Direct factor Xa inhibitors

Compare the named medicines in this source-linked class directory.

Membership describes a named action or a component of a combination. A medicine may appear in several families. Medicines in one family are not automatically interchangeable; this is a study directory, not a prescribing guide.

ApixabanEliquis
RivaroxabanXarelto

Generic names and pronunciation

Shared name ending: -xaban · Apixaban, Rivaroxaban

Apixaban · a-PIX-a-ban
Rivaroxaban · riv-a-ROX-a-ban

Pronunciation is shown for the US English generic name. A name ending is a memory cue, not a classification rule.

Body system and related classes

Body system: Hematology

How each medicine works

Apixaban — Selective inhibitor of free and clot-bound factor Xa and prothrombinase, independent of antithrombin III; decreases thrombin generation.
Rivaroxaban — Selectively inhibits free factor Xa and prothrombinase activity without antithrombin, decreasing thrombin generation.

Each summary is the mechanism line from the medicine’s study card.

What each medicine is used for

Apixaban — Stroke and systemic-embolism risk reduction in adults with nonvalvular atrial fibrillation; DVT prophylaxis after hip or knee replacement in adults; Treatment of DVT or pulmonary embolism in adults; Reduction of recurrent DVT or pulmonary embolism risk in adults after initial therapy
Rivaroxaban — Stroke and systemic-embolism risk reduction in adults with nonvalvular atrial fibrillation; Treatment of DVT or PE in adults; pediatric VTE treatment/recurrent-risk reduction is separately indicated after at least 5 days of initial parenteral anticoagulation; DVT prophylaxis in adults after hip or knee replacement; Reduction of major cardiovascular events in adults with coronary artery disease, in combination with aspirin; Reduction of major thrombotic vascular events in adults with peripheral artery disease, in combination with aspirin

Each list is the uses line from the medicine’s study card.

Telling these medicines apart

Medicines in this class: 2

Listed on more than one card in this class

Used for

Stroke and systemic-embolism risk reduction in adults with nonvalvular atrial fibrillation · 2/2: Apixaban, Rivaroxaban

Common side effects

Bleeding · 2/2: Apixaban, Rivaroxaban

Vomiting (pediatric) · 2/2: Apixaban, Rivaroxaban

Warnings

Triple-positive antiphospholipid syndrome · 2/2: Apixaban, Rivaroxaban

Boxed warning

2/2: Apixaban, Rivaroxaban

Listed on only one card in this class

Apixaban: Common side effects — Headache (pediatric); Excessive menstrual bleeding (pediatric) · Warnings — Serious, potentially fatal bleeding; Not recommended with prosthetic heart valves · Interactions — Combined P-gp and strong CYP3A4 inhibitors; Combined P-gp and strong CYP3A4 inducers; Aspirin, NSAIDs, antiplatelets

Rivaroxaban: Common side effects — Cough (pediatric); Gastroenteritis (pediatric) · Warnings — Serious and fatal bleeding; Prosthetic heart valves: not recommended · Interactions — Combined P-gp and strong CYP3A inhibitors; Combined P-gp and strong CYP3A inducers; Other anticoagulants

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.