{"id":60451,"date":"2024-02-28T06:49:25","date_gmt":"2024-02-28T06:49:25","guid":{"rendered":"https:\/\/medsname.com\/xarelto-20\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"xarelto-20","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/xarelto-20\/","title":{"rendered":"Xarelto 20"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Xarelto 20?<\/h3>\n<p style=\"margin:0;\"><strong>Xarelto 20<\/strong> is 20 mg rivaroxaban tablets from Bayer &mdash; direct oral anticoagulant (DOAC) &mdash; direct factor Xa inhibitor. Rivaroxaban was introduced by Bayer in 2008 as <strong>Xarelto<\/strong> &mdash; the first oral direct factor Xa inhibitor. ROCKET-AF (2011) and EINSTEIN-DVT\/PE (2010) established non-inferiority to warfarin in AF and VTE. directly inhibits factor Xa, the central convergence point of intrinsic and extrinsic coagulation cascades, reducing thrombin generation. 5-13 hour half-life; renally and hepatically cleared. Dosing: <strong>Non-valvular AF:<\/strong> 20 mg once daily with food (15 mg if CrCl 15-50 mL\/min). <strong>DVT\/PE treatment:<\/strong> 15 mg twice daily for 3 weeks then 20 mg once daily. <strong>COMPASS vascular prophylaxis:<\/strong> 2.5 mg twice daily with aspirin 75-100 mg daily. Major bleeding ~3-5%\/year in AF; GI bleeding somewhat higher than warfarin. No routine monitoring unlike warfarin &mdash; a major practical advantage. Reversal with andexanet alfa (specific antidote) where available, or 4-factor prothrombin complex concentrate. Anticoagulant and antiplatelet selection is individualised to diagnosis, bleeding risk, renal function, and drug interactions. Specialist or family-physician supervision is standard.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Xarelto 20?<\/h2>\n<p>Xarelto 20 is 20 mg rivaroxaban tablets from Bayer, supplied in 14-112 tablets. Rivaroxaban was introduced by Bayer in 2008 as <strong>Xarelto<\/strong> &mdash; the first oral direct factor Xa inhibitor. ROCKET-AF (2011) and EINSTEIN-DVT\/PE (2010) established non-inferiority to warfarin in AF and VTE.<\/p>\n<h2 class=\"wp-block-heading\">How Rivaroxaban Works<\/h2>\n<p>Rivaroxaban directly inhibits factor Xa, the central convergence point of intrinsic and extrinsic coagulation cascades, reducing thrombin generation. 5-13 hour half-life; renally and hepatically cleared.<\/p>\n<h2 class=\"wp-block-heading\">Goedgekeurde Toepassingen<\/h2>\n<ul>\n<li><strong>Niet-kleprelatede boezemfibrilleren<\/strong> &mdash; stroke prevention (ROCKET-AF)<\/li>\n<li><strong>Deep vein thrombosis and pulmonary embolism<\/strong> &mdash; treatment (EINSTEIN trials) and extended prophylaxis<\/li>\n<li><strong>VTE prophylaxis<\/strong> after major orthopaedic surgery<\/li>\n<li><strong>Stable coronary or peripheral arterial disease<\/strong> &mdash; 2.5 mg twice daily + aspirin (COMPASS 2017) for atherothrombotic prevention in high-risk patients<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dosering<\/h2>\n<p><strong>Non-valvular AF:<\/strong> 20 mg once daily with food (15 mg if CrCl 15-50 mL\/min). <strong>DVT\/PE treatment:<\/strong> 15 mg twice daily for 3 weeks then 20 mg once daily. <strong>COMPASS vascular prophylaxis:<\/strong> 2.5 mg twice daily with aspirin 75-100 mg daily.<\/p>\n<h2 class=\"wp-block-heading\">Bloedingsrisico en monitoring<\/h2>\n<p>Major bleeding ~3-5%\/year in AF; GI bleeding somewhat higher than warfarin. No routine monitoring unlike warfarin &mdash; a major practical advantage. Reversal with andexanet alfa (specific antidote) where available, or 4-factor prothrombin complex concentrate.<\/p>\n<p><strong>No routine blood monitoring required<\/strong> &mdash; a major practical advantage over warfarin. Check renal function at baseline, 3 months, then annually (or sooner in acute illness or 75+ years). No dietary restrictions. Missed doses: take if within 6 hours of scheduled dose; otherwise skip &mdash; do not double up.<\/p>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<ul>\n<li>Major bleeding (~3-5%\/year in AF)<\/li>\n<li>GI bleeding (higher than apixaban, slightly higher than warfarin)<\/li>\n<li>Anemie<\/li>\n<li>Minor bleeding (epistaxis, bruising)<\/li>\n<li>Hepatotoxiciteit (zeldzaam)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contra-indicaties<\/h2>\n<ul>\n<li>Actieve pathologische bloeding<\/li>\n<li>Severe renal impairment (CrCl &lt;15 mL\/min)<\/li>\n<li>Ernstige leverfunctiestoornis (Child-Pugh B of C)<\/li>\n<li>Mechanical heart valve (use warfarin)<\/li>\n<li>Moderate-to-severe mitral stenosis<\/li>\n<li>Pregnancy (crosses placenta; use heparin \/ warfarin)<\/li>\n<li>Concurrent strong dual inhibitors of CYP3A4 + P-gp (azole antifungals, HIV protease inhibitors)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>Strong CYP3A4 + P-gp dual inhibitors &mdash; CRITICAL.<\/strong> Azole antifungals (ketoconazole, itraconazole), HIV protease inhibitors, clarithromycin &mdash; substantially raise rivaroxaban levels; contraindicated.