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Eliquis vs. Xarelto

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

Key takeaways

Eliquis (apixaban) and Xarelto (rivaroxaban) are both direct-acting oral anticoagulants (DOACs) used to prevent and treat blood clots. Both medications are effective in reducing the risk of stroke and treating conditions caused by blood clots, such as deep vein thrombosis (DVT) and pulmonary embolism (PE). Xarelto is also FDA approved for other heart-related conditions, such as coronary artery disease and, when combined with aspirin, peripheral artery disease. Eliquis is typically taken twice daily and might have a lower risk of bleeding compared to Xarelto, which is often taken once daily. Neither medication requires frequent blood tests or that you follow dietary restrictions like the traditional blood thinner warfarin (Jantoven) does. Eliquis may be preferable for patients with kidney problems. Common side effects for both medications include bleeding and bruising. Serious risks include life-threatening bleeding.

Eliquis

(apixaban)

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Xarelto

(rivaroxaban)

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Summary for Eliquis

Prescription only

Eliquis (apixaban) is an anticoagulant (blood thinner) used to prevent and treat blood clots. It can lower the risk of serious conditions like stroke, deep vein thrombosis (DVT), and pulmonary embolism (PE). The medication comes as a tablet or liquid and is taken by mouth twice a day. Common side effects include bleeding and bruising. Although generic versions have been approved by the FDA, they might not be available until 2026.

Indications for Eliquis

Adults:

Children:

  • Treat blood clots and lower the risk of new clots in children from birth and older

Pros and Cons for Eliquis

Pros

  • No regular blood monitoring required
  • Can be taken with or without food
  • Approved for both children and adults

Cons

  • Need to take it twice a day
  • Most common side effect is bleeding
  • Not easily reversible in life-threatening bleeds

Common Side Effects for Eliquis

Adults:

  • Any bleeding (up to 15%)

Children:

  • Any bleeding (up to 36%)
  • Headache (16%)
  • Vomiting (14%)

Warnings for Eliquis

  • Higher risk of blood clots if stopped too early
  • Paralysis in the spine
  • Bleeding
  • Not recommended in people with prosthetic heart valves
  • Not recommended in people with antiphospholipid syndrome

Summary for Xarelto

Prescription only

Xarelto (rivaroxaban) is a prescription blood thinner used to prevent and treat blood clots. It can lower the risk of serious problems like stroke, deep vein thrombosis (DVT), or pulmonary embolism (PE). It's comes as a tablet or liquid and is taken by mouth. Your dose depends on why you're taking it, so it could be once or twice a day. The most common side effect is bleeding, which can sometimes be serious or life-threatening. Xarelto (rivaroxaban) is available as both a brand-name and a generic medication.

Indications for Xarelto

Adults:

Children:

Pros and Cons for Xarelto

Pros

  • No regular blood monitoring required
  • Available as a tablet or liquid that's taken by mouth
  • Approved for both children and adults

Cons

  • Most common side effect is bleeding
  • Not easily reversible in life-threatening bleeds
  • Can interact with many medications

Common Side Effects for Xarelto

Adults

  • Any bleeding (Up to 28%)

Children

  • Any bleeding (36%)
  • Cough (16%)
  • Vomiting (14%)
  • Stomach virus (13%)
  • Rash (9%)

Warnings for Xarelto

  • Higher risk of blood clots if stopped too early
  • Paralysis in the spine
  • Bleeding
  • Interactions with other medications
  • Risk of pregnancy-related bleeding
  • Not recommended in people with prosthetic heart valves
  • Not recommended in people with antiphospholipid syndrome

Prices with our coupons for Eliquis vs. Xarelto

Price Card Drug Icon
Eliquis60 tablets / 5mg
$346.17$784.28
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Rivaroxaban60 tablets / 2.5mg
$52.41$616.14
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