oral suspension with feeding or shortly after.
  4. Body Weight
    11-15 kg
    Dose
    2.0 mg to 2.5 mg
    Frequency
    Three times daily
    Tracking Notes
    For pediatric VTE treatment. Dose is 2.0 mg three times daily for weights 10 to < 12 kg, and 2.5 mg three times daily for weights 12 to < 15 kg. Administer with food/feeding.
  5. Body Weight
    16-20 kg
    Dose
    5.0 mg
    Frequency
    Twice daily
    Tracking Notes
    For pediatric VTE treatment. Dose applies to the 15 to < 30 kg weight bracket. Administer with food.

Formulation

TabletOral Suspension

Purpose

Used to prevent and treat blood clots (such as deep vein thrombosis and pulmonary embolism) and to reduce the risk of stroke and systemic embolism in patients with non-valvular atrial fibrillation. It is also used to reduce the risk of major cardiovascular events in patients with chronic coronary or peripheral artery disease.

Generic Name

Rivaroxaban

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.