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Rivaroxaban Side Effects

The most commonly reported side effects of rivaroxaban include gastrointestinal haemorrhage, off label use, and haemorrhage, based on 204,282 FDA adverse event reports from 2007 to 2025. 2.8% of reports found the drug to be ineffective.

Rivaroxaban side effects

Percentages show how often each reaction appears relative to total reports for rivaroxaban.

1
Gastrointestinal Haemorrhage10.5%21,494
2
Off Label Use3.8%7,810
3
Haemorrhage3.8%7,675
4
Dyspnoea3.5%7,128
5
Epistaxis3.3%6,676
6
Fatigue3.2%6,568
7
Death2.9%6,000
8
Fall2.9%5,986
9
Drug Ineffective2.8%5,767
10
Pulmonary Embolism2.8%5,624
11
Anaemia2.7%5,607
12
Diarrhoea2.7%5,492
13
Cerebrovascular Accident2.7%5,471
14
Dizziness2.6%5,347
15
Nausea2.6%5,210

These are voluntary reports and do not establish that rivaroxaban caused these reactions.

Report severity

84.0%Serious171,530 reports
50.2%Hospitalizations102,648 reports
13.2%Fatal26,937 reports

Seriousness is determined by the reporter, not by OpenClaim.

Rivaroxaban drug interactions

Other drugs that appear in adverse event reports alongside rivaroxaban. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Aspirin11.3%23,112
2
Lenalidomide2.8%5,754
3
Clopidogrel-bisulfate2.2%4,559
4
Treprostinil1.4%2,830
5
Warfarin1.3%2,586
6
Furosemide1.0%2,076
7
Acetaminophen1.0%1,947
8
Amiodarone-hydrochloride0.9%1,916
9
Pomalidomide0.9%1,887
10
Gemfibrozil0.9%1,813
11
Apixaban0.8%1,734
12
Bisoprolol-fumarate0.8%1,733
13
Valsartan0.8%1,536
14
Riociguat0.7%1,504
15
Adalimumab0.7%1,480

Taken alongside

1
Furosemide8.3%17,023
2
Metoprolol7.7%15,643
3
Atorvastatin-calcium7.2%14,776
4
Acetaminophen6.3%12,946
5
Levothyroxine-sodium5.8%11,757
6
Omeprazole5.3%10,796
7
Amlodipine5.2%10,704
8
Pantoprazole-sodium5.1%10,388
9
Ergocalciferol5.0%10,197
10
Aspirin4.5%9,215
11
Metformin4.3%8,877
12
Lisinopril4.2%8,662
13
Bisoprolol-fumarate3.9%8,016
14
Albuterol3.7%7,630
15
Gabapentin3.5%7,171

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports rivaroxaban side effects

44.8% of rivaroxaban adverse event reports involve female patients and 45.0% involve male patients. The largest age group is elderly at 69%. These figures reflect who reports side effects, not underlying risk.

Sex

Female44.8%
Male45.0%
Unknown10.1%

Age group

< 20.1%
2–110.1%
12–170.2%
18–6430.8%
65+68.8%

What is rivaroxaban used for

Conditions and purposes for which patients were taking rivaroxaban when the adverse event was reported.

Abdominal DiscomfortAbdominal OperationAbdominal PainAbdominoplastyAbnormal Clotting FactorAccident At WorkAccidental Exposure To ProductAcquired Antithrombin Iii DeficiencyActivated Protein C ResistanceAcute Coronary SyndromeAcute Haemorrhagic Ulcerative ColitisAcute Left Ventricular FailureAcute Lymphocytic LeukaemiaAcute Myocardial InfarctionAdjuvant Therapy

Showing 15 of 1,447 indications

Rivaroxaban brand names and reporting trend

Rivaroxaban is sold under the brand name Xarelto.

Brand names

Xarelto32,384

Quarterly reports (20072025)

20072010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking rivaroxaban with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.