Xarelto | Rivaroxaban Tablet while Breastfeeding
It is a well known fact that breastfeeding is best source of nutrition for infants. Breast milk provides minerals, vitamins and antibodies in most acceptable format when they need it. Nutrition taken by mother passes to breast-milk and same thing applies to medicines taken by mothers. Not all drugs cause problem for baby but some do. Lets analyze if Xarelto | Rivaroxaban Tablet is safe for baby while breastfed.

What is Xarelto | Rivaroxaban Tablet used for?


XARELTO is a factor Xa inhibitor indicated: to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (1.1) for the treatment of deep vein thrombosis (DVT) (1.2) for the treatment of pulmonary embolism (PE) (1.3) for the reduction in the risk of recurrence of DVT and/or PE in patients at continued risk for recurrent DVT and/or PE after completion of initial treatment lasting at least 6 months (1.4) for the prophylaxis of DVT, which may lead to PE in patients undergoing knee or hip replacement surgery (1.5) in combination with aspirin, to reduce the risk of major cardiovascular events (cardiovascular (CV) death, myocardial infarction (MI) and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease (PAD) (1.6) 1.1 Reduction of Risk of Stroke and Systemic Embolism in Nonvalvular Atrial Fibrillation XARELTO is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. There are limited data on the relative effectiveness of XARELTO and warfarin in reducing the risk of stroke and systemic embolism when warfarin therapy is well-controlled [see Clinical Studies (14.1)]. 1.2 Treatment of Deep Vein Thrombosis XARELTO is indicated for the treatment of deep vein thrombosis (DVT). 1.3 Treatment of Pulmonary Embolism XARELTO is indicated for the treatment of pulmonary embolism (PE). 1.4 Reduction in the Risk of Recurrence of Deep Vein Thrombosis and/or Pulmonary Embolism XARELTO is indicated for the reduction in the risk of recurrence of DVT and/or PE in patients at continued risk for recurrent DVT and/or PE after completion of initial treatment lasting at least 6 months. 1.5 Prophylaxis of Deep Vein Thrombosis Following Hip or Knee Replacement Surgery XARELTO is indicated for the prophylaxis of DVT, which may lead to PE in patients undergoing knee or hip replacement surgery. 1.6 Reduction of Risk of Major Cardiovascular Events in Patients with Chronic Coronary Artery Disease (CAD) or Peripheral Artery Disease (PAD) XARELTO, in combination with aspirin, is indicated to reduce the risk of major cardiovascular events (cardiovascular (CV) death, myocardial infarction (MI) and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease (PAD).

I am breastfeeding mother and I am using Xarelto | Rivaroxaban Tablet. Can it have any bad effect on my kid? Shall I search for better alternative?

Xarelto | Rivaroxaban Tablet low risk for breastfeeding
Xarelto | Rivaroxaban Tablet contains only one active ingredient that is Rivaroxaban. We have analyzed the usage of Rivaroxaban in breastfeeding and our analysis suggest that Rivaroxaban poses Low risk for infant while breastfeeding and hence Xarelto | Rivaroxaban Tablet itself shall be considered Low risk item for breastfeeding.

Xarelto | Rivaroxaban Tablet Breastfeeding Analsys


Rivaroxaban while Breastfeeding

Low Risk

Direct factor Xa inhibitor, indicated in the prevention of thromboembolism.Administered orally every 12 to 24 hours. From a single published case study we know that it is excreted in breast milk in clinically insignificant amounts (Wiesen 2016); the newborn was not breastfed. Until there is more published data on this drug in relation to breastfeeding, safer known alternatives may be preferable, especially during the neonatal period and in case of prematurity.


Xarelto | Rivaroxaban Tablet Breastfeeding Analsys - 2


Rivaroxaban while Breastfeeding

CAS Number: 366789-02-8

Limited information indicates that a maternal dose of rivaroxaban of 30 mg daily produces low levels in milk. If rivaroxaban is required by the mother, it is not a reason to discontinue breastfeeding. However, until more data become available, an alternate drug may be preferred, especially while nursing a newborn or preterm infant.[1][2]



What should I do if already breastfed my kid after using Xarelto | Rivaroxaban Tablet?

During whole lactation period you shall first discuss with your doctor and then together you shall decide whether you shall take that drug or not however if you have already taken Xarelto | Rivaroxaban Tablet then you shall inform your doctor, But you should not be worried too much as Xarelto | Rivaroxaban Tablet comes in category of low risk drug.


I am nursing mother and my doctor has suggested me to use Xarelto | Rivaroxaban Tablet, is it safe?

Though Xarelto | Rivaroxaban Tablet dose not comes in category of safe drugs rather it comes in category of low risk but if your doctor is aware that you are breastfeeding your baby and has still recommended it then its advantages must be outweighing the risks.


If I am using Xarelto | Rivaroxaban Tablet, will my baby need extra monitoring?

Not much


Who can I talk to if I have questions about usage of Xarelto | Rivaroxaban Tablet in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week