Makindo Medical Notes"One small step for man, one large step for Makindo" |
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π Rivaroxaban is an oral direct Factor Xa inhibitor. β Indicated in non-rheumatic AF with one or more risk factors: previous stroke/TIA, heart failure, age >75, diabetes, or hypertension. β οΈ Always check the BNF link here for the latest prescribing guidance.
- No routine INR monitoring, but renal function and haemoglobin must be checked regularly. - Always assess CHAβDSβ-VASc vs HAS-BLED scores before prescribing. - Safer than warfarin in most patients, but no easy reversal (andexanet alfa exists but limited availability in UK). - Counsel patients: π¬ "Take with food, never miss a dose, and report any unexplained bleeding/bruising."