🩺 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 090988 10 Rs.297.50 Rs.350.00
Tab 10 mg 076157 10 Rs.454.75 Rs.535.00
Tab 15 mg 079930 14 Rs.701.25 Rs.825.00
Tab 20 mg 079931 14 Rs.832.15 Rs.979.00

📋 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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