Xarelto (Rivaroxaban) was developed by Bayer Pharmaceuticals and is now marketed by Johnson & Johnson’s Janssen Pharmaceuticals unit.
Gaining FDA approval in 2011, Xarelto is prescribed to block clotting of the blood, specifically, a particular type of blood clot called deep vein thrombosis (DVT).
It is also used in individuals with atrial fibrillation to decrease the risk of stroke caused by a blood clot.
Patients prescribed Xarelto or other new oral anticoagulants need to understand that taking these drugs comes with some risk.
In instances of an emergency situation, traumatic accident, or cerebral hemorrhage, bleeding can be difficult to stop in patients taking Xarelto.
As of January 2018, an antidote has still not been released to prevent the severe, uncontrollable bleeding from occurring.
The uncontrollable severe bleeding events, including gastrointestinal bleeds, could lead to blood transfusions, hospitalization, or even death.
However, there is a drug, AndexXa, currently undergoing an approval process by the FDA that would cease potentially fatal Xarelto bleeding side effects.
More information on the approval process should be released in May 2018.
According to the Institute for Safe Medicine Practices (ISMP), a watchdog group, anticoagulant drugs are a “high-risk treatment” and cause bleeding in approximately 15% of patients with atrial fibrillation.
Many physicians are wary of the newer anticoagulants since there is limited data on how to manage bleeding in patients taking them.
The pharmaceutical companies that produced Xarelto are now under fire for not only causing side effects in individuals but for failing to provide adequate warnings of the risks.