<\/li>\n<li><strong>Sterke CYP3A4 + P-gp-induceerders<\/strong> (rifampicin, phenytoin, carbamazepine, St John&#8217;s Wort) &mdash; lower levels; avoid or monitor closely.<\/li>\n<li><strong>Other anticoagulants, heparins<\/strong> &mdash; do not combine except in specific bridging situations under specialist supervision.<\/li>\n<li><strong>NSAIDs, antiplatelets<\/strong> &mdash; additive bleeding risk.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Opslag<\/h2>\n<p>Store Xarelto 20 below 25&deg;C. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">Do I need blood tests on Xarelto 20?<\/h3>\n<p>No routine blood tests for efficacy. Check renal function annually.<\/p>\n<h3 class=\"wp-block-heading\">What should I do if I cut myself while on Xarelto 20?<\/h3>\n<p>Oefen gedurende 15-20 minuten stevige directe druk uit zonder te kijken. De meeste kleine snijwonden stoppen normaal; bloedingen die langer dan 20 minuten duren of door meerdere verbanden heen bloeden vereisen dringende medische beoordeling. Meld zwarte of bloederige ontlasting, helderrood rectaal bloedverlies, hematurie, onverklaarbare blauwe plekken, neusbloedingen langer dan 15 minuten of veel hevigere menstruatiebloedingen dan normaal.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Xarelto 20 in pregnancy?<\/h3>\n<p>No &mdash; crosses placenta; DOACs are contraindicated in pregnancy. Use LMWH.<\/p>\n<h3 class=\"wp-block-heading\">Wat als ik een operatie nodig heb?<\/h3>\n<p>Inform the surgical team well in advance. Rivaroxaban stopped 24-48 hours before surgery depending on bleeding risk and renal function.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Xarelto 20 online?<\/h3>\n<p>You can buy Xarelto 20 (rivaroxaban 20 mg, 14-112 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Gerelateerde cardiovasculaire medicatie<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/aldactone\/\">Aldactone \u2014 Spironolacton<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/cordarone\/\">Cordarone \u2014 Amiodarone 100\/200 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/ivabrad\/\">Ivabrad \u2014 Ivabradine 7,5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/lonitab\/\">Lonitab \u2014 Minoxidil 5 mg (orale vaatverwijder)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/rioci-1\/\">Rioci 1 \u2014 Riociguat 1 mg (sGC-stimulator voor PAH)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/vymada\/\">Vymada \u2014 Sacubitril\/Valsartan ARNI<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/high-blood-pressure-medication\/\"><strong>Bekijk alle hoge bloeddruk medicijnen<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Medisch disclaimer.<\/strong> Deze pagina is alleen voor informatieve doeleinden en vervangt geen medisch advies van een gekwalificeerde zorgverlener. Hypertensie, hartfalen en aritmie\u00ebn vereisen diagnose, monitoring en doseringsindividualisatie door een arts \u2014 gebruik b\u00e8tablokkers altijd onder medische begeleiding.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Chronische aandoeningen<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/ivrea-shampoo\/\">Ivrea Shampoo<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/rosu-hdl\/\">Rosu-HDL<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/tiova-rotacaps\/\">Tiova Rotacaps<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/glynase-xl\/\">Glynase Xl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/trajenta-duo\/\">Trajenta Duo<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Xarelto 20 is Bayer&#8217;s rivaroxaban 20 mg tablets \u2014 the first oral direct factor Xa inhibitor. ROCKET-AF (2011) non-inferior to warfarin in non-valvular AF; EINSTEIN-DVT\/PE (2010) established single-drug treatment for VTE. COMPASS (2017) showed 2.5 mg twice daily + aspirin reduced CV events in stable CAD\/PAD. No routine blood monitoring needed (vs warfarin INR). Contraindicated in mechanical valves, pregnancy, severe CKD. Andexanet alfa reverses in emergencies.<\/p>","protected":false},"featured_media":60452,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3635,3141,3223,3342,3260,3356],"product_tag":[4863,4864],"class_list":{"0":"post-60451","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-coagulants","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_cat-general-health","10":"product_cat-heart-blood-pressure","11":"product_cat-high-blood-pressure-medication","12":"product_tag-rivaroxaban","13":"product_tag-xarelto","15":"first","16":"instock","17":"shipping-taxable","18":"purchasable","19":"product-type-variable","20":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/60451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=60451"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/60452"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=60451"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=60451"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=60451"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=60451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}