📋 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.