Compare Pradaxa vs. Xarelto

Head-to-head comparisons of medication uses, side effects, ratings, and more.

ADVERTISEMENT

Pradaxa (dabigatran)

Prescription only

Xarelto (rivaroxaban)

Prescription only
Prevents and treats blood clots.

Pradaxa (dabigatran) is an effective oral medicine for preventing and treating blood clots, but it can increase the risk of bleeding especially in older people and those with kidney problems.

Prevents blood clots.

Xarelto (rivaroxaban) is a good medication for preventing blood clots. It doesn't require regular blood tests or changing doses often. However, it can be expensive and there's no way to reverse the medication's effects.

3.5/ 5 average rating with 22 reviewsforXarelto
Upsides
  • Pradaxa (dabigatran) doesn't require regular blood tests or frequent dose changes, unlike Coumadin.
  • Works just as well as other blood thinners in lowering the risk of stroke and heart attacks.
  • In cases of accidental overdose, an antidote is available to reverse the effects of the medicine.
  • May be taken with or without food.
  • Studies show that Xarelto (rivaroxaban) works just as well as other blood thinners (anticoagulants) in preventing strokes and stopping clots from froming.
  • Xarelto (rivaroxaban) doesn't require regular blood tests or frequent dose changes.
  • Xarelto (rivaroxaban) doesn't interact with as many types of food as other blood thinners like warfarin (Coumadin).
Downsides
  • Pradaxa (dabigatran) is not available in generic form so it can be expensive.
  • Might not be a good option for people age 75 or older and those with kidney problems due to the increased risk of bleeding.
  • Not safe to be used in people with artificial heart valves.
  • Pradaxa (dabigatran) is associated with a higher risk of stomach bleeding compared to Coumadin.
  • Might not be appropriate for people who need to take aspirin or NSAIDs (such as ibuprofen) regularly since it can add to the risk of bleeding.
  • Xarelto (rivaroxaban) can increase your risk of bleeding, so call your doctor right away if you see blood in your spit, urine, or stool (look for black, tarry stools or bright red blood).
  • Xarelto (rivaroxaban) isn't available as a generic medication.
  • There are no antidotes to stop bleeding caused by taking too much Xarelto (rivaroxaban).
  • You can't take Xarelto (rivaroxaban) if you are pregnant.
ADVERTISEMENT
Used for
Dosage forms
  • Pill
  • Pill
Price
Want to save even more money?
Sign up now for a 30-day trial and save up to 95% at CVS, Kroger, Albertsons, and other pharmacies.
Learn more
Reviews
Not enough review data.Leave a review
22 reviews so far
45%
saidit'sworth it
45%
saiditworked well
9%
saidit'sa big hassle

Have you used Xarelto (rivaroxaban)?

Leave a review
Side effects
2possible side effects
  • Any bleeding
    11%
  • Non-major bleeding
    5%
See more detailed side effects
2possible side effects
  • Major bleeding needing transfusion
    4%
  • Bleeding in the stomach & intestines
    2%
See more detailed side effects
Risks and risk factors
  • Blood clots
    • Stopping Pradaxa (dabigatran) suddenly
  • Blood clots in the spine
    • People who have done a spinal tap or had a local anesthetic medicine injected into their spine
  • Increased risk of bleeding
    • Taking other medicines that also increase bleeding risk such as NSAIDs, aspirin, or blood thinners
    • People with kidney problems
    • People age 75 or older
  • People with artificial heart valves
    • People with artificial heart valve(s)
See more detailed risks and warnings
  • Blood clots and stroke
    • Stopping Xarelto (rivaroxaban) too soon
    • Artificial heart valve
  • Blood clot in the spine
    • Spinal puncture (spinal tap)
    • Getting anesthesia in the spine (epidural anesthesia)
  • Unusual bleeding
    • History of bleeding problems
    • Severe high blood pressure
    • Age 65 or older
    • Drug interactions
    • Taking NSAIDs, aspirin, or other blood-thinning medicines
  • Increased side effects
    • Current kidney problems
    • Current liver problems
See more detailed risks and warnings