RIVAROXABAN 15mg (With a Meal)

[Hugo40]

I have Been taking RIVAROXABAN for approx 6 weeks WITH a MEAL at Mid-Day.

I want to change the dosage time to 6/7 PM. As its easier to comply with.

Can I ask for suggestions as to what time increment per Day dosage time should be changed by.

I understand that any suggestions are not professional advice and are just opinions.

Thanks in advance.

Hugo40

[Hidden]

I have twice asked about taking Rivaroxaban and the timing - and got a variety of suggestions about changing the meal it's taken with. Certainly taking it with a meal is essential.

See healthunlocked.com/afassoci... and healthunlocked.com/afassoci...

The first is more relevant.

[Hidden]

I would change it an hour each day, take a snack with it. This is probably overkill as I usually take mine at 5-6 pm but have forgotton a few times and took it at bedtime.

[Hidden]

this is from xarelto( rivaroxaban) website:

How should I take XARELTO?

• Take XARELTO exactly as prescribed by your doctor.

• Do not change your dose or stop taking XARELTO unless your doctor tells you to.

• Your doctor may change your dose if needed.

• If you take XARELTO for:

° atrial fibrillation that is not caused by a heart valve problem:

 Take XARELTO 1 time a day with your evening meal.

 If you miss a dose of XARELTO, take it as soon as you remember on the same day. Take your next dose at your

regularly scheduled time.

° blood clots in the veins of your legs or lungs:

 Take XARELTO 1 or 2 times a day as prescribed by your doctor.

 For the 15 mg and 20 mg doses, XARELTO should be taken with food.

 For the 10 mg dose, XARELTO may be taken with or without food.

 Take your XARELTO doses at the same time each day.

 If you miss a dose:

Ø If you take the 15 mg dose of XARELTO 2 times a day (a total of 30 mg of XARELTO in 1 day): Take XARELTO as soon as you remember on the same day. You may take 2 doses at the same time to make up for the missed dose. Take your next dose at your regularly scheduled time.

Ø If you take XARELTO 1 time a day: Take XARELTO as soon as you remember on the same day. Take your next dose at your regularly scheduled time.

[Hugo40 in reply to Hidden]

Thanks Hoski,

I'm not so used to Anticoagulant's yet, to be relaxed about them.

Hence, I try to be exacting..

Thanks for your experience and extract from the Website.

Hugo40

[BobD Volunteer]

It is important to eat a proper meal with some fat I think from memory so it is difficult to see how you can change gradually. I would probably never have started from there myself as my lunch is always a snack and main meal in the evening anyway. I doubt anything terrible would happen in five to six hours anyway but why not just ask your pharmacist if you are worried?

[Hugo40 in reply to BobD]

Thanks BobD. I am very active each and every day. So, with hindsight I would not start from where I am now. It was a new scene for me and I was already taking Asprin & Clopidogrel as an after Stint med. Rightly Wrongly I wanted to leave a time break between them & the Rivaroxaban.

Hugo40

[BobD Volunteer in reply to Hugo40]

I take all my daily meds with evening meal and have done for the last 15 years. Only things needed more than once a day excepted.

[cassie46]

I take Rivaroxaban and take it with my evening meal. I have forgotten a few times and taken it 4/5 hours later (been on it for 5 years) forgotten once completely and the other day could not remember if I had taken after my meal so took another one (I am now sure I did take the first one) so double dose. I really must sort myself out with a daily pill box lol If it were me I would not mess about with gradually adjusting it, just stop the lunchtime dose and take it that evening. As above post with details of the instructions it states if you forget a dose take it as soon as you remember, so I think it should be okay, it will only be 4/5 hours.

Cassie

[Mary-miles in reply to cassie46]

I agree with Cassie and have done some of the same things.Life gets in the way and unless you always carry it with you at all times you may eat your evening meal unexpectantly at a restaurant and it may be several hours before you can get home to take it.I keep a few in a pill case in my purse .Oh man I changed purses and forgot.LOL This is only in reference for talking the drug for stroke prevention for AF .For a DVT talk to the pharmacist.

[sleeksheep]

When I have been going for an Operation in Hospital they have said stop 24 hrs before and with groin surgery 48 hrs ( their being ultra cautious ). 20mg daily dose.

It seems to have quite a long half life.

So I would just change , I take mine with breakfast as I have porridge and milk.

My Dr. wasnt worried about timing but I,m not taking it for clots in the leg.

[Cally53]

I take mine at breakfast, I always have cereal (unless I stay in a hotel, then it's a full English). My doctor was ok with that.

[Tapanac]

I used to take my rivaroxaban as I don’t eat breakfast (I know....but never have done) so started to take it with a sandwich lunch, but if I was out and about or with the grandchildren etc, it wasn’t always possible. Then I had a spell in hospital with Afib and went in during the night and the hospital changed my rivaroxaban to the evening meal that first day. Personally I would just maybe, say, today have your lunch a bit later with the pill and just swap to evening tomorrow if you would feel happier doing that, but I would just swap. Good luck.

[Ellembee]

The half life is such that you will still be anti-coagulated if you just change your dose one day to the evening meal instead of lunch.

[ijan]

When my medication time needed to be moved to dovetail with an ablation the arrhythmia nurse sugessted moving the dosage time forward by an hour a day- still needed to be taked with food though,,,,,,,,, I'm about to have a joint replacement and my orthopaedic surgeon insisted I stop the rivaroxaban 7 days before the proceedure!