Rivaroxaban as a new oral anticoagulant has been widely used in the prevention and treatment of venous thromboembolic diseases. What should we pay attention to when taking rivaroxaban?
Unlike warfarin, rivaroxaban does not need to monitor coagulation parameters. At the same time, the change of renal function should be followed up regularly to facilitate the doctor to comprehensively evaluate your condition and determine the next treatment strategy.
What should I do if I find something missing?
If one dose is missed, the next dose does not need to be doubled. It can be taken within 12 hours after missed taking. If more than 12 hours, no need to take, according to the original plan to take the next medicine.
During the course of medication, there may be insufficient or excessive anticoagulation. What are the specific manifestations?
If anticoagulation is insufficient, it may lead to increased risk of thrombosis. If you have the following symptoms during medication, you should go to the nearby hospital for examination immediately--
1) Face: facial numbness, asymmetry, or mouth askew
2) Limbs: numbness of upper limbs, unable to hold hands flat for 10 seconds
3) Speech: vagueness and difficulty
4) New onset of dyspnea or chest pain
5) Vision loss or blindness
What are the manifestations of anticoagulant overdose?
If the anticoagulation is excessive, it is easy to cause bleeding. Therefore, during the administration of rivaroxaban, bleeding needs to be monitored. For slight bleeding, such as gingival bleeding when brushing teeth, bleeding points after skin bumping, it is not necessary to stop or reduce the drug immediately, and strengthen the monitoring. Slight, small amount of bleeding, self recovery, general effect is not big. For severe bleeding, such as bleeding in stool and urine or sudden headache, nausea, vomiting, dizziness, etc., the harm is relatively serious, should immediately go to the nearby hospital for examination.
Slight bleeding: increased skin bruises or bleeding points, gingival bleeding, nosebleed, conjunctival bleeding, prolonged menstrual bleeding time;
Severe bleeding: red or dark brown urine, red or black tarry stool, abdominal swelling and edema, hematemesis or hemoptysis, severe headache or stomachache;
What problems should we pay attention to in the process of taking medicine?
Patients taking rivaroxaban should quit smoking and avoid drinking alcohol. Smoking or drinking alcohol will affect the anticoagulant effect. It is recommended that you use a soft toothbrush or dental floss to clean your teeth. It is better for men to use an electric razor when shaving than a manual razor. Taking rivaroxaban can carry out proper exercise, such as walking and swimming, but it is not suitable for strenuous exercise to avoid overwork.
In addition, what drug interactions should we pay attention to during medication?
Rivaroxaban has little interaction with other drugs, but in order to reduce the risk of medication, please inform your doctor of all other drugs you use. If you are taking or plan to take the following drugs and need to adjust the dosage of anticoagulants, please inform your doctor in time.
Can rivaroxaban be used for other tests?
During the period of taking anticoagulant drugs, I plan to have tooth extraction, gastroscopy, fiberoptic bronchoscopy, etc. Please explain to the doctor that you are using anticoagulant drugs.
Tips
1. Insist on medication at a fixed time every day
2. It can be taken within 12 hours
3. If cerebral infarction or more serious bleeding occurs during taking, seek medical advice in time
4. Inform the physician if additional medication or invasive examination is required
5. Do not change the drug varieties and adjust the dosage at will
