دواعي استعمال ريباتوكسابان 15مجم 30 قرص
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 360ج.م.
عن الدواء
Repatoxaban 15 mg 30 tabs: rivaroxaban 15 mg oral tablets (30 tablets), a direct factor Xa inhibitor; listed in Egypt under Horus for Pharmaceutical Products > Eva Pharma.
دواعي الاستعمال
- Treatment of DVT and PEالفئة: AdultsDailyMed (U.S. National Library of Medicine)
- Reduce risk of stroke and systemic embolism in nonvalvular atrial fibrillation (reduced renal function)الفئة: AdultsDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Bleeding is the most common adverse reaction.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Active pathological bleeding.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Severe hypersensitivity reaction to rivaroxaban (e.g. anaphylaxis).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Boxed warning: premature discontinuation increases the risk of thrombotic events; consider alternative anticoagulant coverage.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Boxed warning: epidural or spinal hematoma with neuraxial anesthesia or spinal puncture, which may cause permanent paralysis.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Increased risk of bleeding, including serious or fatal bleeding; risk increased by other drugs affecting hemostasis.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Not recommended in triple-positive antiphospholipid syndrome.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- Combined P-gp and strong CYP3A inhibitors (e.g. ketoconazole, ritonavir)Avoid: increase rivaroxaban exposure and bleeding risk.DailyMed (U.S. National Library of Medicine)
- Combined P-gp and strong CYP3A inducers (e.g. carbamazepine, phenytoin, rifampin, St John's wort)Avoid: decrease exposure and may increase thromboembolic risk.DailyMed (U.S. National Library of Medicine)
- Anticoagulants, aspirin, P2Y12 inhibitors, NSAIDsIncrease bleeding risk; avoid other anticoagulants unless benefit outweighs risk.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- Limited data are insufficient to inform drug-associated risk; use with caution because of potential pregnancy-related hemorrhage and/or emergent delivery; anticoagulant effect cannot be reliably monitored with standard tests.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Rivaroxaban is detected in human milk; effects on the breastfed child are unknown; weigh benefits of breastfeeding against maternal need.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
المتابعة أثناء العلاج
- Periodically assess renal function and watch promptly for signs of blood loss.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Selective direct inhibitor of factor Xa, reducing thrombin generation.
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)
- WHO Collaborating Centre for Drug Statistics Methodology
- PubChem