🩺 ANTITHROMBOTIC AGENTS 🏷️ Anticoagulant, direct inhibitor of activated factor X (factor Xa)
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 2.5 mg — 1x10 Rs.170.00 Rs.200.00
Tab 10 mg — 1x10 Rs.255.00 Rs.300.00
Tab 15 mg — 1x14 Rs.476.00 Rs.560.00
Tab 20 mg — 1x14 Rs.595.00 Rs.700.00

📋 Indications & Clinical Dosage

*Prophylaxis of venous thromboembolism following knee or hip replacement surgery:* Adult: 10 mg once daily, 6-10 hours after surgery, for 2 weeks. *Initial treatment of deep-vein thrombosis and pulmonary embolism:* Adult: Initially 15 mg twice daily for 21 days, to be taken with food *Continued treatment of deep-vein Thrombosis and Pulmonary Embolism:* Adult: 20 mg once daily, to be taken with food *Prophylaxis of stroke and systemic embolism in patients with non-valvular atrial fibrillation and with at least one of the following risk factors: congestive heart failure, hypertension, previous stroke or transient ischaemic attack, age 75 years, or diabetes mellitus:* Adult: 20 mg once daily, to be taken with food *Prophylaxis of atherothrombotic events following an acute coronary syndrome with elevated cardiac biomarkers:* Adult: 2.5 mg twice daily(in combination with aspirin alone or aspirin and clopidogrel)for 1 yr.

⛔ Contraindications

Creatinine clearance <15 ml/min, active bleeding, in acute coronary syndrome, previous or transient stroke, malignant neoplasms, oesophageal varices, recent brain, ophthalmic, orspinesurgery, GI ulcer, intracranial haemorrhage, significant risk of major bleeding, vascular aneurysm

⚠️ Precautions & Warnings

Severe renal impairment, Cirrhotic patients with moderate hepatic Impairment, severe hypertension, Spinalor epidural anaesthesia, lumbar puncture

🔄 Drug Interactions

Azole antifungals, protease inhibitors, NSAIDs, strongCYP3A4 inducers, anticoagulants, antiplatelets.

⚠️ Adverse Reactions / Side Effects

Abdominal pain, constipation, diarrhoea, dizziness, dyspepsia, haemorrhage, hypotension, nausea, vomiting, pain in extremities, pruritus, renal impairment, angioedema, dry mouth, malaise, syncope, tachycardia, thrombocythaemia. Rare: Jaundice, oedema

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Contraindicated
Lactation / Breastfeeding:
Not recommended.

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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