What Should I Do After Taking Two Doses Of 20 Mg Xarelto By Accident?

Posted on Mon, 22 May 2023

Question: I by accident to two doses of 20mg xarelto. what should I do

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Xarelto overdose

Detailed Answer:
Hello and welcome

I appreciate your concern

You mean to say 2 doses of 20 mg then it's 40 mg in total. It's not a very high dose and is unlikely to lead to complications related to bleeding unless there is a predisposition or comorbid condition.

Oral activated charcoal should be given as soon as possible. Rivaroxaban should be stopped and rivaroxaban concentrations, INR, and APTT be monitored for the next 24 to 48 hours in consultation with your doctor.

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Muhammad Sareer Khalil (12 minutes later)

I haven't gone to the hospital. As I feel ok

Answered by Dr. Dr. Muhammad Sareer Khalil (0 minute later)

Brief Answer:
Timing ?

Detailed Answer:
How long ago did you take the xarelto ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

3 hours ago

Answered by Dr. Dr. Muhammad Sareer Khalil (5 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

As stated previously, you need to stop it for the time being (at least the next 48 hours ) and get the levels /tests done. Activated charcoal has no harm and can be given. Go to an ER near you to be on the safe side for the above assessment.

Thanks

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Above answer was peer-reviewed by : Dr. Remy Koshy